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[急性甲型肝炎患者粪便中甲型肝炎病毒及抗甲型肝炎病毒IgA的放射免疫测定]

[Radioimmunological determination of HAV and anti-HAV IgA in the feces of patients with acute type-A hepatitis].

作者信息

Angarano G, Coppola S, Frappampina V, Monno L, Santantonio T

出版信息

Boll Ist Sieroter Milan. 1982;61(5):383-9.

PMID:6100166
Abstract

58 fecal specimens from 14 patients (10 hepatitis A, 2 hepatitis B and 2 infectious mononucleosis) were tested for the hepatitis A virus (HAV) and IgA anti-HAV by micro-solid-phase-radioimmunoassay. Only patients with hepatitis A were positive for HAV and/or IgA anti-HAV. In the first days of the disease we found HAV in the feces of 4 patients but it was never present after the sixth day. In all hepatitis A we found IgA anti-HAV in at least one fecal specimen and the titer of the antibodies increased in most cases during the course of the disease. The duration and the peak of the IgA response in the feces were strongly similar to other enterovirus infections. Some methodologic improvement both for HAV and IgA anti-HAV detection are suggested.

摘要

采用微量固相放射免疫分析法,对14例患者(10例甲型肝炎、2例乙型肝炎和2例传染性单核细胞增多症)的58份粪便标本进行甲型肝炎病毒(HAV)和IgA抗-HAV检测。仅甲型肝炎患者的HAV和/或IgA抗-HAV呈阳性。在疾病初期,我们在4例患者的粪便中发现了HAV,但在第六天之后就再也没有出现过。在所有甲型肝炎患者中,我们在至少一份粪便标本中发现了IgA抗-HAV,并且在大多数情况下,抗体滴度在疾病过程中会升高。粪便中IgA反应的持续时间和峰值与其他肠道病毒感染非常相似。文中提出了一些针对HAV和IgA抗-HAV检测的方法学改进建议。

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