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[蚕蚀性角膜溃疡的病因病理学研究]

[An etiopathological study of Mooren's ulcer].

作者信息

Zhao J C, Jin X Y

机构信息

Department of Microbiology and Immunology, Beijing Institute of Ophthalmology.

出版信息

Zhonghua Yan Ke Za Zhi. 1994 Jan;30(1):4-7.

PMID:8082474
Abstract

With the indirect immuno fluorescence technique (IFT), the authors examined sera from 16 patients with Mooren's ulcer for the presence of antibodies against normal rabbit and human corneal epithelial cells, and determined the percentages of peripheral T-lymphocyte subsets in the patients and 20 controls. The results indicated that (1) antibodies against rabbit corneal epithelial cells were positive in 75% of the patients, and antibodies against human corneal epithelial cells were positive in 37.5%, whereas both antibodies were negative in the controls, and (2) the percentage of OKT8+ in patients was significantly lower, and the OKT4+/OKT8+ ratio significantly higher than in the controls. The authors concluded that regulatory imbalance existed in the immune system of the patients, and Mooren's ulcer was an autoimmunologic eye disease.

摘要

作者采用间接免疫荧光技术(IFT)检测了16例蚕蚀性角膜溃疡患者血清中抗正常兔和人角膜上皮细胞抗体的存在情况,并测定了患者及20名对照者外周血T淋巴细胞亚群的百分比。结果显示:(1)75%的患者抗兔角膜上皮细胞抗体呈阳性,37.5%的患者抗人角膜上皮细胞抗体呈阳性,而对照组两种抗体均为阴性;(2)患者组OKT8+百分比显著低于对照组,OKT4+/OKT8+比值显著高于对照组。作者得出结论,患者免疫系统存在调节失衡,蚕蚀性角膜溃疡是一种自身免疫性眼病。

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