Infection and interferon production in systemic juvenile chronic arthritis: a prospective study.
AUTOR(ES)
de Vere-Tyndall, A
RESUMO
Twenty-four episodes of disease exacerbation in 19 children suffering from systemic juvenile chronic arthritis were studied. Sixteen of these were preceded by an infection (chi 2 = 20.14, p less than 0.001), mostly of the upper respiratory tract. In the 10 cases seen during an infection causative agents were identified in 5 (herpes simplex, rhinovirus, and on 3 occasions streptococcus). The total number of infections was not increased when compared with infection rates predicted by several reported studies. In the absence of clinical infection, specific antibody titres to a panel of microbial antigens were similar to those of a control group but with a trend toward higher titres in patients with hypergammaglobulinaemia. Interferon (IFN) responses were not defective, though sequential in-vitro IFN production from peripheral blood mononuclear cells (PBM) fluctuated considerably in the same patients, occasionally being absent with no obvious clinical correlate. IFN-alpha was induced by stimulation with Newcastle disease virus (NDV), and the mean responses of the patients were significantly greater than those of controls. IFN-gamma production on phytohaemagglutinin (PHA) stimulation was similar in patients and control groups. IFN was not detected in any of the sera from patients or controls.
ACESSO AO ARTIGO
http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1001206Documentos Relacionados
- Factors predicting a poor life prognosis in rheumatoid arthritis: an eight year prospective study.
- Bronchiectasis and rheumatoid arthritis: a clinical study.
- Incidence and prevalence of juvenile chronic arthritis: a population survey.
- Serological abnormalities in juvenile chronic arthritis: a review of 46 cases.
- Cyclosporin A in psoriatic arthritis: an open study.