免疫触发在神经性肌肉缩之前的免疫触发.
Davide Sparasci1, Lenka Schilg-Hafer2, Bettina Schreiner3
1Department of Neurology, Neurocenter of Southern Switzerland EOC, Lugano, Switzerland.
European journal of neurology
|October 4, 2024
概括
感染和接种疫苗可以引发神经性肌缩 (NA). 大约39%的NA病例之前有确定的免疫触发因素,如感染或COVID-19疫苗接种,这表明存在联系.
科学领域:
- 神经学 神经学
- 免疫学 免疫学 免疫学
- 传染性疾病 传染性疾病
背景情况:
- 神经性缩 (NA) 是一种罕见的神经系统疾病.
- 确切的感染性或与疫苗接种相关的NA触发因素仍然不清楚.
研究的目的:
- 调查神经性肌缩患者先前感染病原体和疫苗接种的频率和类型.
- 为了确定NA的潜在免疫学触发因素.
主要方法:
- 一个多中心,前性,观察性,匹配的病例控制研究.
- 通过神经肌肉专家使用临床和电诊断标准进行NA诊断.
- 在NA患者和对照组中进行各种病毒,细菌和疫苗接种状态的血清学测试.
主要成果:
- 在57名NA患者中,15名 (26.3%) 患有已确认的症状性传染性触发症.
- 在7名 (12.3%) 患者中,COVID-19疫苗接种是潜在的触发因素.
- 急性病毒感染与双边臂干涉有显著的相关性 (p=0.003).
结论:
- 确定的免疫触发因素 (感染或接种疫苗) 在38.6%的NA病例中先发病.
- 建议在急性阶段对NA患者进行细胞内抗原测试,特别是在双边参与或肝炎的情况下.
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