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伴有类风湿性关节炎的大颗粒淋巴细胞综合征。关于费尔蒂综合征更宽泛定义的免疫遗传学证据。

The large granular lymphocyte syndrome with rheumatoid arthritis. Immunogenetic evidence for a broader definition of Felty's syndrome.

作者信息

Bowman S J, Sivakumaran M, Snowden N, Bhavnani M, Hall M A, Panayi G S, Lanchbury J S

机构信息

UMDS, London, UK.

出版信息

Arthritis Rheum. 1994 Sep;37(9):1326-30. doi: 10.1002/art.1780370909.

DOI:10.1002/art.1780370909
PMID:7945496
Abstract

OBJECTIVE

To assess whether the HLA-DR4 association found in rheumatoid arthritis (RA) is also seen in the large granular lymphocyte (LGL) syndrome.

METHODS

HLA-DR genotyping was performed using restriction fragment length polymorphism and polymerase chain reaction analysis.

RESULTS

LGL syndrome patients with RA showed the same HLA-DR4 association seen in RA/Felty's syndrome (FS), while LGL syndrome patients without arthritis did not.

CONCLUSION

It is proposed that FS and the LGL syndrome represent different variants of a broader syndrome comprising RA, neutropenia, LGL expansions, HLA-DR4 positivity, and splenomegaly.

摘要

目的

评估类风湿关节炎(RA)中发现的HLA - DR4关联是否也存在于大颗粒淋巴细胞(LGL)综合征中。

方法

采用限制性片段长度多态性和聚合酶链反应分析进行HLA - DR基因分型。

结果

患有RA的LGL综合征患者表现出与RA/费尔蒂综合征(FS)相同的HLA - DR4关联,而无关节炎的LGL综合征患者则未表现出这种关联。

结论

有人提出,FS和LGL综合征代表了一种更广泛综合征的不同变体,该综合征包括RA、中性粒细胞减少、LGL增多、HLA - DR4阳性和脾肿大。

相似文献

1
The large granular lymphocyte syndrome with rheumatoid arthritis. Immunogenetic evidence for a broader definition of Felty's syndrome.伴有类风湿性关节炎的大颗粒淋巴细胞综合征。关于费尔蒂综合征更宽泛定义的免疫遗传学证据。
Arthritis Rheum. 1994 Sep;37(9):1326-30. doi: 10.1002/art.1780370909.
2
Immunogenetic similarities between patients with Felty's syndrome and those with clonal expansions of large granular lymphocytes in rheumatoid arthritis.费尔蒂综合征患者与类风湿关节炎中伴有大颗粒淋巴细胞克隆性扩增患者之间的免疫遗传学相似性。
Arthritis Rheum. 1997 Apr;40(4):624-6. doi: 10.1002/art.1780400406.
3
The spectrum of large granular lymphocyte leukemia and Felty's syndrome.大颗粒淋巴细胞白血病和费尔蒂综合征的谱。
Curr Opin Hematol. 2011 Jul;18(4):254-9. doi: 10.1097/MOH.0b013e32834760fb.
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Major histocompatility complex haplotypic associations in Felty's syndrome and large granular lymphocyte syndrome are secondary to allelic association with HLA-DRB1 *0401.费尔蒂综合征和大颗粒淋巴细胞综合征中的主要组织相容性复合体单倍型关联继发于与HLA - DRB1 * 0401的等位基因关联。
Rheumatology (Oxford). 2000 Apr;39(4):393-8. doi: 10.1093/rheumatology/39.4.393.
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T-Cell Large Granular Lymphocyte Leukemia in a Patient With Rheumatoid Arthritis.类风湿关节炎患者的 T 细胞大颗粒淋巴细胞白血病。
J Investig Med High Impact Case Rep. 2020 Jan-Dec;8:2324709620941303. doi: 10.1177/2324709620941303.
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Large granular lymphocyte expansions in patients with Felty's syndrome: analysis using anti-T cell receptor V beta-specific monoclonal antibodies.费尔蒂综合征患者大颗粒淋巴细胞扩增:使用抗T细胞受体Vβ特异性单克隆抗体进行分析
Clin Exp Immunol. 1995 Jul;101(1):18-24. doi: 10.1111/j.1365-2249.1995.tb02271.x.
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Analysis of a single-institution cohort of patients with Felty's syndrome and T-cell large granular lymphocytic leukemia in the setting of rheumatoid arthritis.分析类风湿关节炎患者中伴有 Felty 综合征和 T 细胞大颗粒淋巴细胞白血病的单中心队列。
Rheumatol Int. 2021 Jan;41(1):147-156. doi: 10.1007/s00296-020-04757-4. Epub 2020 Dec 5.
8
HLA DQ alpha and DQ beta restriction fragment length polymorphisms associated with Felty's syndrome and DR4-positive rheumatoid arthritis.与费尔蒂综合征及DR4阳性类风湿性关节炎相关的HLA DQα和DQβ限制性片段长度多态性
Hum Immunol. 1987 Aug;19(4):269-78. doi: 10.1016/0198-8859(87)90044-9.
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Strong primary selection for the Dw4 subtype of DR4 accounts for the HLA-DQw7 association with Felty's syndrome.DR4的Dw4亚型的强烈原发性选择导致了HLA - DQw7与费尔蒂综合征的关联。
Hum Immunol. 1991 Sep;32(1):56-64. doi: 10.1016/0198-8859(91)90117-r.
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A Fas promoter polymorphism at position -670 in the enhancer region does not confer susceptibility to Felty's and large granular lymphocyte syndromes.增强子区域中位于 -670 位置的 Fas 启动子多态性不会使人易患费尔蒂综合征和大颗粒淋巴细胞综合征。
Rheumatology (Oxford). 1999 Sep;38(9):883-6. doi: 10.1093/rheumatology/38.9.883.

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