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[巴克利综合征:复发性严重葡萄球菌感染、湿疹和高免疫球蛋白E血症。(作者译)]

[The Buckley syndrome: recurring, severe staphylococcal infections, eczema and hyperimmunoglobulinemia E. (author's transl)].

作者信息

Däumling S, Buriot D, Trung P H, Griscelli C, Lalama M C, Belohradsky B H

出版信息

Infection. 1980;8 Suppl 3:248-54. doi: 10.1007/BF01639590.

DOI:10.1007/BF01639590
PMID:6967861
Abstract

Fifteen patients aged between three and 27 years were examined clinically and immunologically. Common to all patients were severe recurring cutaneous and pulmonary staphyloccal infections, chronic eczema, eosinophilia and an extremely elevated serum IgE level. Eight of the patients had in addition facial dysplasia characterised by coarse features, prognathism and poorly formed external ears. Marked osteoporosis, particularly of the vertebral bodies, was observed in eight patients. A constant defect of granulocyte chemotaxis was found in only three patients; fluctuating or constantly normal chemotaxis occurred in six patients. Polycloncal hypergammaglobulinemia was detected in 14 patients, elevated IgD in two patients, a partial T-cell defect in two patients and a history of lack of antibody response in one patient. Therapeutic trails anti-H2 receptor-antihistamines did not produce lasting or satisfactory clinical or immunological results in the pathogenetically unidentified disease.

摘要

对15名年龄在3岁至27岁之间的患者进行了临床和免疫学检查。所有患者的共同症状为严重复发性皮肤和肺部葡萄球菌感染、慢性湿疹、嗜酸性粒细胞增多以及血清IgE水平极高。此外,8名患者存在面部发育异常,表现为面容粗糙、下颌前突和外耳发育不良。8名患者观察到明显的骨质疏松,尤其是椎体。仅3名患者发现粒细胞趋化性持续缺陷;6名患者趋化性波动或持续正常。14名患者检测到多克隆高丙种球蛋白血症,2名患者IgD升高,2名患者存在部分T细胞缺陷,1名患者有抗体反应缺乏病史。在病因不明的疾病中,抗H2受体抗组胺药的治疗试验未产生持久或令人满意的临床或免疫学效果。

相似文献

1
[The Buckley syndrome: recurring, severe staphylococcal infections, eczema and hyperimmunoglobulinemia E. (author's transl)].[巴克利综合征:复发性严重葡萄球菌感染、湿疹和高免疫球蛋白E血症。(作者译)]
Infection. 1980;8 Suppl 3:248-54. doi: 10.1007/BF01639590.
2
Severe staphylococcal disease associated with allergic manifestations, hyperimmunoglobulinemia E, and defective neutrophil chemotaxis.与过敏表现、高免疫球蛋白血症E及中性粒细胞趋化功能缺陷相关的严重葡萄球菌病。
J Lab Clin Med. 1976 Nov;88(5):796-806.
3
[Relapsing infections associated with high serum IgE levels Buckley's syndrome (author's transl)].与高血清IgE水平相关的复发性感染——巴克利综合征(作者译)
Nouv Presse Med. 1980 May 17;9(22):1571-5.
4
Staphylococcal IgE antibodies, hyperimmunoglobulinemia E and Staphylococcus aureus infections.葡萄球菌IgE抗体、高免疫球蛋白E血症与金黄色葡萄球菌感染
N Engl J Med. 1979 Apr 12;300(15):835-8. doi: 10.1056/NEJM197904123001506.
5
Selective food-specific IgE antibodies in a patient with hyperimmunoglobulinemia E, recurrent infections and severe eczema.高免疫球蛋白E、反复感染和严重湿疹患者的选择性食物特异性IgE抗体
Ann Allergy. 1977 Aug;39(2):137-8.
6
[Hyperimmunoglobulinemia E, recurring staphylococcal infections and a defect in granulocyte chemotaxis in adults. A variant of Job's syndrome].[成人高免疫球蛋白E血症、复发性葡萄球菌感染及粒细胞趋化性缺陷。乔布综合征的一种变异型]
Dtsch Med Wochenschr. 1985 Oct 4;110(40):1535-9. doi: 10.1055/s-2008-1069043.
7
Defective leukocytotaxia and recurrent staphylococcal infecion: deficiency of leukocytotaxia and abnormal granulocytes associated with increase serum IgE levels in an adult with recurrent staphylococcal infection.白细胞趋化功能缺陷与复发性葡萄球菌感染:一名复发性葡萄球菌感染的成年人存在白细胞趋化功能缺陷、异常粒细胞,且血清IgE水平升高。
Arch Dermatol. 1978 Sep;114(9):1372-8. doi: 10.1001/archderm.114.9.1372.
8
[Secondarily infected pneumatocele, eosinophilia and excess production of IgE manifesting as Buckley's syndrome in an adult].[成人继发性感染性肺大疱、嗜酸性粒细胞增多及IgE过度产生,表现为巴克利综合征]
Poumon Coeur. 1983;39(2):95-100.
9
[Susceptibility to infections and hyper IgE: 19 new case reports ].[感染易感性与高免疫球蛋白E:19例新病例报告]
Arch Fr Pediatr. 1982 Jun-Jul;39(6):353-8.
10
Hyperimmunoglobulin E syndrome.高免疫球蛋白E综合征
Arch Dermatol. 1978 May;114(5):765-7.

