Abstract
In 16 patients with mucocutaneous lymphnode syndrome (MCLS) during the first 2 weeks after the onset (acute phase) and 1 month after the onset (remission phase), measurement of the circulating immune complex (CIC) was performed by a C1q-binding assay (C1q-B.A.) and/or a Protein-A precipitation test (Protein-A P.T.). Seven out of 12 samples and four out of nine samples were shown to have raised levels of CIC in the acute phase with the C1q-B.A. and Protein-A P.T. test. In the remission phase, on the other hand, positive results were found in one out of six samples with the C1q-B.A. test and in three out of nine samples with the Protein-A P.T. test. High levels of CIC and disease activity were parallel. Our finding of a higher incidence of positive CIC in MCLS supports the possibility of the immunopathological mechanism.
References
Fossard C, Thompson RA (1977) Mucocutaneous lymph-node syndrome (Kawasaki disease): probable-complex disorder. Brit Med J I:883
Furuse A, Hattori S, Terashima T, Karashima S, Matsuda I (1982) Circulating immune complex in glomerulonephropathy associated with hepatitis B virus infection. nephron 31:212–218
Hamashima Y (1977) Kawasaki disease. Jpn J Pathol 66:59–92
Heusser C, Boesman M, Nordin JH, Isliker H (1973) Effect of chemical and enzymatic radioiodination on in vitro human C1q activities. J Immunol 110: 820–828
Kawasaki T (1967) Febrile oculo-orocutaneo-acrodesquamatus syndrome with or without acute nonsupprative cervical observations of 50 cases. Jpn J Allergy 16:178–223
Levinsky RJ, Marshall WC (1979) Cireulating immune complexes in mucocutaneous lymph-node syndrome (Kawasaki disease). Arch Dis Child 54:240–245
McConahey PJ, Dixon FJ (1966) A method of trace iodination of proteins for immunologic studies. In Arch Allergy Appl Immunol 29:185–189
Sawa F (1979) Circulating immune complexes in MCLS. Acta Paediat Jpn 21:82
Svehag SE (1975) A solid-phase radioimmunoassay for C1q binding immune complexes. Scand J Immunol 4:687–697
Yanagawa H, Shigematsu I, Kusakawa S, Kawasaki T (1979) Epidemiology of Kawasaki disease in Japan. Acta Paediat Jpn 21: 1–10
Yonemasu K, Stroud RM (1971) C1q: rapid purification method for preparation of monospecific antisera and for biochemical studies. J Immunol 106:304–313
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Furuse, A., Matsuda, I. Circulating immune complex in the mucocutaneous lymphnode syndrome. Eur J Pediatr 141, 50–51 (1983). https://doi.org/10.1007/BF00445669
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00445669