中华皮肤科杂志 ›› 1987, Vol. 20 ›› Issue (1): 21-24.

• 论著 • 上一篇    下一篇

用免疫荧光技术观察表皮与血清中天疱疮自身抗体

王洪琛, 邵燕苓, 沈雪莹   

  1. 北京协和医院
  • 收稿日期:1986-03-03 修回日期:1986-05-19 出版日期:1987-02-15 发布日期:1987-02-15

Observation on the epidermal and circulating pemphigus autoantibodies by immunofluorescence technique

Wang Hongchen   

  • Received:1986-03-03 Revised:1986-05-19 Online:1987-02-15 Published:1987-02-15

摘要: 对11名落叶型(PF),8名寻常型天疱疮(PV)进行了免疫荧光法检查.全部PF与PV表皮ICS在DIF检查中均出现IgG与C3沉积,其中84.6%患者血清中天疱疮抗体(PAb)阳性,多数滴度为1:40-1:1280,45.4%PF患者在DIF染色中其IgG主要或仅只沉积在表皮浅层ICS部位,而PV则否.著者在讨论中提出:(1)在DIF检查中表皮ICS有IgG沉积即可确诊为天疱疮;(2)若此沉积在表皮浅层之强度较深层伪强,超过一个“+”时可确定为PF;(3)在大疱性皮肤病患者血清中,若PAb滴度较高时(>1:40),可以确定为天疱疮的诊断.

Abstract: Eleven patients with pemphigus foliaceus (PF) and 8 patients with pemphigus vulgaris (PV) were studied by immunofluorescence technique: IgG and C3 deposits were found in thq: intercellular spaces (ICS) of the epidermis in all patients with PF and PV by direct immunofluorescence (DIF). 84.6% of tree pemphigus patients had anti-ICS antibodies in the sera with a titre ranging from 1:40-1:2860. 45.4% of patients with PF were found to have IgG deposits localised predominantly or solely in the ICS of the superficial epiderirtal layers by DIF, while this was not the case in patients with PV. After careful evaluation of the above findings, the authors suggest that (1) the diagnosis of pemphigus can be established if deposits of IgG are present in the ICS o the epidermis by DIF; (2) if the fluorescent staining of IgG in the ICS is more prominent in the superficial than in the deep epidermal layers by DIF (more than one +),the diagnosis of pemphigus foliaceus can be ascertained; and (3) when a high titre of anti-pemphigus autoantibody in the serum (>1:40) is present in patients with bullous dermatoses, a diagnosis of pemphigus may also be established.