CROHNS-DISEASE ASSOCIATED WITH DIFFUSE LYMPHOID HYPERPLASIA OF THE LARGE-INTESTINE - A POSSIBLE ROLE OF THE LYMPH FOLLICLE IN HLA-DR ANTIGEN EXPRESSION ON EPITHELIUM

被引:7
作者
CHIBA, M
IIZUKA, M
ISHII, N
MASAMUNE, O
机构
[1] First Department of Internal Medicine, Akita University School of Medicine, Akita
关键词
INTESTINAL (COLONIC) EPITHELIUM; RED RING SIGN; NONCASEOUS GRANULOMA; CLASS-II ANTIGENS;
D O I
10.2169/internalmedicine.31.1271
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 14-year-old girl diagnosed as Crohn's disease had lymphoid hyperplasia throughout the large bowel. Biopsy specimens from the lymphoid hyperplasia demonstrated non-caseous granulomas within the lymph follicles. An immuno-histochemical study of biopsy specimens showed that HLA-DR antigens were expressed on epithelium close to the lymph follicle, which was observed in all specimens containing the lymph follicle. This case provides evidence for the importance of the lymph follicle in the etiopathogenesis of Crohn's disease by demonstration of non-caseous granulomas within the lymph follicle and expression of HLA-DR antigens on epithelium close to the lymph follicle.
引用
收藏
页码:1271 / 1276
页数:6
相关论文
共 32 条
[1]  
Kimura M., Miki K., Ichinose M., Et al., Red ring sign. A new endoscopic finding of inflammatory bowel disease (IBD), Gastroenterology, 98, (1990)
[2]  
Tada M., Niki H., Hattori S., Et al., Utility of dye scattering method for the observation of the process of ulcerative colitis, Gastroenterol Endosc, 17, (1975)
[3]  
Chiba M., Suzuki T., Naganuma H., Masamune O., A case of child Crohnâ's disease markedly responded to TPN, ED, and HEEH treatment, J Jpn Soc Coloproctol, 44, (1991)
[4]  
Chiba M., Iizuka M., Horie Y., Igarashi K., Masamune O., HLA-DR antigen expression in macroscopically uninvolved areas of intestinal epithelium in Crohn's disease, Gastroenterol Jpn, 24, (1989)
[5]  
Horie Y., Chiba M., Iizuka M., Masamune O., Class II (HLA-DR, -DP, and -DQ) antigens on intestinal epithelium in ulcerative colitis, Crohnâ's disease, colorectal cancer and normal small intestine, Gastroenterol Jpn, 25, (1990)
[6]  
Wang C.Y., Al-Katib A., Lane C.L., Koziner B., Fu S.M., Induction of HLA-DC/DS (Leu 10) antigen expression by human precursor B ceil lines, J Exp Med, 158, (1983)
[7]  
Matsumoto K., Studies of monoclonal antibodies specific to human leukocyte differentiation antigens, J Kurume Med Assoc, 47, (1984)
[8]  
Austin P., Trowsdale J., Rudd C., Bodmer W., Feldmann M., Lamb J., Functional expression of HLA-DP genes transfected into mouse fibroblasts, Nature, 313, (1985)
[9]  
Capitanio M.A., Kirkpatrick J.A., Lymphoid hyperplasia of the colon in children, Radiology, 94, (1970)
[10]  
Franken E.A., Lymphoid hyperplasia of the colon, Radiology, 94, (1970)