Tobelem G, Chastang C, Asselain B, Schaison G, Najean Y, Boiron M, Caen J, Bernard J
Nouv Presse Med. 1981 Oct 3;10(35):2871-5.
A retrospective study of 544 patients with autoimmune thrombocytopenic purpura showed that 81 had immunological abnormalities (antinuclear factors and/or positive direct Coombs; test and/or anti-smooth muscle antibodies). After one year, 58-8% of all patients were still in complete remission, irrespective of treatment. The outcome of the disease was studied in relation to therapeutic regimens. Prognosis was worst in patients with immunological abnormalities, since 11% died as compared with 4% of the whole patient population. Most relapses occurred during the first two years following remission.
一项对544例自身免疫性血小板减少性紫癜患者的回顾性研究表明,81例患者存在免疫异常(抗核因子和/或直接抗人球蛋白试验阳性和/或抗平滑肌抗体)。一年后,无论接受何种治疗,所有患者中有58.8%仍处于完全缓解状态。研究了疾病转归与治疗方案的关系。存在免疫异常的患者预后最差,因为其死亡率为11%,而全部患者的死亡率为4%。大多数复发发生在缓解后的头两年。