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[卡波西肉瘤的经典形式:免疫学与干扰素治疗]

[Classical form of Kaposi sarcoma: immunology and interferon therapy].

作者信息

Thiele B, Schuff-Werner P, Rahlf G, Mahrle G, Ippen H

出版信息

Hautarzt. 1984 Jul;35(7):349-53.

PMID:6206024
Abstract

T-lymphocytes and their subsets were determined in three patients with classical Kaposi's sarcoma. A reduction of pan-T-lymphocytes, including both a reduction of T-helper and T-suppressor cells, was found in one patient. None of the patients showed a reduction of the T-helper/T-suppressor cell ratio, as described in the lymphadenopathic disseminated type of Kaposi's sarcoma. Intradermal testing with tuberculin and trichophytin gave no indication of humoral immunodeficiency or anergy. In addition to electron beam irradiation, one female patient was treated with rIFN-alpha-interferon, 6 X 10(6) IU 3 times a week over a period of 3 months, and 18 X 10(6) IU 3 times weekly over 1 month. Under this therapy, irradiated as well as nonirradiated lesions become flatter, reduced in size and faded. The number of T-suppressor cells diminished.

摘要

对三名经典型卡波西肉瘤患者的T淋巴细胞及其亚群进行了检测。在一名患者中发现全T淋巴细胞减少,包括T辅助细胞和T抑制细胞均减少。没有患者出现如淋巴结病播散型卡波西肉瘤中所描述的T辅助细胞/T抑制细胞比值降低的情况。结核菌素和癣菌素皮内试验未显示体液免疫缺陷或无反应性。除电子束照射外,一名女性患者接受了重组α干扰素治疗,每周3次,每次6×10⁶国际单位,持续3个月,之后每周3次,每次18×10⁶国际单位,持续1个月。在这种治疗下,照射部位及未照射部位的皮损均变平、缩小且颜色变淡。T抑制细胞数量减少。

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