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Evaluating the serological applications of Toxoplasma gondii rhoptry protein 1 (ROP1) antigen 刚地弓形虫弓形体蛋白1抗原的血清学应用评价
Pub Date : 2017-06-15 DOI: 10.29252/JBRMS.4.3.39
F. Keshavarzi, P. Ashtari, P. Ebrahimi
Introduction: Toxoplasma gondii ( T. gondii ) is distributed worldwide and infects most species. The serious incidence and severe or fatal injury caused by T. gondii infection clearly indicates the necessity for the event of a vaccine. The current study goals were to evaluate serological applications of Toxoplasma gondiirhoptry protein 1 (ROP1) antigen. Materials and methods: We created a polymer vaccine by using the eukaryotic plasmid, pROP1. Purification by one-step metal affinity chromatography allowed recovery of milligram amounts of purified recombinant proteins per liter of culture. The quality of this matter for diagnosing of human infections was provided and tested on 77 serum samples which were obtained during routine diagnostic tests. A panel of 20 serum samples from patients with acute toxoplasmosis was compared to a panel of 35 serum samples from individuals with chronic toxoplasmosis. Results: Results of the study indicated that antibodies detected from patients with acute and chronic infections were 96% and 17%, respectively, by using of pROP1 recombinant antigen. Conclusion: According to the present study an immunoglobulin G antibody against ROP1 antigen is made throughout the acute stage of toxoplasmosis infection, but not in the chronic phase of toxoplasmosis.
简介:弓形虫(T.gondii)分布于世界各地,感染大多数物种。弓形虫感染引起的严重发病率和严重或致命伤害清楚地表明了接种疫苗的必要性。目前的研究目的是评估弓形虫蛋白1(ROP1)抗原的血清学应用。材料与方法:利用真核表达质粒pROP1构建聚合物疫苗。通过一步金属亲和层析纯化,每升培养物可回收毫克量的纯化重组蛋白。提供了用于诊断人类感染的这一物质的质量,并在常规诊断测试期间获得的77份血清样本上进行了测试。将来自急性弓形虫病患者的20份血清样本与来自慢性弓形虫病个体的35份血清样本进行比较。结果:研究结果表明,使用pROP1重组抗原从急性和慢性感染患者中检测到的抗体分别为96%和17%。结论:根据本研究,抗ROP1抗原的免疫球蛋白G抗体可在弓形虫感染的急性期产生,但在弓形虫病的慢性期不产生。
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引用次数: 1
The relationship of spiritual understanding and self-esteem with suicidal thoughts 精神理解和自尊与自杀念头的关系
Pub Date : 2017-06-15 DOI: 10.29252/JBRMS.4.3.19
S. R. Musavimoghadam, T. Sari, Shirin Heidarihasanabadi
Introduction: Spirituality, as with the knowledge of the whole universe, is a force beyond the material aspects of life. Self-esteem is generally a component of evaluation of selfconcept and the suicidal thoughts is a condition that implies on the occurrence of any selfdestructing thoughts. Materials and methods: Methodology of the present study was descriptive and correlational. The study population included all graduate students of Azad University of Ilam from which 235 persons (138 men and 97 women) were selected through stratified random sampling. The measuring tools of data were as follow: Kings spiritual understanding questionnaire, Eysenck self-esteem questionnaire and Beck suicidal ideation scale. The data was analyzed with using the statistical software SPSS the statistical methods, Pearson correlation coefficient, analysis of variance, multiple regression analysis and structural equations. Results: Spiritual understanding and self-esteem reversely and significantly predicted the thoughts of suicide with the coefficients -0.194 and -0.077, respectively. Conclusion: Individual factors such as spiritual perception and self-esteem are important and effective on the mental aspects of students. By increasing the impact of these factors, it could be expected to reduce the number of suicides.
