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[病毒学实验室在亚急性硬化性全脑炎诊断中的作用。1977年5月至1978年3月期间研究的12例报告]

[Role of the virologic laboratory in the diagnosis of subacute sclerosing panencephalitis. Report of 12 cases studied between May, 1977 and March, 1978].

作者信息

Ferrante P, Profeta M L, Fasan M

出版信息

Boll Ist Sieroter Milan. 1978 Nov 30;57(5):575-82.

PMID:755485
Abstract

Measles h.i.a. and c.f.a. were titrated in serum and cerebrospinal fluid of 12 SSPE patients. Specific IgM h.i.a. in the same specimens were also determined. Pretreatment of the sera by monkey red blood cell absorption, by kaolin or by heparin MnCl2, did not significantly affect h.i.a. titres, but h.i.a. were no more demonstrable in cerebrospinal fluids after kaolin and titres were somewhat lowered by heparin-MnCl2 treatment. By both h.i. and c.f. tests measles antibody were found at much higher titres in sera of SSPE patients than in controls of the same age. H.i.a. and, with one exception, c.f.a. were found in each of the 9 available cerebrospinal fluids from patients, but in none of the 6 specimens from non-SSPE cases. Ratio GM titers h.i.a. over GM titers c.f.a. in sera of SSPE patients was about 1, a value far from that found under different immunization conditions. In control sera, for instance, the ratio was 5.3. Specific IgM were never found in the cerebrospinal fluids and in only 2 out of the 10 sera examined.

摘要

对12例亚急性硬化性全脑炎(SSPE)患者的血清和脑脊液进行了麻疹血凝抑制抗体(h.i.a.)和补体结合抗体(c.f.a.)滴定。还测定了相同标本中的特异性IgM h.i.a.。用猴红细胞吸收、高岭土或肝素 - 氯化锰对血清进行预处理,对h.i.a.滴度没有显著影响,但高岭土处理后脑脊液中不再能检测到h.i.a.,肝素 - 氯化锰处理后滴度有所降低。通过血凝抑制试验(h.i.)和补体结合试验(c.f.)发现,SSPE患者血清中的麻疹抗体滴度远高于同龄对照组。在9例患者可获得的脑脊液中均检测到h.i.a.,除1例外,均检测到c.f.a.,但在6例非SSPE病例的标本中均未检测到。SSPE患者血清中h.i.a.的GM滴度与c.f.a.的GM滴度之比约为1,这一数值与在不同免疫条件下发现的数值相差甚远。例如,在对照血清中,该比值为5.3。在脑脊液中从未检测到特异性IgM,在所检测的10份血清中仅在2份中检测到。

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