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[使用异丙肌苷治疗完成后儿童慢性乙型肝炎的标志物]

[Markers of chronic hepatitis B in children after completion of therapy with isoprinosine].

作者信息

Kowalik-Mikołajewska B, Barszcz T, Ladyzyńska E, Wojnarowski M

机构信息

Kliniki Chorób Zakaźnych i Pasozytniczych Wieku Dzieciecego Instytutu Chorób Zakaźnych i Pasozytniczych AM, Warszawie.

出版信息

Pol Tyg Lek. 1993;48(11-13):263-4.

PMID:7694263
Abstract

Fourteen children with chronic active hepatitis B treated with isoprinosine were followed-up for 3-8 years. In no child HBs antigen was eliminated. No seroconversion was noted in children in whom HBe antigen was eliminated. Anti-HBe antibodies were found in 11 children, including 6 children in whom they were present all the time following therapy, and 2 children in whom these antibodies reappeared after an initial elimination. These results suggest that the inhibition of hepatitis B virus replication produced by isoprinosine may be transient. Therefore, longer lasting immunomodulating therapy should be considered.

摘要

对14例接受异丙肌苷治疗的慢性活动性乙型肝炎患儿进行了3至8年的随访。没有患儿的乙肝表面抗原被清除。在乙肝e抗原被清除的患儿中未观察到血清学转换。11例患儿中发现了乙肝e抗体,其中6例在治疗后一直存在,2例在最初清除后这些抗体再次出现。这些结果表明,异丙肌苷对乙肝病毒复制的抑制作用可能是短暂的。因此,应考虑采用更持久的免疫调节疗法。

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