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斑秃免疫病理初步观察

Preliminary immunopathological study in alopecia areata
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摘要 本文用McAb-ABC法和直接免疫荧光法观察了42例斑秃患者头皮中的郎格罕氏细胞、T细胞亚群及直接免疫荧光改变。斑秃各期表皮中的OKT6^+细胞和Ia细胞无明显差别。多数病人毛球中可见LC,其中活动期最多见。斑秃毛囊中的LC变化主要是T6^+Ia的LC增多,Tb^+Ia的LC增多不显著。毛囊周围的浸润细胞主要是T(OKT_3^-)细胞。活动期T_4细胞及T4/T8比值均高于静止期及恢复期。DIF检查见患者中88%有C_3、IgG及IgM沉积。本文结果提示,斑秃可能是由细胞免疫和体液免疫共同参与的免疫性疾病。 Studies of the scalps from 42 patients with alopecia areala are given,using direct immunofluorescence ( DIP).Langerhans cells (LC)and T-lyrn hocytc subsets are observed.There is no significant difference between the number of OKT6 cells and Ia+ cells in the epidermis of all groups and the control.LC is seen in hair-bulb in many patients and most frequently in active stage.The main change of LC in hair follicle is increasing of T6+Ia- cells,not significant of T6+Ia+ cells.Most of the infiltrates around the hair follicles are T( OKT3+) cells.T4+cells number and T4/T8 ratio in active arc larger than in resting and recovering stages.DIF shows 88% of the patients having deposits of C3,IgG,and IgM.This suggests that alopecia areata may be the disorder of immnue associated with cellular and humoral immunity.
机构地区 西南医院皮肤科
出处 《第三军医大学学报》 CAS CSCD 北大核心 1989年第1期18-21,共4页 Journal of Third Military Medical University
关键词 斑秃 免疫病理 荧光抗体技术 Alopecia arcala/IM Langerhans cells/UL T-lymphocytes Fluorescent antibody technic
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参考文献2

  • 1陈洪铎,中华皮肤科杂志,1985年,18卷,4期,213页
  • 2丁明伟,免疫皮肤病学,1985年,249页

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