Hathirat P, Isarangkura P, Pintadit P, Chuansumrit A, Mahaphan W
Department of Pediatrics, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Southeast Asian J Trop Med Public Health. 1993;24 Suppl 1:206-9.
Acquired platelet dysfunction with eosinophilia (APDE) is acquired bleeding diathesis associated with platelet dysfunction causing prolonged bleeding time. Most of them had eosinophilia. Various reports of the isolated cases had normal level of immunoglobulins but few had increased IgE. This report is different from others in that among 41 cases of APDE, it was found that most of them had normal levels of IgG, IgA, IgE but there was increased IgM in 95.1% of the cases. Increased in IgE was noticed in 7/24 cases (29.2%) and only half (3/6 cases) corresponded with eosinophilia.
获得性血小板功能障碍伴嗜酸性粒细胞增多症(APDE)是一种获得性出血素质,与导致出血时间延长的血小板功能障碍相关。大多数患者伴有嗜酸性粒细胞增多。关于孤立病例的各种报告显示免疫球蛋白水平正常,但少数患者IgE升高。本报告与其他报告不同之处在于,在41例APDE患者中,发现大多数患者的IgG、IgA、IgE水平正常,但95.1%的患者IgM升高。24例中有7例(29.2%)IgE升高,其中只有一半(6例中的3例)与嗜酸性粒细胞增多相对应。