02306nas a2200397 4500000000100000008004100001260001700042653001500059653001000074653000900084653002900093653001000122653002300132653001100155653001100166653002800177653002100205653002100226653001200247653001800259653000900277653001600286653001400302653001300316653001800329653004400347100002300391700001500414700001500429700001400444245010300458300001000561490000700571520131600578022001401894 1990 d c1990 Jan-Feb10aAdolescent10aAdult10aAged10aAntigen-Antibody Complex10aChild10aDermatitis, Atopic10aFemale10aHumans10aImmune Complex Diseases10aImmunoglobulin E10aImmunoglobulin G10aleprosy10aLichen Planus10aMale10aMiddle Aged10aPsoriasis10aPyoderma10aSkin Diseases10aVasculitis, Leukocytoclastic, Cutaneous1 aFernández Bussy R1 aCrisci C D1 aFiorenza G1 aBertoya N00aEvaluation of circulating immune complexes in cutaneous diseases associated with immune disorders. a47-520 v183 a

Several skin diseases associated with immune disorders may be related to the formation of circulating immune complexes (CIC) and their skin deposition. Sera from 20 controls and 108 patients, including: 23 psoriasis, 10 lichen planus, 30 atopic eczemas, 32 cases of leprosy, 10 vasculitis and 3 pyoderma gangrenosum were evaluated for the presence of IgG-containing CIC by the microconsumption complement test (MCT). Additionally, the presence of IgE-containing CIC by means of a polyethylene glycol precipitation and radioimmunoassay technique was evaluated in 10 patients with atopic eczema. It was found that 56.5% of psoriatic patients show moderate CIC concentrations, as well as 34% of leprosy patients, with increased levels when bacillus were detected in skin lesions, and in 90% of leukocytoclastic vasculitis. A close relationship between CIC levels and the clinical evolution of skin lesions was demonstrated in patients with pyoderma gangrenosum and lichen planus. IgG-CIC were detected in 33% and IgE-CIC in 30% of patients with atopic eczema, with the presence of both types of CIC in 2 out of 3 cases. The systematic research on CIC presence in some selected skin diseases shows that immune complexes take part, with different degrees of relevance, in the pathogenesis of all the entities.

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