Immunopathology of the bronchial mucosa in 'late onset' asthma.
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Biomedical subjects
Publications and source records attributed to C Molina.
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Haemoglobin F (Hb F) levels were determined in 209 full-term newborn babies or infants of different ages ranging from birth to 11 months. A follow-up study of the disappearance of Hb F after birth was carried out on 25 premature babies; they were followed periodically from birth until 8 months. The results obtained in both samples show that Hb F levels remain constant after birth for periods varying from about 15 d in at term babies to about 40 d in premature babies; a linear decrease follows in both cases. The initial plateau is a finding contrary to what has been reported. A possible model for the phenomenon is discussed in terms of haemoglobin genes and ontogenetic differentiation.
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There are different categories of non-infectious antigenic contaminants capable of provoking pulmonary reactions: thermophilic actinomycetales, fungi, vegetable particles, protein antigens, arthropods, drugs; their identification is based on their isolation, culture, and the study of their biochemical composition. The pulmonary reactions depend on the size and number of antigenic particles inhaled and by the underlying background. The immunological mechanisms brought into play a complex Arthus's phenomenon: in addition to the IgGs, the IgEs and the different factors of complement intervene; the recent acquisitions of immunomorphology enable better comprehension of the histogenesis of the pulmonary granuloma. The diagnosis of extrinsic allergic alveolitis is founded on well defined criteria of clinical, radiological, respiratory functional, immunological and histophthological order. These conditions are met with in agricultural, industrial and urban environments or are related to iatrogenic diseases. Many problems still remain obscure with regards to the pathogenesis and integration within the framework of immunological pneumonia of various conditions, and especially certain sarcoidosis.
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Bidimensional electrophoresis is of most interest for the diagnosis of extrinsic allergic alveolitis. In fact, this detecting method is more specific than classical immunoelectrophoresis. Thus patients showing with the classical methods precipitation lines with one or several antigens do not present everytime the corresponding clinical signs. These positive but false reactions cannot in any case appear with bidimensionnal electrophoresis. Generally, the patient showing at least two precipitation lines opposite one antigen in bidimensional electrophoresis always followed by an increase of IgG, does also present the clinical signs of the disease.
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