乙型肝炎病毒重新激活的新风险因素 - - 低麦球蛋白血症:大约有两例病例
F de Leuze1, V Havelange2, M-A van Dievoet3
1Hepatogastroenterology unit, Cliniques Universitaires Saint-Luc, Brussels, Belgium.
Acta gastro-enterologica Belgica
|October 10, 2023
概括
乙型肝炎病毒 (HBV) 再激活可能发生在免疫抑制患者中,即使是患有全球性低血糖球蛋白血症. 常规查HBVDNA建议在高危人群.
科学领域:
- 免疫学 免疫学 免疫学
- 病毒学 病毒学
- 肝病学 肝病学是一种肝病学.
背景情况:
- 乙型肝炎病毒 (HBV) 再激活是免疫抑制患者的已知风险.
- 常见的原因包括化疗,生物药物,移植和皮质类固醇.
- 全球低型球蛋白血症代表了另一个潜在的危险因素.
研究的目的:
- 报告两例与全球性海波母球蛋白血症相关的HBV再激活病例.
- 强调HBV查在特定患者群体中的重要性.
主要方法:
- 两名患者的病例报告经历了HBV重新激活.
- 关于在免疫抑制状态下HBV重新激活的文献综述.
- 讨论包括HBV血清学查和HBV-DNA的PCR在内的诊断方法.
主要成果:
- 在患有全球性海波母球蛋白血症的患者中发现了两例HBV再激活病例.
- 这些病例突出了HBV重新激活的不太常见原因.
结论:
- 在患有全球性海波母球蛋白血症的患者中,HBV的重新激活可能会发生.
- 定期的HBV血清查和HBV-DNAPCR对免疫抑制患者具有HBV感染史至关重要.
- 在这些情况下,预防性治疗的必要性需要进一步调查.
相关概念视频
Pulmonary Tuberculosis I
247
Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
247
Humoral Immune Responses
72.8K
Overview
72.8K
Hypoglycemia and Glucagon
274
Without prolonged fasting, healthy individuals maintain blood glucose levels above 3.5 mM due to a well-adapted neuroendocrine counterregulatory system that effectively prevents acute hypoglycemia, a potentially life-threatening condition. The primary clinical scenarios for hypoglycemia encompass diabetes treatment, inappropriate production of endogenous insulin or insulin-like substances by tumors, and the use of glucose-lowering agents in non-diabetic individuals. Notably, hypoglycemia in the...
274
Antigens Involved in Adaptive Immunity
512
An antigen is any substance the immune system identifies as foreign and potentially harmful to the body, prompting an immune response. Antigens have two functional properties: immunogenicity and reactivity. Immunogenicity is the ability of an antigen to stimulate a specific immune response. At the same time, reactivity describes the antigen's ability to react with the cells and antibodies produced in response to it.
Complete Antigens
Complete antigens possess both immunogenicity and...
Complete Antigens
Complete antigens possess both immunogenicity and...
512
B Cell Activation and Differentiation
1.8K
The adaptive immune response, a sophisticated defense mechanism, relies on the activation and differentiation of B lymphocytes, or B cells. These processes enable our bodies to mount a tailored response against specific pathogens such as bacteria, free virus particles, toxins, and parasites.
When naive B cells encounter a specific antigen that can bind to the B cell receptor (BCR) on their surface, they undergo sensitization to respond to the antigen's presence. Sensitization begins with...
When naive B cells encounter a specific antigen that can bind to the B cell receptor (BCR) on their surface, they undergo sensitization to respond to the antigen's presence. Sensitization begins with...
1.8K
Transcytosis of IgG
2.8K
Transcytosis is the process in which molecules are internalized by endocytosis, transported across the cell, and released through exocytosis from the opposite end of the cell. Molecules such as insulin, immunoglobulins, and certain nutrients are transferred through the recycling endosomes by recycling and transcytosis.
IgG molecules from a mother undergo transcytosis starting around 13 weeks of gestation. The amount of IgG transferred and entering the fetal blood circulation increases with...
IgG molecules from a mother undergo transcytosis starting around 13 weeks of gestation. The amount of IgG transferred and entering the fetal blood circulation increases with...
2.8K


