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[免疫学研究与骨关节结核(结核性脊柱炎、结核性滑膜炎)的发病机制问题]

[Immunological studies and the problems of the pathogenesis of osteoarticular tuberculosis (tuberculous spondylitis, tuberculous synovitis)].

作者信息

Tikhodeev S A, Bellendir E N, Shenderova R I

出版信息

Probl Tuberk. 1996(1):24-7.

PMID:8907480
Abstract

Tests of levels 1-2 were employed to study immune status of 102 patients with tuberculous lesions of the spine and knee joint. Investigations of humoral local response in these patients provided evidence for comparison with systemic response, advanced diagnosis of tuberculous spondylitis and synovitis. It was found that high level of antituberculous antibodies in the synovial fluid is typical for specific allergic synovitis where synovial membrane represents the organ of immunogenesis. The appearance of even minimal number of antituberculous antibodies in the liquor indicates disorder of immune and hematoencephalic barriers of the brain in tuberculous spondylitis complicated with spinal meningitis.

摘要

采用1 - 2级检测来研究102例脊柱和膝关节结核病变患者的免疫状态。对这些患者体液局部反应的调查为与全身反应进行比较、结核性脊柱炎和滑膜炎的早期诊断提供了依据。研究发现,滑液中抗结核抗体水平高是特异性过敏性滑膜炎的典型表现,其中滑膜是免疫发生器官。脑脊液中即使出现极少量的抗结核抗体也表明结核性脊柱炎合并脊髓膜炎时脑的免疫和血脑屏障出现紊乱。

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