简介:灵性,如同整个宇宙的知识一样,是一种超越生命物质层面的力量。自尊通常是自我概念评估的一个组成部分,自杀想法是一种暗示任何自我毁灭想法发生的条件。材料与方法:本研究采用描述性和相关性研究方法。研究人群为伊拉姆阿扎德大学的所有研究生,通过分层随机抽样的方法从中抽取235人(男138人,女97人)。数据测量工具为Kings精神理解问卷、Eysenck自尊问卷和Beck自杀意念量表。数据分析采用SPSS统计软件、Pearson相关系数、方差分析、多元回归分析和结构方程等统计方法。结果:精神理解和自尊对自杀念头的负向显著预测系数分别为-0.194和-0.077。结论:精神感知、自尊等个体因素对学生心理方面的影响是重要而有效的。通过增加这些因素的影响,可以预期减少自杀人数。
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引用次数: 0
Design, cloning and expression assay of oipA gene in a bicistronic vector harboring mice IL-18 gene: potential implications for Helicobacter pylori vaccine investigations oipA基因在携带小鼠IL-18基因的双顺反子载体中的设计、克隆和表达测定:对幽门螺杆菌疫苗研究的潜在意义
Pub Date : 2017-06-15 DOI: 10.29252/JBRMS.4.3.1
Mehran Nemattalab, M. Shenagari, A. Mojtahedi, M. Aghasadeghi, M. Pouriayevali, M. Taheri, Mahdieh Mondannizadeh
Introduction: Helicobacter pylori (H. pylori) infection has remained as a global health problem. Animal studies demonstrated the role of H. pylori oipA gene in the development of gastric cancer. The aim of this study was the cloning and expression of Helicobacter pylori oipA gene in a bicistronic vector harboring mice IL-18 gene. Materials and methods: The target gene encoding oipA was amplified from a codonoptimized clone by PCR, and then double-digested by restriction enzymes. The pIRESIgk/ mIL18/Fc plasmid was simultaneously digested by BstXI/NotI enzymes to elicit the eGFP segment. PCR product of oipA was inserted into pIRES-Igk/mIL18/Fc plasmid using T4 ligase. Transformation into DH5α strain was done. Cloning was confirmed by PCR, enzymatic digestion and sequencing. Expression of the oipA and IL-18 mRNA was assessed by means of TaqMan Real-time PCR. Results: Electrophoresis of PCR product, enzymatic digestion and sequencing showed that the H. pylori oipA gene was successfully cloned into pIRES-Igk/mIL18/Fc to generate mIL- 18-pIRES2-oipA plasmid. The results of Real-time PCR confirmed the successful expression of both oipA and IL-18 in mouse macrophage cell line. Conclusion: Considering the role of oipA in pathogenesis of H. pylori and potent activity of IL-18 as a molecular adjuvant, the results of the present study showed that the expression of codon-optimized oipA gene in bicistronic vector including mouse IL-18 is successful. So, it could be considered as an appropriate genetic vaccine candidate for H. pylori in future investigations.
引言:幽门螺杆菌(H.pylori)感染一直是一个全球性的健康问题。动物研究证实了幽门螺杆菌oipA基因在癌症发展中的作用。本研究的目的是在携带小鼠IL-18基因的双顺反子载体中克隆和表达幽门螺杆菌oipA基因。材料与方法:利用聚合酶链式反应从共优化克隆中扩增出编码oipA的靶基因,然后用限制性内切酶进行双酶切。pIRESIgk/mIL18/Fc质粒同时被BstXI/NotI酶消化以引发eGFP片段。使用T4连接酶将oipA的PCR产物插入pIRES-Igk/mIL18/Fc质粒中。转化为DH5α菌株。通过PCR、酶切和测序证实了克隆。通过TaqMan实时PCR评估oipA和IL-18mRNA的表达。结果:PCR产物电泳、酶切和测序结果表明,成功地将幽门螺杆菌oipA基因克隆到pIRES-Igk/mIL18/Fc中,构建了mIL-18-pIRES-2-oipA质粒。实时PCR结果证实了oipA和IL-18在小鼠巨噬细胞系中的成功表达。结论:考虑到oipA在幽门螺杆菌发病机制中的作用以及IL-18作为分子佐剂的强大活性,本研究结果表明密码子优化的oipA基因在包括小鼠IL-18在内的双顺反子载体中的表达是成功的。因此,在未来的研究中,它可以被认为是一种合适的幽门螺杆菌基因候选疫苗。
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引用次数: 2
Induction of apoptosis in human tumor cell lines by platelets 血小板诱导人肿瘤细胞系凋亡
Pub Date : 2017-06-15 DOI: 10.29252/JBRMS.4.3.26
Morteza Yaftian, F. Yari, Mehran Ghasemzadeh
Introduction: It has been reported that platelets can eradicate tumor cells in vitro, although the mechanism of this effect has not been determined. The effect of platelets on the induction of apoptosis in tumor cells is largely unknown. Materials and methods: To investigate this effect, two human hematologic cell lines, K562 and Daudi, were independently faced with unstimulated and thrombin-activated platelets. After the elapsed co-culture time, the levels of caspase-3 and CD95 were evaluated as a sign of cell death and apoptosis. In addition, immortalized cells were evaluated using trypan blue, 7-AAD and WST-1 methods. Results: CD95 and caspase-3 levels were significantly increased in both cell lines compared with the control cells (P<0.05). Beside, considerably lower number of living cells were shown by trypan blue, 7-AAD and WST-1 in the treatment groups compared with the control group (P<0.05). Conclusion: This study demonstrated the role of apoptosis in tumor inhibition and implied the ability of platelets to induce apoptosis in tumor cell lines.
