Uehara M
Arch Dermatol. 1977 Sep;113(9):1226-8.
Transient suppression of already established tuberculin reactivity by a wide-spread, allergic contact dermatitis as well as by primary irritant contact dermatitis has been recently reported. Similar transient suppression of tuberculin reactivity by the eczematous inflammation of atopic dermatitis is now shown to occur. Thus, when the dermatitis is active, atopic dermatitis patients show diminished tuberculin reactivity. While they are in remission, however, a significant increase of their tuberculin reactivity occurs. Before the onset of dermatitis, their tuberculin reactivity was normal. Healed patients showed normal tuberculin reactivity. The presence of dermatitis may play an important role in the diminished cell-mediated immunity in atopic dermatitis.
最近有报道称,广泛的过敏性接触性皮炎以及原发性刺激性接触性皮炎会使已确立的结核菌素反应性出现短暂抑制。现已表明,特应性皮炎的湿疹性炎症也会对结核菌素反应性产生类似的短暂抑制。因此,当特应性皮炎处于活动期时,患者的结核菌素反应性会降低。然而,在病情缓解期,他们的结核菌素反应性会显著增加。在皮炎发作之前,他们的结核菌素反应性是正常的。已治愈的患者结核菌素反应性正常。皮炎的存在可能在特应性皮炎患者细胞介导免疫降低中起重要作用。