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EB病毒VCA-IgM抗体阳性的Kikuchi-Fujimoto病
引用本文:刘捷,许百川,赵越,曹金江,曹熙龙.EB病毒VCA-IgM抗体阳性的Kikuchi-Fujimoto病[J].北京大学学报(医学版),1997(5).
作者姓名:刘捷  许百川  赵越  曹金江  曹熙龙
作者单位:北京医科大学人民医院儿科(刘捷,许百川,赵越),河北省鹿邑县人民医院(曹金江),北京医科大学人民医院呼吸科!100044(曹熙龙)
摘    要:目的:分析并探讨KDD的发病机制、临床特点、诊断及治疗方法。方法:对5例于1992~1996年收治的EBV-VCA-IgM抗体阳性的KFD患者进行回顾性研究。结果:5例病人均通过肿大淋巴结活检确诊。临床都表现为颈淋巴结肿大、发热、白细胞减少、血沉增快及LDH增高。对强的松治疗较敏感。结论:尚不能确定EBV即为KFD的发病原因。淋巴结活检是唯一确诊手段。该病报告日渐增多,应引起临床医师足够重视。

关 键 词:Kikuchi-Fujimoto病  淋巴结炎  抗体.病毒  瘤疾病毒4型  

CLINICAL ANALYSES OF KFD WITH EBV VCA-IGM ANTIBODY POSITIVE
LIU Jie, XU Baichuan, ZHAO Yue, CAO Jinjiang, CAO Xilong.CLINICAL ANALYSES OF KFD WITH EBV VCA-IGM ANTIBODY POSITIVE[J].Journal of Peking University:Health Sciences,1997(5).
Authors:LIU Jie  XU Baichuan  ZHAO Yue  CAO Jinjiang  CAO Xilong
Abstract:Objective: To analyse and detect the pathogenesis, clinical feature, diagnosis and treatment of KFD.Methods: 5 cases of KFD with EBV-VCA-IgM antibody positive were reviewed, who were hospitalized from 1992 to 1996. Results: All cases were diagnosed by biopsy of the enlarged lymph nodes. They presented with cervical lymphadenopathy, fever, leukopenia and elevations in ESR and LDH. The apparent response to prednisone was found in 5 subjects. Conclusion: EBV is not sure to be the etiologic agent of KFD. The diagnosis can only be established by biopsy specimens. Because of the increasing number of cases being reported, the physicians should pay more attention to this entity.
Keywords:Kikuchi-Fujimoto disease Lymphadenitis Antibodies  viral Herpesvirus 4  Human
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