RESUMEN
A patient with clinical and morphological anaemia of type I is described. Surprisingly, the Ham's test yield positive with 2 of 20 compatible serum. Only other such case is recorded in the literature. We revised the literature and comment the unclassified cases reported.
Asunto(s)
Anemia Diseritropoyética Congénita/sangre , Anemia Diseritropoyética Congénita/clasificación , Anemia Diseritropoyética Congénita/patología , Tipificación y Pruebas Cruzadas Sanguíneas , Médula Ósea/patología , Núcleo Celular/ultraestructura , Niño , Eritroblastos/ultraestructura , Femenino , Humanos , Orgánulos/ultraestructuraAsunto(s)
Infecciones por VIH/terapia , Adolescente , Adulto , Femenino , Humanos , Masculino , Persona de Mediana Edad , Factores de TiempoRESUMEN
The monoclonal antibody GRC1 was obtained by immunizing BALB/c mice with human cornea. Screening was performed by indirect immunofluorescence in cryostatic sections of several tissues: cornea, skin, placenta, hyaline cartilage, blood vessels, and nerves. GRC1 was seen to recognize fibrillar structures in all of these tissues. The pattern of reaction was interstitial and membranous. On cornea, GRC1 reacts definitely with Bowman's membrane and diffusely with the stroma, while on skin it shows strongly positive reactivity with the papillary dermis and with the basement membrane. It also reacts on hyaline cartilage at the periphery of the condrocytic lacunae. These immunohistologic results suggest that GRC1 recognized human collagen. In order to investigate further the subtype of collagen defined by GRC1, an ELISA was performed with purified collagens of several types: I, II, III, IV, and V. The monoclonal antibody GRC1 defines a common determinant in types III, IV, and V.
Asunto(s)
Anticuerpos Monoclonales/inmunología , Colágeno/inmunología , Córnea/inmunología , Epítopos/inmunología , Animales , Anticuerpos Monoclonales/biosíntesis , Ensayo de Inmunoadsorción Enzimática , Técnica del Anticuerpo Fluorescente , Humanos , Hialina/inmunología , Ratones , Ratones Endogámicos BALB C , Placenta/inmunología , Piel/inmunologíaRESUMEN
An open, controlled study was carried out in young patients with atopic dermatitis, who during one month received oral anti-psoriatic drug, anapsos (n = 46), or antihistamines (n = 30), simultaneously with topic applications. The activity and extension of the cutaneous lesions improved under both treatments, but more markedly with anapsos in spite of the fact that topical applications did not contain steroids in the group treated with anapsos, and the effect was still appreciable several months after interruption of medication. Anapsos, which was well tolerated, considerably relieved the respiratory symptoms of all patients with asthma. Studies performed on patients with atopic dermatitis have shown high IgE levels, eosinophils and T4 counts, and a marked decrease in T8 suppressor cells in peripheral blood. Our data also show a slight decrease in T8 cells (%), a significant increase in T4 sub-sets (%) and a high T4/T8 ratio as a previously reported by several authors. Such an imbalance between helper and suppresor cells may cause alterations in the response to extrinsic and intrinsic antigens, as shown in particular by the abnormally high IgE levels observed in atopic dermatitis. Anapsos was associated with a correction in T lymphocytes imbalances, specifically through the increase of the initially low T8 cells levels and subsequent normalization of the mean T4/T8 index. The tolerance and promising therapeutic activity of this antipsoriatic drug deserve further research in other conditions characterized by a deficit of suppressor cells.