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近年来(1971 - 1974年,达沃斯眼科诊所)眼部结核和弓形虫病的统计学重要性(作者译)

[Statistical importance of tuberculosis and toxoplasmosis of the eye in recent years (1971-1974, Eye-Clinic, Davos) (author's transl)].

作者信息

Werner H

出版信息

Klin Monbl Augenheilkd. 1976 Jan;168(1):140-6.

PMID:979028
Abstract

Tbc has not yet been eradicated in Western Europe. Among 311 human/bovin-tuberculin tested cases out of 500 patients with uveitis (1971-1974), 37-50% (average age 40-45 years) reacted highly positive. Chorioretinitis disseminata and periphlebitis retinae (Eales' disease): 90% positive. The criteria for a long term tuberculostatic treatment are exposed. 20% of all cases of uveitis and 90% of Jensen Retinochorioditis have been interpreted as caused by toxoplasmosis. 75% are relapses. The gigantic toxoplasmotic lesions of the eyeground is stressed. As a rule low Sabin Feldmann titers are found. Quantitative serology is valuable. In the closing discussion the immunologically well known adjuvans-effect of Koch's bacillus-extract is supposed to be of importance in highly tuberculin positive uveitis.

摘要

在西欧,结核病尚未被根除。在500例葡萄膜炎患者(1971 - 1974年)中,对311例进行人/牛结核菌素检测的病例中,37 - 50%(平均年龄40 - 45岁)反应呈强阳性。播散性脉络视网膜炎和视网膜静脉周围炎(伊尔斯病):90%呈阳性。文中阐述了长期抗结核治疗的标准。所有葡萄膜炎病例中有20%以及詹森视网膜脉络膜炎的90%被认为是由弓形虫病引起的。75%会复发。文中强调了眼底巨大的弓形虫病变。通常发现Sabin Feldmann滴度较低。定量血清学很有价值。在最后的讨论中,推测科赫氏杆菌提取物在免疫方面广为人知的佐剂效应在结核菌素强阳性的葡萄膜炎中具有重要意义。

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