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在吸入矿物性粉尘的作业者中,发现以进行性硬化症为主的各种自身免疫性疾病比率增高,其主要原因是矿物性粉尘的佐剂效果及对T细胞、B细胞相互关系的作用。迄今粉尘作业者合并自身免疫性疾病的报告很多,但还没有粉尘作业者发生多发性动脉炎的病例报告。本病例是从事47年粉尘作业的工人。病程中转氨酶及碱性磷酸酶增高,推测肝机能异常是由于多发性动脉炎所致。本例病程经过与一般的多发性动脉炎比较没有特殊之处,这和粉尘作业者所患进行性硬化症的临床经过与一般进行性硬化症相比无特殊之处是一样的。
Among workers who inhaled mineral dust, an increase in the rates of various autoimmune diseases predominantly associated with progressive sclerosis was mainly due to the adjuvant effect of mineral dusts and the effect on T-cells and B-cells . There have been numerous reports so far on the combination of autoimmune diseases among dust operators, but no case of polyarteritis has been reported in dusty operations. This case is engaged in 47 years of dust workers. During the course of elevated aminotransferase and alkaline phosphatase, suggesting abnormal liver function due to multiple arteritis. The duration of this case compared with the general polyarteritis is no exception, which is the same as the clinical progression of progressive sclerosis in dust workers compared with general progressive sclerosis.