双重命中 - 对AQP4和MOG抗体的双重血清阳性的一个例子
Kshiteeja Jain1, M Anita2, M Netravathi1
1Department of Neurology, National Institute of Mental Health & Neurosciences (NIMHANS), Bangalore, India.
Journal of neuroimmunology
|September 16, 2023
概括
这项研究报告了一例罕见的18岁女性患有纵向广泛横向肌痛炎的病例,该病例对抗水素-4 (AQP4) 和髓寡细胞糖蛋白 (MOG) 抗体双重血清阳性,突出了这些自身免疫神经系统疾病的独特表现.
科学领域:
- 神经免疫学 神经免疫学
- 自免疫神经系统疾病 自免疫神经系统疾病
背景情况:
- 神经脊髓炎光学谱系障碍 (NMOSD) 和髓寡基细胞糖蛋白抗体相关疾病 (MOGAD) 是影响中枢神经系统的不同的自身免疫性疾病.
- 对AQP4-IgG和MOG抗体的双重阳性异常罕见,在医学文献中仅有有限的病例报告.
研究的目的:
- 描述一个独特的案例,一个18岁的女性呈现纵向广泛的横侧髓炎和对AQP4和MOG抗体同时存在的血清阳性.
- 为了解患有双重自身免疫抗体阳性患者的罕见表现和潜在临床演变做出贡献.
主要方法:
- 利用基于细胞的测试来准确检测AQP4-IgG和MOG抗体,最大限度地减少假阳性结果.
- 对患者表现的临床评估,重点关注神经症状和疾病进程.
主要成果:
- 患者表现出纵向扩展的横侧髓炎,这是严重的脊髓炎症形式.
- 确认患者对AQP4-IgG和MOG抗体的双重血清阳性,这是一个罕见的发现.
结论:
- 这一案例强调了在怀疑自身免疫神经系统疾病时进行全面抗体检测的重要性,即使存在罕见的双重血清阳性.
- 双阳性病例中的临床表型可能很复杂,可能呈现NMOSD和MOGAD的特征,或随着时间的推移而演变.
关键词:
在 AQP4 AQP4 中.一个双重的双重.在 LETM 里,你会发现.MOG MOG MOG MOG MOG MOG MOG MOG MOG MOG MOG MOG MOG MOG MOG MOG MOG MOG MOG MOG MOG MOG MOG MOG MOG MOG MOG MOG MOG MOG MOG MOG MOG MOG MOG MOG MOG MOG MOG MOG MOG MOG MOG MOG MOG MOG骨髓炎是一种神经炎症.这是NMOSD的NMOSD.血清阳性的人是血清阳性的.更多相关视频
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