Ayache R, Najjar M F, Obeid H, Pousse H, Gueddiche M N
Service de pédiatrie, hôpital universitaire de Monastir, Tunisie.
Ann Biol Clin (Paris). 1994;52(2):117-20.
Seventeen cases of ataxia telangiectasia (AT) were diagnosed over a period of 10 years. The children affected by AT were aged about 7 years and they were preferentially males (67%). The principal clinical aspects were: cerebellous ataxia (98%), recurrent ENT infections (86%) and ocular telangiectasia (96%). We also showed an immune function defect mainly concerning IgA, which was associated with cellular immunity abnormalities (lymphopenia, negative hypersensitivity reactions). The alpha-fetoprotein (AFP) values were high and increased in proportion to the severity of the neurologic manifestations. Thus, this parameter could be used as a diagnostic index of the illness and could be a precious indicator for the management and the evolution of these patients.
在10年期间共诊断出17例共济失调毛细血管扩张症(AT)。患AT的儿童年龄约7岁,且男性居多(67%)。主要临床症状为:小脑共济失调(98%)、耳鼻喉反复感染(86%)和眼部毛细血管扩张(96%)。我们还发现主要与IgA相关的免疫功能缺陷,这与细胞免疫异常(淋巴细胞减少、阴性过敏反应)有关。甲胎蛋白(AFP)值较高,且与神经学表现的严重程度成正比增加。因此,该参数可作为疾病的诊断指标,并且对于这些患者的管理和病情发展可能是一个宝贵的指标。