引言:据报道,血小板可以在体外根除肿瘤细胞,尽管这种作用的机制尚未确定。血小板对肿瘤细胞凋亡诱导的作用在很大程度上是未知的。材料和方法:为了研究这种作用,两种人类血液学细胞系K562和Daudi分别面对未刺激和凝血酶激活的血小板。经过共培养时间后,胱天蛋白酶-3和CD95的水平被评估为细胞死亡和凋亡的标志。此外,使用台盼蓝、7-AAD和WST-1方法评估永生化细胞。结果:两种细胞系CD95和胱天蛋白酶-3水平均明显高于对照细胞(P<0.05),7-AAD和WST-1与对照组比较(P<0.05)。
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引用次数: 1
Isolation and purification of HLA-DR antigen from Daudi cell line by immunoaffinity chromatography 免疫亲和层析法分离纯化Daudi细胞株HLA-DR抗原
Pub Date : 2017-06-15 DOI: 10.29252/JBRMS.4.3.34
Zahra Khayyati, F. Yari
Introduction: The major histocompatibility complex (MHC) is a group of cell surface proteins that are essential for recognizing foreign molecules in human and other mammals. The physiologic function of MHC molecules is the presentation of peptides to T cells. In this study, we evaluated the purification of a class II MHC molecule (HLA-DR) from a human Burkitt′s lymphoma cell line; Daudi. Materials and methods: We described a simple procedure for purifying human HLA molecules from the cells lysate. As a representative model, HLA-DR was purified from Daudi cell line. The cell membrane was solubilized by a buffer contained NP-40 detergent. Subsequently, the isolation of the membrane antigen was carried out by affinity chromatography method using mouse anti-human HLA-DR monoclonal antibody. The size and the specificity of the purified antigen were determined by Bradford and ELISA methods, respectively. Results: The purified HLA antigen was obtained in approximately 20-30 micrograms in each run of chromatography. Additionally, ELISA method demonstrated the HLA-DR specificity of the purified protein. Conclusion: The results indicated that affinity purification of HLA-DR antigen by means of specific monoclonal antibody is a simple and fast procedure for obtaining the purified antigen.
引言:主要组织相容性复合体(MHC)是一组细胞表面蛋白,对识别人类和其他哺乳动物的外来分子至关重要。MHC分子的生理功能是将肽呈递给T细胞。在这项研究中,我们评估了从人伯基特淋巴瘤细胞系中纯化一种II类MHC分子(HLA-DR);Daudi。材料和方法:我们描述了一种从细胞裂解物中纯化人类HLA分子的简单程序。从Daudi细胞系中纯化了HLA-DR作为代表性模型。细胞膜被含有NP-40洗涤剂的缓冲液溶解。随后,使用小鼠抗人HLA-DR单克隆抗体通过亲和色谱法进行膜抗原的分离。纯化抗原的大小和特异性分别通过Bradford和ELISA方法测定。结果:纯化的HLA抗原在每次色谱中获得约20-30微克。此外,ELISA法证实了纯化蛋白的HLA-DR特异性。结论:用特异性单克隆抗体亲和纯化HLA-DR抗原是一种简便、快速的纯化抗原的方法。
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引用次数: 0
Detection and enumeration of Cryptosporidium oocysts in environmental water samples by Real-time PCR assay 环境水样中隐孢子虫卵囊的实时PCR检测与计数
Pub Date : 2017-06-15 DOI: 10.29252/JBRMS.4.3.42
M. Mahmoudi, M. Bandepour, B. Kazemi, Asad Mirzaei
Introduction: The protozoan parasite, Cryptosporidium Spp., widely spreads in both raw and drinking waters. It is the causative agents of waterborne diarrhea and gastroenteritis in the world. In the present study, a molecular assay was used for the detection and quantification of Cryptosporidium oocysts in environmental water samples. Materials and methods: Thirty surface water samples were collected from Rasht City rivers and lagoons during 2009-2010. The samples were analysed for Cryptosporidium oocysts using Real Time PCR method. Samples were filtrated through a 1.2μm pore size cellulose nitrate membrane filter and then purified and quantified by Real-time PCR technique. Results: Cryptosporidium oocysts were found in 19 of 30 the samples. Oocyst concentration was ranging from 0.007 to 27 oocysts per liter of the examined waters. Conclusion: The present study showed that the investigated water supplies were contaminated by Cryptosporidium oocyst. This study indicated that in this level of oocysts there is a potential risk of waterborne cryptosporidiosis due to direct or indirect consumption of these waters by humans and animals. Real-time PCR is a technique that provides high sensitivity for detection quantitative purposes.
