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本文的目的是使读者迅速了解当前情况。以下选择了一些色素膜炎病种,按病名英文字母顺序加以讨论,以突出一些较重要的进展。一、急性前部色素膜炎(Acute Anterior Uveitis) 以往对大多数急性前部色素膜炎病因的探索相当困难,当前对组织相容性抗原(HLA)的研究已使这一难题较前略有澄清,但距完全解决,则尚远。多数作者在略多于50%的患者中发现其HLA分型为B27。带有HLA-B27的典型患者有单侧急性复发性非肉芽肿性虹膜睫状体炎。HLA抗原是存在于有核细胞上的遗传标记。HLA-B27试验阳性表明有遗传素因,但并不改变通常的皮质类固醇治疗,亦不应改变对其他致病因素的探索。HLA分型为B27的色素膜炎患者可能有强直性脊椎炎、Reiter病、Crohn病或牛皮癣合并有强直性脊椎炎。在发病机理方面颇令人感兴趣的新领域是微生物在色素膜炎及其伴发的关节炎中可能起到的作用,例如耶尔赞裂殖菌(Yers-
The purpose of this article is to give readers a quick overview of the current situation. A few species of meningitis are selected below and discussed in alphabetical order by disease name to highlight some of the more significant advances. First, acute anterior uveitis (Acute Anterior Uveitis) In the past most of the exploration of the etiology of acute anterior uveitis is quite difficult, the current study of histocompatibility antigens (HLA) has made this a little more clear than before , But it is still far from being completely solved. Most authors found that their HLA typing was B27 in slightly more than 50% of patients. Typical patients with HLA-B27 have unilateral acute recurrent non-granulomatous iridocyclitis. HLA antigens are genetic markers present on nucleated cells. A positive HLA-B27 test indicates a genetic predisposition, but does not change the usual corticosteroid therapy, nor should it change the search for other causative agents. Patients with HLA genotype B27 may have ankylosing spondylitis, Reiter’s disease, Crohn’s disease, or psoriasis with ankylosing spondylitis. A new area of interest in pathogenesis is the role that microbes may play in meningitis and its associated arthritis, such as Yers-