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HOME > ÇÐȸ°£Ç๰ >
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A Comparative Study on the Dermal Reactions in Leprosy Patients to the Cell Wall Antigens of Mycobacterium leprae and other 9 Species of Myeobacteria |
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Yong Woo Cinn#, Jeung Hoon Lee#, Yoo Shin Lee#, Woo Hyun Chang##, Do Il Kim### |
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Dept. of Dermatology# and Microbiology##, College of Medicine, Seoul National University, and Korean Leprosy Institute###, Seoul, Korea |
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1982 |
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15 |
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53 |
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63 |
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The present study was carried out to investigate the specificity of cell wall antigen of M. leprae and to access the degree of association in the dermal reactions of leprosy patients to the cell wall antigens of 10 species of mycobacteria including M. leprae. The cell wall antigens were prepared from M. leprae, M. kaasnisi, M. vaccas, M. marinum, M. scrofulaceum, M. tuberculosi, M. fortuium, M. phlei, M. smegmatis, Bacillus Calmette Guerin by passing 5 timers through a French Pressure Cell Press at 18,000 Ibs/inch2. The mycobacterial cell wall antigens were injected intradermally on 124 leprosy patients (77 lepromatous and 47 tuberculoid) and the results of the early (Fernandez) and the late (Mitsuda) reactions were recorded 72 hours and 28 days later, respectively. The results were summarized as follows ; 1. The deficiency of the early (Fernandez) and the late (Mitsuda) reactivity in lepromatous type patients to mycobacterial cell wall antigens was species specific for M. leprae. 2. The reactivities of lepromatous type patients to cell wall antigens of 10 species of mycobacteria were generally lower than those of tuberculoid patients. 3. In the early (Fernandez) reaction of 124 leprosy patients to cell walt antigens, M. leprae showed significant association (p<0.05) with M. kansasii, M. vaccae, M. smegmatis, M. phlei, M. marinum and M. fortuitum. And in late (Mitsuda) reaction, M. leprae showed significant association (p<0.05) with M. phlei, M. fortuitum and M. kansasii. Of the mycobacteria, which showed significant association in the early (Fernandez) and in the late (Mitsuda) reactions, M. fortuitum showed the highest sensitivity and M. kansasii the highest specificity. |
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