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一名患有家族性C4bBP缺乏症的患者获得性暴发性紫癜的快速康复。

Rapid recovery of acquired purpura fulminans in a patient with familial C4bBP deficiency.

作者信息

Lemesle F G, Gris J C, Schwed J F, Arich C

机构信息

Service de Réanimation, Hôpital Hoche, Nimes, France.

出版信息

Intensive Care Med. 1993;19(2):115-6. doi: 10.1007/BF01708373.

DOI:10.1007/BF01708373
PMID:8486865
Abstract

A 32-year-old pregnant woman developed meningococcemia associated purpura fulminans and quickly improved with therapy. After this disease C4b-Binding Protein (C4bBP) plasma levels remained very low while protein S activity was in the normal range. Familial investigation proved a hereditary C4bBP deficiency. This observation points out the role of the protein C-protein S system during acquired purpura fulminans.

摘要

一名32岁的孕妇发生了与暴发性紫癜相关的脑膜炎球菌血症,经治疗后迅速好转。患此病后,C4b结合蛋白(C4bBP)的血浆水平一直很低,而蛋白S活性在正常范围内。家族调查证实存在遗传性C4bBP缺乏。这一观察结果指出了蛋白C-蛋白S系统在获得性暴发性紫癜中的作用。

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Rapid recovery of acquired purpura fulminans in a patient with familial C4bBP deficiency.一名患有家族性C4bBP缺乏症的患者获得性暴发性紫癜的快速康复。
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本文引用的文献

1
Coumarin necrosis associated with hereditary protein C deficiency.
Ann Intern Med. 1984 Jul;101(1):59-60. doi: 10.7326/0003-4819-101-1-59.
2
Functional and immunologic protein S levels are decreased during pregnancy.孕期功能性和免疫性蛋白S水平降低。
Blood. 1986 Oct;68(4):881-5.
3
Diagnosis and treatment of homozygous protein C deficiency. Report of the Working Party on Homozygous Protein C Deficiency of the Subcommittee on Protein C and Protein S, International Committee on Thrombosis and Haemostasis.纯合子蛋白C缺乏症的诊断与治疗。国际血栓与止血委员会蛋白C和蛋白S小组委员会纯合子蛋白C缺乏症工作组报告。
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4
Complement deficiencies in patients over ten years old with meningococcal disease due to uncommon serogroups.10岁以上因不常见血清群导致的脑膜炎球菌病患者的补体缺陷
Lancet. 1989 Sep 9;2(8663):585-8. doi: 10.1016/s0140-6736(89)90712-5.
5
Changes in protein C and free protein S during pregnancy and following hysterectomy.妊娠期间及子宫切除术后蛋白C和游离蛋白S的变化。
J R Soc Med. 1989 Oct;82(10):591-4. doi: 10.1177/014107688908201008.
6
Bacterial meningitis: recent advances in pathophysiology and treatment.细菌性脑膜炎:病理生理学与治疗的最新进展
Ann Intern Med. 1990 Apr 15;112(8):610-23. doi: 10.7326/0003-4819-112-8-610.
7
Free protein S levels are elevated in familial C4b-binding protein deficiency.在家族性C4b结合蛋白缺乏症中,游离蛋白S水平升高。
Blood. 1990 Dec 15;76(12):2527-9.
8
Protein C and protein S levels in two patients with acquired purpura fulminans.两名获得性暴发性紫癜患者的蛋白C和蛋白S水平。
Br J Haematol. 1990 May;75(1):112-7. doi: 10.1111/j.1365-2141.1990.tb02625.x.
9
Meningococcemia and purpura fulminans in adults: acute deficiencies of proteins C and S and early treatment with antithrombin III concentrates.
Intensive Care Med. 1990;16(2):121-4. doi: 10.1007/BF02575306.
10
The beneficial effects of early dexamethasone administration in infants and children with bacterial meningitis.早期给予地塞米松对婴幼儿和儿童细菌性脑膜炎的有益作用。
N Engl J Med. 1991 May 30;324(22):1525-31. doi: 10.1056/NEJM199105303242201.