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自发性犬类风湿样关节炎的滑膜病理变化

Synovial pathologic changes in spontaneous canine rheumatoid-like arthritis.

作者信息

Schumacher H R, Newton C, Halliwell R E

出版信息

Arthritis Rheum. 1980 Apr;23(4):412-23. doi: 10.1002/art.1780230404.

Abstract

The synovial fluid and membrane were studied in 10 dogs meeting the American Rheumatism Association criteria for classic human rheumatoid arthritis (RA). Light microscopic pathologic features were consistent with those found in the human disease. Neutrophilic infiltration of synovium was somewhat more prominent than in chronic human RA, and activated lymphocytes in fluid or membrane were less frequent. The proliferative and plasma cell reaction seemed identical. Electron microscopy (EM) suggested microvascular injury with findings which included electron dense deposits in the vessel walls of 2 dogs. Seven dogs had meshworks of 20--25 nm tubules in tubuloreticular structures (TRS) similar to those seen in human systemic lupus erythematosus and only occasionally in human RA. There were also crystalline arrays of tubules, a configuration previously reported in tumors and virus infections and possibly suggestive of a cellular reaction to virus infection. To date no initiating agent has been identified, but this spontaneous canine disease which is very similar to human RA can provide a valuable model in which to examine pathogenesis of chronic arthritis.

摘要

对10只符合美国风湿病协会经典型人类类风湿性关节炎(RA)标准的犬类的滑液和滑膜进行了研究。光镜下的病理特征与人类疾病中发现的特征一致。滑膜的嗜中性粒细胞浸润比慢性人类RA中更为明显,而液体或滑膜中的活化淋巴细胞则较少见。增殖反应和浆细胞反应似乎相同。电子显微镜(EM)显示微血管损伤,结果包括2只犬的血管壁中有电子致密沉积物。7只犬在管状网状结构(TRS)中有20 - 25纳米的小管网,类似于人类系统性红斑狼疮中所见,仅偶尔见于人类RA。也有小管的晶体阵列,这种结构先前在肿瘤和病毒感染中报道过,可能提示细胞对病毒感染的反应。迄今为止,尚未确定起始因子,但这种与人类RA非常相似的自发性犬类疾病可以提供一个有价值的模型,用于研究慢性关节炎的发病机制。

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