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与高滴度Hu自身抗体相关的副肿瘤性肠假性梗阻

Paraneoplastic intestinal pseudo-obstruction associated with high titres of Hu autoantibodies.

作者信息

Condom E, Vidal A, Rota R, Graus F, Dalmau J, Ferrer I

机构信息

Servicio Anatomía Patológica, Hospital Príncipes de España, Hospitalet de Llobregat, Spain.

出版信息

Virchows Arch A Pathol Anat Histopathol. 1993;423(6):507-11. doi: 10.1007/BF01606543.

DOI:10.1007/BF01606543
PMID:8291223
Abstract

Anti-Hu autoantibodies in high titres, as revealed with immunocytochemistry and Western blot, were present in a patient with gastrointestinal pseudo-obstruction and small-cell lung cancer (SCLC) bearing the Hu antigen. Marked neuron and nerve fibre loss were found in the myenteric plexus at postmortem. These findings show that neuronopathic Hu-associated gastrointestinal pseudo-obstruction can occur as the only paraneoplastic neurological symptom in patients with SCLC.

摘要

免疫细胞化学和蛋白质印迹显示,一名患有胃肠道假性梗阻和携带Hu抗原的小细胞肺癌(SCLC)患者体内存在高滴度的抗Hu自身抗体。尸检时发现肌间神经丛有明显的神经元和神经纤维丢失。这些发现表明,神经元病性Hu相关胃肠道假性梗阻可作为SCLC患者唯一的副肿瘤性神经症状出现。

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1
Paraneoplastic intestinal pseudo-obstruction associated with high titres of Hu autoantibodies.与高滴度Hu自身抗体相关的副肿瘤性肠假性梗阻
Virchows Arch A Pathol Anat Histopathol. 1993;423(6):507-11. doi: 10.1007/BF01606543.
2
[Paraneoplastic intestinal pseudo-obstruction revealing small cell lung carcinoma: "the anti-Hu syndrome"].副肿瘤性肠梗阻揭示小细胞肺癌:“抗Hu综合征”
Gastroenterol Clin Biol. 1998 Mar;22(3):346-8.
3
Intestinal pseudo-obstruction, type 1 anti-neuronal nuclear antibodies and small-cell carcinoma of the lung.肠道假性梗阻、1型抗神经元核抗体与肺小细胞癌。
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Autoantibody-associated sensory neuronopathy and intestinal pseudo-obstruction without detectable neoplasia.自身抗体相关的感觉神经元病和无明显肿瘤的肠道假性梗阻
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Predominant downgaze ophthalmoparesis in anti-Hu encephalomyelitis.
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Enteric neuronal autoantibodies in pseudoobstruction with small-cell lung carcinoma.小细胞肺癌所致假性肠梗阻中的肠道神经元自身抗体
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Intestinal pseudo-obstruction as the presenting manifestation of small-cell carcinoma of the lung. A paraneoplastic neuropathy of the gastrointestinal tract.肠道假性梗阻作为肺癌小细胞癌的首发表现。一种胃肠道副肿瘤性神经病变。
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Paraneoplastic syndrome with intestinal pseudo-obstruction in a patient with small cell lung carcinoma: a case report and literature review.小细胞肺癌患者伴肠假性梗阻的副肿瘤综合征:一例报告及文献复习
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Mechanisms of enteric neuropathy in diverse contexts of gastrointestinal dysfunction.胃肠道功能障碍不同背景下的肠道神经病变机制。
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Integrated treatment for autonomic paraneoplastic syndrome improves performance status in a patient with small lung cell carcinoma: a case report.

本文引用的文献

1
Regression of small-cell lung carcinoma in patients with paraneoplastic neuronal antibodies.伴有副肿瘤性神经元抗体的小细胞肺癌患者的肿瘤消退
Lancet. 1993 Jan 2;341(8836):21-2. doi: 10.1016/0140-6736(93)92485-c.
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[Paralysis of digestive tract with lesions of myenteric plexuses. A new paraneoplastic syndrome (author's transl)].[伴有肠肌丛病变的消化道麻痹。一种新的副肿瘤综合征(作者译)]
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Intestinal pseudo-obstruction as the presenting manifestation of small-cell carcinoma of the lung. A paraneoplastic neuropathy of the gastrointestinal tract.
自主神经副肿瘤综合征的综合治疗改善了一例小细胞肺癌患者的功能状态:病例报告
BMC Neurol. 2018 Nov 10;18(1):189. doi: 10.1186/s12883-018-1192-3.
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DPPX antibody-associated encephalitis: Main syndrome and antibody effects.二肽基肽酶样蛋白6(DPPX)抗体相关脑炎:主要综合征及抗体作用
Neurology. 2017 Apr 4;88(14):1340-1348. doi: 10.1212/WNL.0000000000003796. Epub 2017 Mar 3.
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Pseudoachalasia of the cardia secondary to nongastrointestinal neoplasia.继发于非胃肠道肿瘤的贲门假性失弛缓症。
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Tumor-related dysmotility: gastrointestinal dysmotility syndromes associated with tumors.肿瘤相关的运动障碍:与肿瘤相关的胃肠运动障碍综合征
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Immunological and endocrinological abnormalities in paraneoplastic disorders with involvement of the autonomic nervous system.伴有自主神经系统受累的副肿瘤综合征中的免疫和内分泌异常。
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肠道假性梗阻作为肺癌小细胞癌的首发表现。一种胃肠道副肿瘤性神经病变。
Ann Intern Med. 1983 Feb;98(2):129-34. doi: 10.7326/0003-4819-98-2-129.
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Gastrointestinal motility disturbances in patients with orthostatic hypotension.直立性低血压患者的胃肠动力障碍
Gastroenterology. 1985 Jun;88(6):1852-9. doi: 10.1016/0016-5085(85)90010-1.
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Neuronal antinuclear antibody in sensory neuronopathy from lung cancer.
Neurology. 1985 Apr;35(4):538-43. doi: 10.1212/wnl.35.4.538.
6
Paraneoplastic visceral neuropathy as a cause of severe gastrointestinal motor dysfunction.副肿瘤性内脏神经病作为严重胃肠运动功能障碍的一个病因
Gastroenterology. 1988 Nov;95(5):1279-86. doi: 10.1016/0016-5085(88)90362-9.
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Immunohistochemical analysis of the immune reaction in the nervous system in paraneoplastic encephalomyelitis.
Neurology. 1990 Feb;40(2):219-22. doi: 10.1212/wnl.40.2.219.
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Detection of the anti-Hu antibody in the serum of patients with small cell lung cancer--a quantitative western blot analysis.小细胞肺癌患者血清中抗Hu抗体的检测——定量蛋白质印迹分析
Ann Neurol. 1990 May;27(5):544-52. doi: 10.1002/ana.410270515.
9
Paraneoplastic anti-Purkinje and type I anti-neuronal nuclear autoantibodies bind selectively to central, peripheral, and autonomic nervous system cells.副肿瘤性抗浦肯野细胞抗体和I型抗神经元细胞核自身抗体可选择性地与中枢、外周和自主神经系统细胞结合。
Lab Invest. 1991 Oct;65(4):412-20.
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Enteric neuronal autoantibodies in pseudoobstruction with small-cell lung carcinoma.小细胞肺癌所致假性肠梗阻中的肠道神经元自身抗体
Gastroenterology. 1991 Jan;100(1):137-42. doi: 10.1016/0016-5085(91)90593-a.