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为什么铅中毒患者对光不敏感?

Why is the patient with lead intoxication not light sensitive?

作者信息

Haeger-Aronsen B

出版信息

Acta Derm Venereol Suppl (Stockh). 1982;100:67-71.

PMID:6962635
Abstract

Ever since the 1930s, when it was found that the concentration of protoporphyrin (PP) in the red blood cells is markedly increased in lead workers, it has been keenly debated why these persons, like patients with certain types of porphyria, are not hypersensitive to light. The answer came in the 1970s when it was realised that erythrocyte-PP in lead poisoning is not free, as it is in porphyria, but is bound to zinc (ZPP). Free PP can pass through the erythrocyte membrane into the tissues, while ZPP remains confined in the red blood cells. On exposure of PP in the skin to sun shine, the molecule is stimulated to release energy, which causes blisters, reddening, swelling and other symptoms of hypersensitivity to light.

摘要

自20世纪30年代发现铅作业工人红细胞中原卟啉(PP)浓度显著升高以来,人们一直在激烈争论为什么这些人与某些类型的卟啉症患者一样,对光不敏感。答案在20世纪70年代揭晓,当时人们意识到铅中毒时红细胞中的PP不像卟啉症那样是游离的,而是与锌结合(ZPP)。游离的PP可以穿过红细胞膜进入组织,而ZPP则局限于红细胞内。当皮肤中的PP暴露于阳光下时,分子被刺激释放能量,从而导致水泡、发红、肿胀和其他光过敏症状。

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