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[烟碱型乙酰胆碱受体抗体的测定:30例重症肌无力患者的临床免疫学相关性]

[Determination of antibodies against nicotinic acetylcholine receptor: clinico-immunological correlations in 30 patients with myasthenia gravis].

作者信息

De Crousaz G, Fulpius B, Monnier V, Regli F

出版信息

Schweiz Med Wochenschr. 1978 Apr 22;108(16):602-7.

PMID:644277
Abstract

In 30 patients with myasthenia gravis, serum assays were performed for antibodies to human nicotinic acetylcholine receptor. 19 of 20 generalized forms which were symptomatic and 6 of 9 patients in remission at the time of blood sample had detectable amounts of antibodies. The six highest levels were found in benign courses. 2 patients had a five- and twofold drop in antibody level during rapid deterioration. Patients in remission after thymectomy may still have low to moderate levels, while symptomatic patients occasionally have no detectable antibody.

摘要

对30例重症肌无力患者进行了血清抗人烟碱型乙酰胆碱受体抗体检测。20例有症状的全身型患者中,19例可检测到抗体;9例采血时处于缓解期的患者中,6例可检测到抗体。抗体水平最高的6例患者病情呈良性经过。2例患者在病情迅速恶化时抗体水平分别下降了5倍和2倍。胸腺切除术后缓解期的患者抗体水平仍可能较低至中等,而有症状的患者偶尔检测不到抗体。

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