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1、Lichenplanusandhepatitiscvirus(HCV)thereisnoassociation:Aserologicalcasecontrolstudy:AdarshLataSingh,SanjeevChaudhary,A.D.Salodkar,Dr.S.R.Joharapurkar【摘要】 ?。跘BSTRACT]Fiftypatients(28malesand22females)gavepositiveresultinourcasecontrolstudy.Thereonbenig
2、ndermatologicaldiseaseallymphocyticinfiltrate,hypergranulosis,civattebodies[4].HepatitisCVirus(HCV)aflavivirusismainlytransmittedviatransfusionofbloodorbloodproducts.Itisestimatedthat3%oftheplicatedasanetiologicalfactorfortheoccurrenceoflichenplanus.[1,
3、3,4] MATERIALANDMETHODSThispresentstudyentofDermatology,VenereologyandLeprosy,Jaeghe)anserum/plasma).TheresultsLP)selectedfromtheoutpatientdepartmentatchedforageandsexbothinstudyandcontrolgroup(Table1).Themorphologyofthelesions,types,sitesinvolved,dist
4、ributionoflesionsandassociateddiseaseallexamined.Routinelaboratorytestsonbloodincludingliverfunctiontests,kidneyfunctiontestandultrasonographyofabdomenedinallcasesofLPasptomaticdrugsasperindications. RESUITSThereales(56%)and22females(44%)instudygroup.T
5、hemajorityofthepatientsonthsto2years.Table1Demographicprofileofstudyandcontrolpopulation(略) HCVisaflavivirused,NS2,NS3,NS4a,NS4b,NS5a,andNS5bincludeRNApolymerase,cyclase,andthoseproteinsnecessaryforviralreplication.HCVparticlesarefoundinimmunelymphocyt
6、es,macrophages,anddendriticcells,asmunestimulationinLP,HCVreplicatesinepithelialcellsoflesionalandnonlesionalskininOLP(orallichenplanus).[3]AnotherstudysuggestHCVexertsanindirecteffect,mediatedpossiblybytheinductionofcytokinesandlymphokines.[5]Inonemore
7、study,thereisdetectionofHCVviralsequencesandHCVspecificCD4+and/orCD8+TlymphocytesinoralsamplesofLPpatientssuggeststhatHCVmightbeinvolvedinthedevelopmentoforallesionsviaanimmunologicalpathmunoresponse.[6]ThereisonemorefactorHLADR6thatcouldberesponsibl
8、eforthepeculiargeographicheterogeneityoftheassociationbetmainevaluatingthepotentialroleofLPindiagnosingHCVinfectionasoneofthefirstovertmarkersofpotentiallyfatalchronicliverdiseaseainly(OLP)maybesignificantlyassociatedade,asinItal