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[感染易感性与高免疫球蛋白E:19例新病例报告]

[Susceptibility to infections and hyper IgE: 19 new case reports ].

作者信息

Oury C, Daumling S, Buriot D, Belohradsky B H, Griscelli C

出版信息

Arch Fr Pediatr. 1982 Jun-Jul;39(6):353-8.

PMID:7125836
Abstract

Nineteen patients exhibiting a susceptibility to infections due to staphylococcus and fungi, allergy and hyper IgE are reported (syndrome described by R. Buckley). Prognathism, coarse features and marked osteoporosis were observed in more than half the patients. Immune disorders were characterized by a defective chemotaxis of granulocytes and depressed in vivo and in vitro immune responses to antigens. These cellular abnormalities could be secondary to a dysregulation of IgE synthesis resulting in an excess of secretion of histamine, heparin and other substances from mast cells. According to this possible mechanism, we suggest a therapy associating anti-histaminic substances which block H1 and H2 receptors and an agent which inhibits mast cell degranulation.

摘要

报告了19例对葡萄球菌和真菌感染易感、有过敏反应及高IgE血症的患者(R.巴克利描述的综合征)。超过半数患者存在颌前突、面容粗糙及明显骨质疏松。免疫紊乱的特征为粒细胞趋化性缺陷以及体内和体外对抗原的免疫反应低下。这些细胞异常可能继发于IgE合成失调,导致肥大细胞分泌过多组胺、肝素及其他物质。根据这一可能机制,我们建议采用一种联合疗法,即使用能阻断H1和H2受体的抗组胺物质以及一种抑制肥大细胞脱颗粒的药物。

相似文献

1
[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.
2
[Hyper-IgE syndrome].[高免疫球蛋白E综合征]
Monatsschr Kinderheilkd. 1987 Jun;135(6):329-35.
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Transfer factor therapy in hyperimmunoglobulinaemia E syndrome.高免疫球蛋白E综合征的转移因子疗法。
Clin Exp Immunol. 1979 Jun;36(3):465-72.
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Clinical and immunologic aspects of the hyperimmunoglobulin E syndrome.高免疫球蛋白E综合征的临床与免疫学方面
Hematol Oncol Clin North Am. 1988 Mar;2(1):81-100.
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Clinical syndrome of chemotaxis defect, infections, and hyperimmunoglobulinemia E. A case report.趋化性缺陷、感染和高免疫球蛋白E临床综合征。病例报告。
Arch Dermatol. 1978 Jan;114(1):74-7.
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Increased in vitro bone resorption by monocytes in the hyper-immunoglobulin E syndrome.
J Immunol. 1988 Jan 1;140(1):84-8.
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[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.
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Semi-purification of the immunoglobulin E-sweat antigen acting on mast cells and basophils in atopic dermatitis.特应性皮炎中作用于肥大细胞和嗜碱性粒细胞的免疫球蛋白E-汗液抗原的半纯化
Exp Dermatol. 2006 Apr;15(4):283-90. doi: 10.1111/j.0906-6705.2006.00404.x.
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[Eczema and hyper-IgE. Effect of cephalosporins].[湿疹与高免疫球蛋白E。头孢菌素的作用]
Allerg Immunol (Paris). 1988 Mar;20(3):87-90.
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[Familial form of the Buckley syndrome with anomalies of cellular immunity].伴有细胞免疫异常的Buckley综合征家族型
Ann Pediatr (Paris). 1987 Oct;34(8):645-8.

引用本文的文献

1
The hyperimmunoglobulinaemia E and recurrent infections syndrome in an adult.成人高免疫球蛋白E与反复感染综合征
Thorax. 1990 Sep;45(9):707-8. doi: 10.1136/thx.45.9.707.