简介:原生动物寄生虫隐孢子虫在生水中和饮用水中广泛传播。它是世界上水性腹泻和肠胃炎的病原体。在本研究中,使用分子分析法检测和定量环境水样中的隐孢子虫卵囊。材料和方法:2009-2010年期间,从拉什特市的河流和泻湖中采集了30份地表水样本。使用实时PCR方法对样品进行隐孢子虫卵囊分析。样品通过孔径为1.2μm的硝酸纤维素膜过滤器过滤,然后通过实时PCR技术进行纯化和定量。结果:30份标本中有19份检出隐孢子虫卵囊。卵囊浓度在0.007至27个卵囊/升检查水的范围内。结论:隐孢子虫卵囊污染水源。这项研究表明,在这种水平的卵囊中,由于人类和动物直接或间接消耗这些水,存在水传播隐孢子虫病的潜在风险。实时PCR是一种为检测定量目的提供高灵敏度的技术。
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引用次数: 2
The correlation of learning and study strategies with academic achievement of nursing students 护生学习、学习策略与学业成绩的相关研究
Pub Date : 2017-06-10 DOI: 10.29252/JBRMS.4.3.8
Iman Mohammadi, Hamid Thaghinejad, Zainab Suhrabi, H. Tavan
Introduction: One of the most important problems in student's education is academic failure. Identifying factors that affecting academic achievement and pay attention to these factors is a stride toward success. Students' academic achievement and related factors have priority in education research. This study aimed to determine the relationship between learning study strategies and academic achievement of nursing students in 2013. Materials and methods: This descriptive-analytic study was performed among 85 nursing students of Ilam University of Medical Sciences. By using the learning and study strategies inventory (LASSI), the main three components of study and learning strategies, including items of skill, will and self-regulation were examined. The Pearson correlation was used to measure students' academic achievement correlation with the mentioned above components. Results: The sample consisted of 50.6% female and 49.4% male. The mean grade of nursing students was scored 15.60. Pearson correlation coefficient showed that the three main components of learning strategies and study skills component, respectively skill (P=0.001, r=0.349), self-regulation (P=0.009, r=0.280) and the component of will (P=0.045, r=0.218) with student achievement (mean grade of last term) had a positive and significant relationship. Conclusion: Considering positive and significant correlation between learning and study strategies with academic achievement in nursing students, so, we suggest that students and teachers use these strategies to improve academic achievement and reduce the academic loss of students.
