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[法国菲尼斯泰尔省成年人群中的单克隆丙种球蛋白病。基于30279人的调查结果(作者译)]

[Monoclonal gammapathy in the adult population of Finistère (France). Results of an inquiry resting on 30,279 persons (author's transl)].

作者信息

Saleun J P, Colin F, Morin J F

出版信息

Rev Epidemiol Sante Publique. 1979;27(4):263-76.

PMID:538305
Abstract

The study of 30,279 adult sera, most issued from Finistère, detected 334 monoclonal gammapathies. The analysis of the results discloses that monoclonal gammapathies appear more frequently in this district (Finistère) than in Paris' one and that their repartition is not homogeneous. Two areas seem to be more particularly affected: one in the north-east, where IgG paraproteins are particularly frequent and the other in southwest, more particularly touched by IgM. The role of a genetic tendency could be backed by a discovery of numerous cases of monoclonal gammapathies occuring in families, and the high rate occuring between "half brother and sisters", but the case study of three couples would be more in favor of an environmental stimulus.

摘要

对30279份成人血清(大多来自菲尼斯泰尔省)的研究检测出334例单克隆丙种球蛋白病。结果分析表明,单克隆丙种球蛋白病在该地区(菲尼斯泰尔省)比在巴黎地区出现得更频繁,而且其分布并不均匀。有两个区域似乎受影响尤为严重:一个在东北部,IgG副蛋白在那里特别常见;另一个在西南部,受IgM影响更明显。单克隆丙种球蛋白病在家族中大量出现,以及在“同父异母或同母异父的兄弟姐妹”之间出现的高发病率,可能支持遗传倾向的作用,但对三对夫妇的案例研究更倾向于环境刺激因素。

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