Autoimmune hepatitis (AIH) is a chronic disease of unknown etiology that is characterized by the presence of circulatory autoantibodies and inflammatory histological changes in the liver. Although the pathogenesis of ...Autoimmune hepatitis (AIH) is a chronic disease of unknown etiology that is characterized by the presence of circulatory autoantibodies and inflammatory histological changes in the liver. Although the pathogenesis of AIH is not known, it is thought that, in a genetically predisposed individual, environmental factors such as viruses can trigger the autoimmune process. Herpes simplex virus, Epstein-Barr virus, measles virus, and hepatitis viruses are thought to play a role in the etiology of AIH. Proteins belonging to these viruses may be similar to the amino acid chains of different autoantigens in the liver, this causes immune cross reactions and liver tissue damage. We report a case of severe AIH following varicella zoster infection in a 23-year-old man, and speculate that, based on the molecular mimicry hypothesis, the liver damage was caused by an immune cross reaction to the viral proteins. Varicella-zoster-induced AIH has not been reported previously.展开更多
ABSTRACT Objective To compare the efficacy difference between point injection at Jiiaji (夹脊 EX-B 2) and oral medication in the treatment of intractable post-herpetic neuralgia (PHN) in the trunk. Methods One hun...ABSTRACT Objective To compare the efficacy difference between point injection at Jiiaji (夹脊 EX-B 2) and oral medication in the treatment of intractable post-herpetic neuralgia (PHN) in the trunk. Methods One hundred and thirty cases were randomly divided into an point injection group and an medication group, 65 cases in each one. In point injection group, according to the invasion site of herpes zoster, Jiiaji (夹脊 EX-B 2) of corresponding segments and the meridian points on skin lesion areas, such as Fengchi (风池GB 20), Tianzhu (天柱 BL 10), Feishu (肺俞 BL 13) and Geguan (膈关 BL 46) were selected and injected with the mixed solution of compound Betamethasone (administered only in the first injection), Vitamin B12 and Lidoeaine Carbonate, 2 mL on each point, once per day. In medication group, Diclofenac Sodium sustained release tablets, 75 mg were administered, twice per day. The clinical efficacy was compared 10 days later between two groups. Results The total effective rate in point injection group was 100.0% (65/65), which was better than 66.1% (43/65) in medication group (P〈0.01). Conclusion Point injection mainly at Jiiaji (夹脊 EX-B 2) is effective significantly on intractable PHN in the trunk, which is superior to Diclofenac Sodium sustained release tablets.展开更多
Objective: To observe the effect of acupuncture around the diseased region combined with point injection on post-herpetic neuralgia. Methods: Point injection on 30 cases in the related segments of spinal cord after ...Objective: To observe the effect of acupuncture around the diseased region combined with point injection on post-herpetic neuralgia. Methods: Point injection on 30 cases in the related segments of spinal cord after needling around the diseased region. Results: Twenty-seven cases got effect and the total effect rate was 90%. Conclusion: Acupuncture combined with point injection has remarkable curative effect on post-herpetic neuralgia.展开更多
文摘Autoimmune hepatitis (AIH) is a chronic disease of unknown etiology that is characterized by the presence of circulatory autoantibodies and inflammatory histological changes in the liver. Although the pathogenesis of AIH is not known, it is thought that, in a genetically predisposed individual, environmental factors such as viruses can trigger the autoimmune process. Herpes simplex virus, Epstein-Barr virus, measles virus, and hepatitis viruses are thought to play a role in the etiology of AIH. Proteins belonging to these viruses may be similar to the amino acid chains of different autoantigens in the liver, this causes immune cross reactions and liver tissue damage. We report a case of severe AIH following varicella zoster infection in a 23-year-old man, and speculate that, based on the molecular mimicry hypothesis, the liver damage was caused by an immune cross reaction to the viral proteins. Varicella-zoster-induced AIH has not been reported previously.
文摘ABSTRACT Objective To compare the efficacy difference between point injection at Jiiaji (夹脊 EX-B 2) and oral medication in the treatment of intractable post-herpetic neuralgia (PHN) in the trunk. Methods One hundred and thirty cases were randomly divided into an point injection group and an medication group, 65 cases in each one. In point injection group, according to the invasion site of herpes zoster, Jiiaji (夹脊 EX-B 2) of corresponding segments and the meridian points on skin lesion areas, such as Fengchi (风池GB 20), Tianzhu (天柱 BL 10), Feishu (肺俞 BL 13) and Geguan (膈关 BL 46) were selected and injected with the mixed solution of compound Betamethasone (administered only in the first injection), Vitamin B12 and Lidoeaine Carbonate, 2 mL on each point, once per day. In medication group, Diclofenac Sodium sustained release tablets, 75 mg were administered, twice per day. The clinical efficacy was compared 10 days later between two groups. Results The total effective rate in point injection group was 100.0% (65/65), which was better than 66.1% (43/65) in medication group (P〈0.01). Conclusion Point injection mainly at Jiiaji (夹脊 EX-B 2) is effective significantly on intractable PHN in the trunk, which is superior to Diclofenac Sodium sustained release tablets.
文摘Objective: To observe the effect of acupuncture around the diseased region combined with point injection on post-herpetic neuralgia. Methods: Point injection on 30 cases in the related segments of spinal cord after needling around the diseased region. Results: Twenty-seven cases got effect and the total effect rate was 90%. Conclusion: Acupuncture combined with point injection has remarkable curative effect on post-herpetic neuralgia.