白塞病患者血清抗PPD抗体测定及意义

The clinical significance of serum anti-PPD antibody determination in Behcet’S disease

  • 摘要: 本文用ELISA法对44例白塞病(BD)患者和90份对照组血清行抗结核菌素纯蛋白衍生物抗体(A-PPD)测定,结果发现18例(40.91%)BD患者OD值高于正常,均值为0.279±0.125((OD);而30例其他结缔组织病(包括系统性红斑狼疮,类风湿关节炎,强直性脊柱炎和赖特病)和60例健康人对照组的均值分别为0.203±0.089(OD)和0.146±0.079(OD),与BD组比较差异有极显著性意义(P<0.01)。44例BD组的临床观察发现20例(45.45%)结核菌素皮试呈强阳性反应,与A-PPD测定具有极显著的一致性(P<0.01)。提示结核杆菌感染可能是BD发病原因之一,血清A-PPD测定有助于寻找病因,指导治疗。

     

    Abstract: This study was performed to evaluate the relationship between the infection of tubercle bacillus(TB)and Behcet’s disease.Serum anti-purified protein derivative antibody(A-PPD)was determined in 44 cases with BD,30 cases with Connective Tissue Disease(CTD)(including systemic lupus erytematosus,rheumatoid arthritis,ankylosing spondylitis,adult onset still’S disease)and 60 healthy controls(HC)by EI,ISA,The results showed a higher positive rate of A-PPD in BD group(41%)than those of the CTD group(6.66%)and HC group(0%)(P<0.01),We also found the strong positive results of tuberculin skin tests appeared in 20(45%)cases with BD.Among them,16(36%)cases presented clinical active tuberculo-sis or had history of tuberculosis.The good efficacy of anti-tuberculosis drugs were observed in 22(50%)cases with BD.We conclude that infection of TB rnay be one of the etiological factors of BD.

     

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