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病毒性肝炎中的肾免疫复合物

Renal immune complexes in viral hepatitis.

作者信息

Sehgal S, Datta B N, Chugh K S, Aikat B K, Datta D V

出版信息

Clin Exp Immunol. 1980 Jun;40(3):453-8.

PMID:6998616
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1538932/
Abstract

Twenty-two patients dying of acute viral hepatitis were studied for the presence of renal immune complexes using direct immunofluorescence. A detailed light microscopic study of liver, kidney and other organs was also done and sera scanned for the presence of HBsAg. Results of light microscopy indicate that thirteen of twenty-two patients showed mild to moderate glomerular abnormalities. Immunofluorescence was positive in fifteen of twenty-two patients. IgA being positive in 28%. The incidence of HBsAg was low. It is suggested that both B and non-B type of hepatitis viruses are associated with a high incidence of renal immune complexes along with morphological alterations in the glomerulus.

摘要

对22例死于急性病毒性肝炎的患者进行了研究,采用直接免疫荧光法检测肾脏免疫复合物的存在情况。同时对肝脏、肾脏和其他器官进行了详细的光镜检查,并检测血清中HBsAg的存在情况。光镜检查结果显示,22例患者中有13例表现出轻度至中度肾小球异常。22例患者中有15例免疫荧光呈阳性。IgA阳性率为28%。HBsAg的发生率较低。提示B型和非B型肝炎病毒均与肾脏免疫复合物的高发生率以及肾小球形态学改变有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58a9/1538932/390f743f1bd4/clinexpimmunol00195-0027-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58a9/1538932/eee67008517a/clinexpimmunol00195-0027-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58a9/1538932/65e82724a49a/clinexpimmunol00195-0027-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58a9/1538932/390f743f1bd4/clinexpimmunol00195-0027-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58a9/1538932/eee67008517a/clinexpimmunol00195-0027-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58a9/1538932/65e82724a49a/clinexpimmunol00195-0027-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58a9/1538932/390f743f1bd4/clinexpimmunol00195-0027-c.jpg

相似文献

1
Renal immune complexes in viral hepatitis.病毒性肝炎中的肾免疫复合物
Clin Exp Immunol. 1980 Jun;40(3):453-8.
2
Characterization of the circulating immune complexes in acute and chronic liver diseases.急性和慢性肝病中循环免疫复合物的特征分析
J Clin Lab Immunol. 1983 Apr;10(4):179-83.
3
Circulating immune complexes in hepatitis B: levels, immunoglobulin class of antibody and the presence of hepatitis B surface antigen.乙型肝炎中的循环免疫复合物:水平、抗体的免疫球蛋白类别及乙型肝炎表面抗原的存在情况
Dev Biol Stand. 1983;54:391-7.
4
[Identification of hepatitis B antigens in hepatic tissue in various forms of acute hepatitis].
Arq Gastroenterol. 1984 Apr-Jun;21(2):68-74.
5
[Circulating immune complexes in acute viral hepatitis, chronic active hepatitis, and periarteritis nodosa (author's transl)].急性病毒性肝炎、慢性活动性肝炎及结节性多动脉炎中的循环免疫复合物(作者译)
Z Gastroenterol. 1978 Jun;16(6):395-402.
6
A prospective study of postacute viral hepatitis: the role of HBsAg.急性后病毒性肝炎的前瞻性研究:乙肝表面抗原的作用
Med Interne. 1986 Jan-Mar;24(1):19-22.
7
Detection and characterization of circulating immune complexes during acute exacerbation of chronic viral hepatitis.慢性病毒性肝炎急性加重期循环免疫复合物的检测与特征分析
Clin Exp Immunol. 1982 Mar;47(3):520-6.
8
[Chronic HBsAg negative hepatitis in childhood, Stud using the immunofluorescence method].[儿童慢性乙肝表面抗原阴性肝炎,采用免疫荧光法研究]
Boll Ist Sieroter Milan. 1981 Jul 31;60(3):176-87.
9
[Microscopic, immunochemical and ultrastructral study of livers histologically normal or subnormal in patients with hepatitis B surface antigen (HBs). Report of 18 cases (author's transl)].[乙型肝炎表面抗原(HBs)阳性患者肝脏组织学正常或低于正常水平的显微镜、免疫化学及超微结构研究。18例报告(作者译)]
Pathol Biol (Paris). 1979 May;27(5):285-92.
10
Acute immune complex disease associated with hepatitis. Etiopathogenic and immunopathologic studies of the renal lesion.与肝炎相关的急性免疫复合物疾病。肾脏病变的病因病理及免疫病理研究。
Arch Pathol Lab Med. 1976 Sep;100(9):484-6.

本文引用的文献

1
HEPATIC GLOMERULOSCLEROSIS. AN ELECTRON MICROSCOPIC STUDY OF RENAL BIOPSIES IN LIVER DISEASES.肝性肾小球硬化症。肝脏疾病肾活检的电子显微镜研究。
Lab Invest. 1965 May;14:533-45.
2
INFECTIOUS HEPATITIS; A GENERALIZED DISEASE. A STUDY OF RENAL, GASTROINTESTINAL AND HEMATOLOGIC ABNORMALITIES.传染性肝炎;一种全身性疾病。对肾脏、胃肠道及血液学异常的研究。
Am J Med. 1964 Nov;37:789-801. doi: 10.1016/0002-9343(64)90027-0.
3
Hepatic glomerulosclerosis--light microscopic study of autopsy cases.肝肾小球硬化症——尸检病例的光镜研究
Acta Pathol Jpn. 1968 Nov;18(4):407-15. doi: 10.1111/j.1440-1827.1968.tb00071.x.
4
Hepatic glomerulosclerosis (an analysis of 60 cases).肝性肾小球硬化症(60例分析)
Am J Gastroenterol. 1968 Jun;49(6):499-502.
5
The pathogenesis of glomerulonephritis.肾小球肾炎的发病机制。
Am J Med. 1968 Apr;44(4):493-8. doi: 10.1016/0002-9343(68)90050-8.
6
Renal failure in the patient with cirrhosis. The role of active vasoconstriction.肝硬化患者的肾衰竭。活性血管收缩的作用。
Am J Med. 1970 Aug;49(2):175-85. doi: 10.1016/s0002-9343(70)80073-0.
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Functional renal failure in cirrhosis.肝硬化中的功能性肾衰竭。
Gastroenterology. 1970 Jan;58(1):108-10.
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Urinary excretion of liver antigens in experimental hepatic diseases of the rat.大鼠实验性肝脏疾病中肝脏抗原的尿排泄
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Viruses and kidney disease.
Am J Med. 1967 Dec;43(6):897-911. doi: 10.1016/0002-9343(67)90248-3.
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The nephrotic syndrome secondary to acute glomerulonephritis during falciparum malaria.恶性疟原虫感染所致急性肾小球肾炎继发的肾病综合征
Ann Intern Med. 1967 Dec;67(6):1163-71. doi: 10.7326/0003-4819-67-6-1163.