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首页> 外文期刊>The Journal of dermatology >A case of pemphigus vulgaris successfully treated with single filtration plasmapheresis: a correlation of clinical disease activity with serum antibody levels.
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A case of pemphigus vulgaris successfully treated with single filtration plasmapheresis: a correlation of clinical disease activity with serum antibody levels.

机译:一例寻常型天疱疮成功通过单次滤过血浆置换术治疗:临床疾病活动性与血清抗体水平的相关性。

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摘要

We report a patient with pemphigus vulgaris (PV) successfully treated with single filtration plasmapheresis. A 40-year-old man with PV was started on therapy with prednisolone (PSL). Although the dosage of PSL was doubled, and both cyclosporin A (CyA) and pulse therapy were added, the disease was not controlled. After single filtration plasmapheresis began, most of the eroded lesions on the trunk reepithelialized. A switch to double filtration was followed by recurrence. Finally, additional treatments with single filtration plasmapheresis were required to obtain remission. To evaluate the efficacy of the treatment, circulating antibodies were measured by immunofluorescence (IIF) and enzyme-linked immunosorbent assays (ELISAs) using recombinant desmoglein (Dsg) 3. IIF titer and the ELISA scores correlated with the clinical disease activity. It is suggested that ELISA was more sensitive than IIF.
机译:我们报告了单滤过血浆置换术成功治疗了寻常型天疱疮(PV)的患者。一名40岁的PV男性开始接受泼尼松龙(PSL)治疗。尽管PSL的剂量增加了一倍,并且同时添加了环孢菌素A(CyA)和脉冲疗法,但该病并未得到控制。开始单次滤过血浆置换后,躯干上的大部分侵蚀病灶重新上皮化。转换为双重过滤后,再次进行。最后,需要采用单次滤过血浆置换术进行其他治疗才能获得缓解。为了评估治疗效果,使用重组桥粒芯蛋白(Dsg)3,通过免疫荧光(IIF)和酶联免疫吸附测定(ELISA)测量了循环抗体。IIF滴度和ELISA得分与临床疾病活动相关。提示ELISA比IIF更为灵敏。

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