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[各种克维姆抗原在结节病诊断中的应用报告(作者译)]

[Report on the application of various Kveim antigens in diagnostic of sarcoidosis (author's transl)].

作者信息

Djurić B, Zaumseil I, Eckert H, Bergmann K C, Krüger A

出版信息

Z Erkr Atmungsorgane. 1977 Aug;149(2):234-7.

PMID:76374
Abstract

In the Institute for Pulmonary Diseases and Tuberculosis, Novi Sad, a total number of 1500 patients was tested with a Kveim antigen prepared in this institute. Simultaneously these patients were tested with other antigens (SILTZBACH, BEHREND, DOUGLAS). Almost identical results could be found. In patients with sarcoidosis the Kveim test was positive in 60 to over 90%, depending on the stage of the disease. Within a cooperation 230 patients of the Research Institute for Pulmonary Diseases and Tuberculosis, Berlin-Buch, were tested with several Kveim antigens since 1972. 2/3 of these patients were suffering from sarcoidosis. All patients received Kveim antigen prepared in Novi Sad; one part of them was also tested with Kveim antigens prepared in Berlin-Buch. Dependent on the quality of the material processed the percentage of positive results was different. They varied from 65 to 30%. If there were less granulomas in the original material, as for the tissue of a spleen, used in Berlin-Buch, only 30% of sarcoidosis patients showed positive results. Therefore it is profitable to analyse the difficulties and the possibilities of improving the Kveim test as a valuable and rather simple diagnostical method.

摘要

在诺维萨德的肺病与结核病研究所,对总共1500名患者进行了该研究所制备的克维姆抗原检测。同时,这些患者还用其他抗原(西尔茨巴赫、贝伦德、道格拉斯)进行了检测。结果几乎相同。在结节病患者中,根据疾病阶段,克维姆试验的阳性率在60%至90%以上。自1972年以来,在一项合作中,柏林-布赫肺病与结核病研究所的230名患者用几种克维姆抗原进行了检测。这些患者中有2/3患有结节病。所有患者均接受了诺维萨德制备的克维姆抗原检测;其中一部分患者还用柏林-布赫制备的克维姆抗原进行了检测。根据所处理材料的质量,阳性结果的百分比有所不同。它们在65%至30%之间变化。如果原始材料中的肉芽肿较少,如柏林-布赫使用的脾脏组织,只有30%的结节病患者显示阳性结果。因此,分析改进克维姆试验作为一种有价值且相当简单的诊断方法的困难和可能性是有益的。

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[The kveim test and the activity of sarcoidosis (author's transl)].
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