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多发性硬化症中异常IgG指数、寡克隆带、急性期反应物与一些临床数据之间的关系。

Relationships between abnormal IgG index, oligoclonal bands, acute phase reactants and some clinical data in multiple sclerosis.

作者信息

Christensen O, Clausen J, Fog T

出版信息

J Neurol. 1978 Aug 25;218(4):237-44. doi: 10.1007/BF00312879.

Abstract

The IgG-index and acute phase reactants were measured and oligoclonal bands were looked for in 30 patients with clinically definite multiple sclerosis (MS) and were compared with the clinical data. IgG-index was found elevated in 77% against 22% in a comparable material of patients with other neurological diseases. Oligoclonal bands were found in 74 and 17%, respectively. No correlation was found between these parameters and age, duration of illness, disability, coefficient of progression or age of onset. A statistical evaluation defines the specificity, sensitivity and validity of the methods used. CRP could no be demonstrated in 28, the rest had normal values. C3A was normal in all cases, but appeared to be elevated a little with increasing age, and to be positively correlated to the albumin-index, indicative of a defective blood-brain barrier. No correlation was found between CRP, C3A and the clinical data.

摘要

对30例临床确诊的多发性硬化症(MS)患者测定了IgG指数和急性期反应物,并寻找寡克隆带,同时与临床数据进行比较。结果发现,77%的MS患者IgG指数升高,而在其他神经系统疾病患者的可比材料中这一比例为22%。寡克隆带的检出率分别为74%和17%。未发现这些参数与年龄、病程、残疾程度、进展系数或发病年龄之间存在相关性。统计学评估确定了所用方法的特异性、敏感性和有效性。28例患者未检测到C反应蛋白(CRP),其余患者CRP值正常。所有病例中C3A均正常,但似乎随年龄增长略有升高,且与白蛋白指数呈正相关,提示血脑屏障存在缺陷。未发现CRP、C3A与临床数据之间存在相关性。

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