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无肌病性皮肌炎合并急进性间质性肺病抗MDA5抗体阳性1例及文献复习 被引量:1

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摘要 临床无肌病性皮肌炎(clinicalamyopathic dermatomyositis,CADM)是一种自身免疫性疾病,间质性肺病(interstitial lung disease,ILD)是CADM患者最主要的肺部表现,也是其死亡的首要因素。大多数CADM患者均死于进行性呼吸衰竭,从出现呼吸系统症状到死亡的存活时间仅为2个月,呈"急进性ILD"。而出现这种急进模式的主要原因是肺泡巨噬细胞被过度活化,导致中性粒细胞活化和淋巴细胞趋化因子的释放,进而引发病理性炎症,最终造成肺组织损伤。国外学者在2005年研究发现部分合并ILD的CADM患者血清中存在特殊的抗体.
作者 朱丰林 张莹
出处 《中国现代医药杂志》 2019年第11期81-84,共4页 Modern Medicine Journal of China
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