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Altered lymphocyte reactivity in rheumatoid arthritis

โœ Scribed by H. Arthur Silverman; John S. Johnson; John H. Vaughan; James C. McGlamory


Publisher
John Wiley and Sons
Year
1976
Tongue
English
Weight
536 KB
Volume
19
Category
Article
ISSN
0004-3591

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โœฆ Synopsis


Abstract

Blastogenic transformation of peripheral lymphocytes with phytohemagglutinin (PHA), conconavalin A (Con A), and pokeweed mitogen (PWM) was studied in 29 patients with rheumatoid arthritis (RA). The PHA response was depressed in a subgroup of RA patients with erosive disease. The Con A response was also depressed and paralleled the PHA response. The PWM response was not depressed. These results lend support to the hypothesis of a functional defect of cellular immunity in RA. It was shown that lymphocyte responsiveness to a single mitogen concentration is not an adequate assessment of the overall responsiveness of the lymphocytes tested.


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## Abstract Grip strength, ring size, duration of morning stiffness, and the number of tender joints improved significantly in 9 patients with severe rheumatoid arthritis during prolonged continuous removal of thoracic duct lymphocytes through a surgical fistula. There was no improvement in 4 subje