引言:学生教育中最重要的问题之一是学业失败。识别影响学业成绩的因素并关注这些因素是迈向成功的一步。学生的学业成绩和相关因素在教育研究中具有优先地位。本研究旨在确定2013年护理专业学生的学习策略与学业成绩之间的关系。材料和方法:这项描述性分析研究在伊拉姆医学科学大学的85名护理专业学生中进行。通过使用学习和学习策略量表(LASSI),研究了学习和学习战略的三个主要组成部分,包括技能、意志和自我调节项目。Pearson相关被用来衡量学生的学业成绩与上述成分的相关性。结果:样本中女性占50.6%,男性占49.4%。护生平均成绩为15.60分。Pearson相关系数表明,学习策略和学习技能的三个主要组成部分,即技能(P=0.001,r=0.349)、自我调节(P=0.009,r=0.280)和意志组成部分(P=0.045,r=0.218)与学生成绩(上学期平均成绩)呈正相关。结论:考虑到护理专业学生的学习和学习策略与学习成绩呈正相关,因此,我们建议学生和教师使用这些策略来提高学习成绩,减少学生的学业损失。
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引用次数: 4
The rehabilitation training and antioxidant status in patients with myocardial infarction 心肌梗死患者康复训练与抗氧化状态的关系
Pub Date : 2017-06-01 DOI: 10.29252/JBRMS.4.3.14
S. Parsa, B. Saki, K. Ebrahim, Seyed Ahmad Raeisolsadat
Introduction: Myocardial infarction (MI) is associated with increased oxidative stress and reduced antioxidants. Some studies have shown that exercise training increases the serum level antioxidants. Therefore, this study investigated the effect of rehabilitation training on antioxidant status in patients with myocardial infarction. Materials and methods: In this study, 20 patients with myocardial infarction were selected and randomly assigned to training group (n=10) or control group (n=10). Training program included 3 sessions of concurrent training per week for eight consecutive weeks. To measure the values of malondialdehyde (MDA), protein carbonylation (PC) and total antioxidant capacity (TAC), 10 ml of blood were taken preand post-training in each patient. The t-test was used to analyze the data. P<0.05 was considered significant in all tests. Results: The data showed that 8 weeks of rehabilitation training significantly reduces MDA (2.37±0.59 μM and 3.74±1.34 μM in training and control groups, respectively; P=0.000) and PC (9.15±1.77 nmol/mg protein and 11.48±1.60 nmol/mg protein in training and control groups, respectively; P=0.006) levels and significantly increases TAC (10.09±1.70 U/ml and 8.34±1.56 U/ml in training and control groups, respectively; P=0.031). Conclusion: Since the findings of the present study show a reduction in oxidative stress markers (MDA, PC) and an increase in total antioxidants capacity, it seems that eight weeks of concurrent training may improve the antioxidant capacity in patients after myocardial infarction.
引言:心肌梗死(MI)与氧化应激增加和抗氧化剂减少有关。一些研究表明,运动训练可以提高血清中抗氧化剂的水平。因此,本研究探讨了康复训练对心肌梗死患者抗氧化状态的影响。材料与方法:本研究选取20例心肌梗死患者,随机分为训练组(n=10)和对照组(n=10)。培训计划包括连续八周每周3次同时进行的培训。为了测量丙二醛(MDA)、蛋白质羰基化(PC)和总抗氧化能力(TAC)的值,每个患者在训练前和训练后抽取10ml血液。采用t检验对数据进行分析。P<0.05在所有试验中均被认为是显著的。结果:8周的康复训练显著降低了训练组和对照组MDA(分别为2.37±0.59μM和3.74±1.34μM;P=0.000)和PC(分别为9.15±1.77 nmol/mg蛋白和11.48±1.60 nmol/mg蛋白质;P=0.006)水平,并显著增加TAC(训练组和对照组分别为10.09±1.70U/ml和8.34±1.56U/ml;P=0.031)。
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引用次数: 0
Prevalence of HIV, hepatitis B and C infections among volunteer blood donors at the blood transfusion center of Ilam city, Iran 伊朗伊拉姆市输血中心志愿献血者中HIV、乙型肝炎和丙型肝炎感染率
Pub Date : 2017-03-15 DOI: 10.18869/acadpub.jbrms.4.2.4
H. Boustani, E. Anvari, Sedighe Saiadi Sartang, M. Omidi, E. Rostami, Zahra Mohamadi
Introduction: Blood derived products have been known as an effective treatment for many years. However, this treatment is not without risk of infections transmission including hepatitis B virus (HBV) and hepatitis C virus (HCV) and human immune-deficiency virus (HIV) in people who received the blood. Nevertheless, due to a high risk of blood born diseases through blood transfusion, screening for these viruses according to the World Health Organization (WHO) is mandatory. The main aim of this research was to assess the prevalence of HBV, HCV and HIV infections among healthy blood donors of Blood Donor Center of Ilam (BDCI). Materials and methods: In this study we used the information from first and repeated blood donors who referred to BDCI within February 2009 to January 2013. Demographic characteristics of donors including marital status, age, gender and blood donation pattern was extracted. Routine donor laboratory screening tests for HBV, HIV and HCV were performed. Results: HBV infection had the highest prevalence (0.14%) while HIV had the lowest ones (0.006%). The highest prevalence was among male blood donors. The prevalence of HBv, HIV and HCV infections were more common among men and first time donors (P < 0.01). The prevalence of HIV and HCV infections were more common among married donors than singe ones (P < 0.01) HBV prevalence in singles was more (P < 0.05) compared to married blood donors. The highest and the lowest subjects with HBV, HCV and HIV infections were in range of 51 to 60 years and 18-35 years old, respectively. Conclusion: It is estimated that the prevalence of HBV, HCV and HIV infections are low in voluntary blood donors than general population which confirmed the effectiveness of education and examination of blood donors. This usually arising from the pre donation screening for risky behaviors, so deleting the high risk people. Since unsafe blood products are not used for blood transfusion, they are not considered as risk for blood safety system, but identification of these blood units is a problem for blood transfusion centers.
