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对隐源性纤维性肺泡炎和石棉相关肺病患者进行结核菌素(PPD)、白色念珠菌和毛癣菌属的皮肤试验。

Skin tests with tuberculin (PPD) Candida albicans and Trichophyton spp. in cryptogenic fibrosing alveolitis and asbestos related lung disease.

作者信息

Pierce R, Turner-Warwick M

出版信息

Clin Allergy. 1980 Mar;10(2):229-37. doi: 10.1111/j.1365-2222.1980.tb02101.x.

DOI:10.1111/j.1365-2222.1980.tb02101.x
PMID:6993044
Abstract

Delayed skin hypersensitivity responses were elicited in patients with cryptogenic fibrosing alveolitis (CFA) (twenty-eight), asbestosis (eight), mesothelioma (eight) and a "control" group, having miscellaneous lung diseases not normally believed to be associated with T cell deficiency (twenty). Three antigens, Candida albicans, trichophyton and purified protein derivative (PPD) in a range of doses were used. There was no evidence of impaired cellular immunity in CFA or in mesothelioma, indeed there was a significantly increased frequency of reactions to PPD in both of these conditions (P less than 0.05 and P less than 0.01 respectively). There was, however, a trend of decreased responsiveness in the group with asbestosis. The dosage regimen used rarely gave completely negative results (only one of thirty-two completed tests), and may provide a basis for a simple and standard regimen for screening patients suspected of having defective T cell responses.

摘要

对隐源性纤维性肺泡炎(CFA)患者(28例)、石棉肺患者(8例)、间皮瘤患者(8例)以及“对照”组(患有通常认为与T细胞缺陷无关的各种肺部疾病,共20例)进行了迟发性皮肤超敏反应检测。使用了三种抗原,即不同剂量的白色念珠菌、毛癣菌和纯化蛋白衍生物(PPD)。没有证据表明CFA或间皮瘤患者存在细胞免疫受损,事实上,在这两种情况下,对PPD的反应频率均显著增加(分别为P<0.05和P<0.01)。然而,石棉肺组存在反应性降低的趋势。所采用的给药方案很少产生完全阴性的结果(32项完成的检测中只有1项),这可能为筛查疑似T细胞反应缺陷患者的简单标准方案提供依据。

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引用本文的文献

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Cryptogenic fibrosing alveolitis and lung cancer.隐源性纤维性肺泡炎与肺癌
Thorax. 1980 Jul;35(7):496-9. doi: 10.1136/thx.35.7.496.
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Impaired non-specific delayed cutaneous hypersensitivity in bird fancier's lung.养鸟人肺中非特异性迟发性皮肤超敏反应受损。
Thorax. 1989 Feb;44(2):132-5. doi: 10.1136/thx.44.2.132.