中华皮肤科杂志 ›› 1984, Vol. 17 ›› Issue (1): 7-10.

• 论著 • 上一篇    下一篇

系统性红斑狼疮(SLE)患者几项免疫指标的检测及其意义的探讨

施守义, 康克非, 翁孟武, 侯爱琴, 田润梅   

  1. 上海第一医学院皮肤病学研究所
  • 出版日期:1984-03-15 发布日期:1984-03-15

Determination of immunological functions in SLE and its significance

Shi Shouyi   

  • Online:1984-03-15 Published:1984-03-15

摘要: 本文报道采用LTT,EtRFCT, EaRFCT和PHA皮试对SLE患者进行细胞免疫功能测定.显示有不等程度的细胞功能低下和T淋巴细胞数的减少.体液免疫功能测定显示48多病例有IgG增高,血清ANA测定阳性串为81.1%,娥识阳性率达99.3%.滴度1≥80,病情活动者较多,斑点核型最常见.周边型、斑点线型和匀质型活动性较高.狼疮性肾病出现蛋白尿者尿ANA测定41.7%阳性.在累及中枢神经系统病例70%脑脊液ANA呈阳性.血清dsDNA间接血凝法测定29.89%阳性.125I DNA同位索法测定结果基本上与之平行,这组病例病期较短,肾累及较多,采用PEG沉淀法测定CIC有43%增高,经解离分析CIC的主要内容为核抗原和抗核抗体复合物.CH50和C3测定有不等程度降低,最后作者对SLE的发病机理进行了讨论.

Abstract: This article reports the determination of cell mediated immunity function with LTT, EtRFCT, EaRFCT end PHA-skin test in SLE. A variable degree of lowering of T lymphocytes function was revealed, Among those tests EaRFCT and,LTT were considered to be more active to reflect the cell mediated immuaity. Determination of humoral immunity showed elevation of IgG in 48% cases. The antinuclear antibodies were positive, in 81.1% cases, and the accumulated positive rate was 99.3%. The titer of antinuclear antibodies above o equal to 1:80 was observed more often in activr cases. The commonest fluorescent nuclear pattern observed was speckled type. Peripheral, speckle-e thready and homogenous types were observed more often in active cases. In patients of lupus nephritis with albuminuria, the determination of. urinary antinuclear antibodies was positive in 41.7% cases. In lupus patients with involvement of central nervous system, the determination of antinuclear antibodies in cerebral spinal fluid was positive in 70% cases. The detection of serum anti-dsDNA with indirect hemagglutination test was positive in 29.89% cases. The result was basically parallel with isotopic method, The patients of positive group had relatively shorter duration of illness and higher incidence of renal involvement. The detection of circulatory immuno-complex with polyethylene glycol precipitation method was elevated in 43% cases. Through dissociation test, the main content of immuno-complex. was found to be nuclear antigen and antinuclear antibody complex. The measurement of blood CH50 and C3 showed lowering in a variable degree. Finally the authors discussed the pathogenesis of SLE from these abnormal immunologic studies.