Poetschke G, Gregorczyk K
MMW Munch Med Wochenschr. 1975 Jun 6;117(23):999-1004.
After discussion of the antigen structure of Treponema pallidum it is shown that only reactions with the pallidum antigen can establish a serological diagnosis of syphilis. Reactions with Reiter antigen are superfluous, reactions with lipoid antigen (cardiolipin) are non-specific and not very sensitive and consequently only conditionally useful as a test reaction. The behavior of the Treponema and lipoid antigen reactions is different in the various stages of lues, and consequently permits certain conclusions to be drawn from the reaction pattern on the stage of lues present or on the therapeutic success by quantitative longitudinal assessment. The special conditions in the cerebrospinal fluid are discussed.
在讨论梅毒螺旋体的抗原结构后表明,只有与梅毒螺旋体抗原的反应才能确立梅毒的血清学诊断。与赖特抗原的反应是多余的,与类脂抗原(心磷脂)的反应是非特异性的且不太敏感,因此仅作为一种条件性有用的试验反应。梅毒螺旋体和类脂抗原反应在梅毒的不同阶段表现不同,因此通过定量纵向评估,可根据反应模式对梅毒所处阶段或治疗效果得出某些结论。文中还讨论了脑脊液中的特殊情况。