引用本文的文献

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Oral chloramphenicol therapy for multiple liver abscesses in hyperimmunoglobulinemia E syndrome.口服氯霉素治疗高免疫球蛋白E综合征中的多发性肝脓肿。
Eur J Pediatr. 1984 Sep;142(4):292-5. doi: 10.1007/BF00540256.

本文引用的文献

1
The chemotactic effect of mixtures of antibody and antigen on polymorphonuclear leucocytes.抗体与抗原混合物对多形核白细胞的趋化作用。
J Exp Med. 1962 Mar 1;115(3):453-66. doi: 10.1084/jem.115.3.453.
2
Serum IgD concentrations in normal infants, children, and adults and in patients with elevated IgE.正常婴儿、儿童、成人以及IgE升高患者的血清IgD浓度。
J Pediatr. 1980 Mar;96(3 Pt 1):417-20. doi: 10.1016/s0022-3476(80)80684-6.
3
Extreme hyperimmunoglobulinemia E and undue susceptibility to infection.极高的免疫球蛋白E血症与过度易感性感染。
Pediatrics. 1972 Jan;49(1):59-70.
4
Bactericidal function of human polymorphonuclear leukocytes. E. Mead Johnson Award Address.人类多形核白细胞的杀菌功能。伊·米德·约翰逊奖获奖致辞。
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Immunochemical quantitation of antigens by single radial immunodiffusion.通过单向辐射免疫扩散法对抗原进行免疫化学定量。
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Measurement of serum IgE by a one-step single radial radiodiffusion method.
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Defective neutrophil chemotaxis and cellular immunity in a child with recurrent infections.一名反复感染儿童的中性粒细胞趋化性缺陷与细胞免疫
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Leukocyte locomotion and chemotaxis. New methods for evaluation, and demonstration of a cell-derived chemotactic factor.白细胞移动与趋化性。评估及证明一种细胞源性趋化因子的新方法。
J Exp Med. 1973 Feb 1;137(2):387-410. doi: 10.1084/jem.137.2.387.
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Quantitative nitroblue tetrazolium test in chronic granulomatous disease.慢性肉芽肿病的定量硝基蓝四氮唑试验
N Engl J Med. 1968 May 2;278(18):971-6. doi: 10.1056/NEJM196805022781801.
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Lack of suppression of certain immunoglobulin-producing lymphocytes in T-lymphocyte deficiency.
Clin Immunol Immunopathol. 1974 Sep;3(1):69-78. doi: 10.1016/0090-1229(74)90024-5.