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过敏性紫癜患儿的免疫功能测定及意义

The Study of the Immunological Manifestation and Its Pathogenesis in Children with Henoch-schonlein Purpura

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【作者】 顾晓虹陈荣华梅柏如黄文彦黄松明

【Author】 GU Xiao-hong, CHEN Rong-hua, MEI Bo-ru, HUANG Wen-yan, HUANG Song-ming( The Center of Pediatric Nephyology, NJMU, Nanjing 210029; Medical Department, Wuxi Children’s Hospital,Wuxi 214002, China)

【机构】 南京医科大学儿童肾脏病中心无锡市儿童医院内科南京医科大学儿童肾脏病中心 江苏 南京 210029 在职研究生 现在无锡市儿童医院肾内科工作江苏 无锡 214002江苏 南京 210029江苏 南京 210029

【摘要】 目的:研究过敏性紫癜(HSP)的免疫功能,并探讨其发病机制。方法:对102例HSP患者记录急性期临床指标,并检查血清免疫球蛋白、IL-4和血T细胞亚群,对照组为30例同期体检正常儿童。结果:102例HSP患者中51例发生紫癜性肾炎,HSP组血清IgA、IgC、IgE、IL-4、CD4、CD8、CD4/CD8、CD19均与对照组差异有显著性(P<0.05),而IgM、CD2、CD3、NK、CD8等与对照组比较差异无显著性(P>0.05),紫癜性肾炎组血清IgE、IL-4与HSP肾未受损组比较差异有显著性(P<0.05),但T细胞亚群、IgM、IgA、IgG等比较无差异(P>0.05)。结论:HSP存在免疫功能紊乱。

【Abstract】 Objective: To evaluate the immunological manifestation and explore the pathogenesis of HSP. Methods: The clinical data at acute stage of 102 cases of HSP patients were recorded, meanwhile the serum IgG, IgA, IgM and IgE, IL-4 and T cell subsets were detected. Thirty normal children were served as control guoup. Results: Fifty-one cases in 102 HSP patients developed into HSPN. There are significant differences in serum IgA, IgG, IgE, IL-4, blood CD4, blood CDS, CD4/CD8 and CD19 between HSP group and control group ( P < 0. 05), but there is no difference in serumlgM, CD2, CD3 and NK between two groups. ( P < 0. 05). There are significant differences in serum IgE, IL-4 between HSPN group and HSP group without renal damage (P < 0. 05), but there is no difference in T cell subsets, serum IgM, IgA and IgG between two groups. ( P > 0. 05). Conclusion: There is an immunological aberrance in HSP.

  • 【文献出处】 南京医科大学学报(自然科学版) ,Acta Academiae Medicinae Nanjing , 编辑部邮箱 ,2003年06期
  • 【分类号】R725.5
  • 【被引频次】26
  • 【下载频次】241
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