Peripheral CD4+T cells showing a Th2 phenotype in a patient with Mikulicz's disease associated with lymphadenopathy and pleural effusion

被引:85
作者
Miyake, Katsuhisa [1 ]
Moriyama, Masafumi [2 ]
Aizawa, Kumiko [1 ]
Nagano, Shuji [1 ]
Inoue, Yasushi [1 ]
Sadanaga, Atsushi [1 ]
Nakashima, Hitoshi [1 ]
Nakamura, Seiji [2 ]
机构
[1] Kyushu Univ, Grad Sch Med Sci, Dept Med & Biosyst Sci, Higashi Ku, Fukuoka 8128582, Japan
[2] Kyushu Univ, Grad Sch Dent Sci, Dept Oral & Maxillofacial Surg, Fukuoka 8128582, Japan
关键词
Mikulicz's disease; Sjogren's syndrome; Th1/Th2; balance;
D O I
10.1007/s10165-007-0010-3
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Mikulicz's disease (MD) is a unique IgG4-related systemic disease indicated by enlargement of the lachrymal and salivary glands and which differs substantially from Sjogren's syndrome. A male patient with pleural effusion, swelling of the submandibular glands, and swelling of the paraaortic, mediastinal, and pararenal lymph nodes was diagnosed with MD. Analysis of peripheral CD4+ T cells from the patient revealed deviation of the Th1/Th2 balance to Th2. Prednisolone therapy ameliorated the disease and corrected the Th1/Th2 imbalance.
引用
收藏
页码:86 / 90
页数:5
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