Steidle C, Fateh-Moghadam A, Lamerz R, Huhn D, Ehrhart H
MMW Munch Med Wochenschr. 1976 Apr 16;118(16):503-8.
IgG, IgA and IgM were determined in 68, and IgE in 30 patients with Hodgkin's disease. Their relation to the dissemination stage, histological type, clinical stage and peripheral lymphocytes as well as the correlation of IgE to the peripheral eosinophils was investigated. In the untreated collective all Ig concentrations were above normal, but in the treated patients only IgG and IgE. With increasing dissemination, there was a decline of IgG, IgA and IgM in both groups which, however, was only significant for IgM. IgM was lowered in the lymphocytopenic type, raised in nodular sclerosis. There is a confirmed correlation between the absolute peripheral lymphocytes and IgM and between the peripheral eosinophils and IgE. IgE and IgA are slightly and IgM significantly lowered in the treated compared with the untreated patients. The findings suggest a disturbance of the humoral immunity in stage IV, in the lymphocytopenic type and in the treated patients.
对68例霍奇金病患者测定了IgG、IgA和IgM,对30例患者测定了IgE。研究了它们与播散阶段、组织学类型、临床分期及外周血淋巴细胞的关系,以及IgE与外周血嗜酸性粒细胞的相关性。在未经治疗的患者群体中,所有Ig浓度均高于正常水平,但在接受治疗的患者中,只有IgG和IgE高于正常。随着播散程度的增加,两组患者的IgG、IgA和IgM均下降,但仅IgM的下降具有显著性。淋巴细胞减少型患者的IgM降低,结节硬化型患者的IgM升高。外周血淋巴细胞绝对值与IgM之间以及外周血嗜酸性粒细胞与IgE之间存在确切的相关性。与未经治疗的患者相比,接受治疗的患者IgE和IgA略有下降,IgM显著下降。这些发现提示在IV期、淋巴细胞减少型及接受治疗的患者中存在体液免疫紊乱。