简介:多年来,血液制品一直被认为是一种有效的治疗方法。然而,这种治疗并非没有感染传播的风险,包括接受血液治疗的人中的乙型肝炎病毒(HBV)、丙型肝炎病毒(HCV)和人类免疫缺陷病毒(HIV)。尽管如此,由于输血导致血液传播疾病的风险很高,根据世界卫生组织(世界卫生组织)的规定,对这些病毒进行筛查是强制性的。本研究的主要目的是评估伊拉姆献血中心(BDCI)健康献血者中HBV、HCV和HIV感染的患病率。材料和方法:在本研究中,我们使用了2009年2月至2013年1月期间首次和多次转诊BDCI的献血者的信息。提取献血者的人口学特征,包括婚姻状况、年龄、性别和献血模式。对HBV、HIV和HCV进行常规供体实验室筛查。结果:HBV感染率最高(0.14%),HIV感染率最低(0.006%),男性献血者感染率最高。男性和初次献血者中HBv、HIV和HCV感染率较高(P<0.01),已婚献血者中HIV和HCV的感染率高于单身献血者(P<0.01);单身献血者中HBv感染率高于已婚献血者(P<0.05)。HBV、HCV和HIV感染率最高和最低的受试者分别在51至60岁和18-35岁之间。结论:据估计,自愿献血者的HBV、HCV和HIV感染率低于普通人群,这证实了献血者教育和检查的有效性。这通常源于捐赠前对高危行为的筛查,因此删除高危人群。由于不安全的血液制品不用于输血,它们不被视为血液安全系统的风险,但这些血液单位的识别是输血中心的一个问题。
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引用次数: 7
Successful treatment of thrombotic thrombocytopenic purpura during pregnancy: A case report 妊娠期血栓性血小板减少性紫癜的成功治疗:1例报告
Pub Date : 2017-03-15 DOI: 10.18869/ACADPUB.JBRMS.4.2.1
E. Naghshineh, M. Mostaghaci
A 28 years’ pregnant woman with 24 weeks’ gestational age referred with petechiae and purpura from previous day without any trauma. She had an occipital headache from last night. Overt petechial and purpuric lesions were seen in the mouth and skin. There was neither hepatosplenomegaly nor lymphadenopathy. She was conscious and oriented. The patient was febrile, anemic and thrombocytopenic with stable vital signs. All liver enzymes were elevated. Coagulation profile was normal. WBCs were normal. RBCs were reduced, and she had polychromatosis. Overt shistocytosis was seen. Platelets were significantly decreased. The first diagnosis was TTP. All necessary laboratory tests were done to rule out the secondary rheumatologic causes of TTP; which all were normal. Coombs tests were negative. ADAMTS 13 Ab was elevated. Fetal ultrasonography was normal. Treatment started with plasmapheresis and corticosteroid. After treatment, platelets count begins elevated, and LDH decreased. The patient discharged with a good general condition and normal lab tests. She continued her pregnancy until term, and born a normal infant without any complication. She did not have a recurrence of TTP until September 2014.
孕妇28岁,孕周24周,因前日积点及紫癜就诊,无外伤。从昨晚开始她就有枕部头痛。口腔及皮肤可见明显的点状及紫癜性病变。无肝脾肿大及淋巴结病变。她神志清醒,有方向感。患者发热、贫血、血小板减少,生命体征稳定。所有肝酶均升高。凝血指标正常。白细胞正常。红细胞减少,她有色素沉着症。可见明显的淋巴细胞增多。血小板明显减少。首次诊断为TTP。所有必要的实验室检查均已完成,以排除继发性TTP的风湿病原因;这些都是正常的。库姆斯试验呈阴性ADAMTS 13ab升高。胎儿超声检查正常。治疗开始于血浆置换和皮质类固醇。治疗后,血小板计数开始升高,LDH下降。病人出院时一般情况良好,实验室检查正常。她继续怀孕直到足月,生了一个正常的婴儿,没有任何并发症。直到2014年9月,她才出现TTP复发。
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引用次数: 0
期刊
Journal of Basic Research in Medical Sciences
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