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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.

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。

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