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[糖尿病患儿体内的病毒抗体]

[Antibodies to viruses in children with diabetes mellitus].

作者信息

Lozovskaia L S, Lavrova I K, Svetlyshev S D, Desiatskova R G, Smirnov V V

出版信息

Vopr Virusol. 1983 Jul-Aug;28(4):103-8.

PMID:6314665
Abstract

Serological studies were carried out in the time course of insulin-dependent diabetes mellitus in 419 children, among whom paired sera from 66 were studied in the very beginning of diabetes mellitus. By seroconversion in 83% of the children early in the disease, different, frequently mixed virus infections were diagnosed: Coxsackie B2, B3, B4 (46%), rubella (41%), influenza A, B, C (38%), parainfluenza types 1-3 (35%), mumps (23%), adenovirus infection (18%), HB virus infection (4.5%). Acute respiratory diseases preceded or coincided with the onset of diabetes in half of the children with diagnosed acute respiratory and enterovirus infections. No clinical signs of rubella, mumps, or hepatitis immediately before the onset of diabetes or early in the disease were found. A possible role of virus infection diagnosed early in diabetes, in the etiology of chronic insulitis, in provocation of its exacerbation, and manifestation of diabetes mellitus is discussed.

摘要

对419名儿童胰岛素依赖型糖尿病病程进行了血清学研究,其中66名儿童在糖尿病发病之初采集了配对血清。通过对疾病早期83%的儿童进行血清转化,诊断出不同的、常为混合性的病毒感染:柯萨奇B2、B3、B4病毒(46%)、风疹病毒(41%)、甲型、乙型、丙型流感病毒(38%)、1 - 3型副流感病毒(35%)、腮腺炎病毒(23%)、腺病毒感染(18%)、乙肝病毒感染(4.5%)。在诊断为急性呼吸道和肠道病毒感染的儿童中,半数儿童在糖尿病发病前或发病时伴有急性呼吸道疾病。在糖尿病发病前或疾病早期未发现风疹、腮腺炎或肝炎的临床症状。文中讨论了糖尿病早期诊断出的病毒感染在慢性胰岛炎病因、诱发其加重以及糖尿病表现方面可能发挥的作用。

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