Tsarevskiĭ L P
Arkh Patol. 1984;46(10):11-8.
Forty-eight autopsy cases of drug allergy were analysed. Heterogeneity of the immunopathomorphologic manifestations was established. The allergy reactions were classified into types I, II, III and IV according to Gell and Coombs. A change or a combination of the humoral and cellular mechanisms of the immunological reactions are not infrequent, this having a clear morphological basis. This is proved by immunoglobulins of different classes, complement components, and a set of mediators revealed in tissues by the immunofluorescence technique. Morphological criteria of drug allergy reactions are presented. Pathologic diagnosis should be made on the basis of a complex analysis of the clinical symptoms and immunomorphological data.
对48例药物过敏尸检病例进行了分析。确定了免疫病理形态学表现的异质性。根据盖尔和库姆斯的分类,过敏反应分为I、II、III和IV型。免疫反应的体液和细胞机制的改变或组合并不罕见,这有明确的形态学基础。这通过不同类别的免疫球蛋白、补体成分以及免疫荧光技术在组织中显示的一组介质得到证明。提出了药物过敏反应的形态学标准。病理诊断应基于对临床症状和免疫形态学数据的综合分析。