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在患有严重血友病的患者中,慢性突炎和HLA B27
Kanjaksha Ghosh1, Umapathy Shankarkumar, Shrimati Shetty
1Institute of Immunohaematology, Floor 13, New Building, KEM Hospital Campus, Parel, 400 012, Mumbai, India.
Lancet (London, England)
|March 22, 2003
概括
在印度的严重血友病患者中,HLA B27和慢性鼻膜炎之间存在强烈的关联. 查HLA B27可能有助于预防这种并发症.
科学领域:
- 免疫遗传学 免疫遗传学
- 类风湿病学 类风湿病学
- 血液学 血液学 血液学
背景情况:
- 慢性鼻膜炎是严重血友病的并发症,特别是在印度.
- 结性脊柱炎与慢性突炎具有共同特征,与HLA B27.7有关.
研究的目的:
- 调查HLA B27与印度严重血友病患者慢性鼻膜炎之间的关联.
主要方法:
- 一项涉及473名严重血友病患者 (33名患有慢性鼻膜炎) 和1175名健康对照者的研究.
- 采用标准的血清学技术和反向线条检测方法进行HLA B27检测.
主要成果:
- 64%的患有慢性突炎的血友病患者检测出HLA B27.7的阳性.
- 与没有和健康对照组相比,慢性鼻膜炎患者中观察到HLA B27的患病率显著更高 (OR 31.6,p<0.0001).
结论:
- 在印度患有严重血友病的患者中,HLA B27和慢性鼻膜炎之间存在强烈的关联.
- 在这个人群中对HLA B27的查可能有助于早期治疗和预防慢性突炎的策略.
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