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Monozygote Zwillinge mit Klinefelter-Syndrom (konkordant) und systemischem Lupus erythematodes (diskordant)

Monozygotic twins with klinefelter's syndrome (concordant) and systemic lupus erythematosus (discordant)

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Summary

Monozygotic twins, both with Klinefelter's syndrome, are presented. One of them had clinical and serological evidence of systemic lupus erythematosus (SLE), whereas the other did not show any immunological disorder. In relation to this case of discordant SLE the role played by exogenous factors in triggering the manifestation of this autoimmune disease under a certain genetic predisposition is discussed.

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Abbreviations

KS:

Klinefelter-Syndrom

SLE:

Systemischer Lupus erythematodes

CRP:

C-reaktives Protein

ANA:

Antinukleäre Antikörper

SK-SD:

Streptokinase-Streptodornase

Literatur

  1. Block SR, Winfield JB, Lockshin MD, D'Angelo WA, Christian CL (1975) Studies of twins with systemic lupus erythematosus — a review of the literature and presentation of twelve additional sets. Am J Med 59:533–552

    Google Scholar 

  2. Cleland LG, Bell DA, Williams M, Saurino BC (1978) Familial lupus. Family studies of HLA and serologic findings. Arthritis Rheum 21:183–191

    Google Scholar 

  3. De Horatius RJ, Messner RD (1975) Lymphocytotoxic antibodies in family members of patients with systemic lupus erythematosus. J Clin Invest 55:1254–1258

    Google Scholar 

  4. Denman AM (1981) Viruses and autoimmune diseases. Clinics Immunol Allergy 1:17–39

    Google Scholar 

  5. Dubois EL, Kaplan BJ (1976) Systemic lupus erythematosus and Klinefelter's syndrome. Lancet I:93

    Google Scholar 

  6. Engelberth O, Charrat J, Jezkova Z, Raboch J (1966) Autoantibodies in chromatin-positive men. Lancet II:1194

    Google Scholar 

  7. Fam AG, Izsak M, Saiphoo C (1980) Systemic lupus erythematosus and Klinefelter's syndrome. Arthritis Rheum 23:124–126

    Google Scholar 

  8. Fauci AS, Steinberg AD, Haynes BF, Whalen G (1978) Immunoregulatory aberrations in systemic lupus erythematosus. J Immunol 121:1473–1479

    Google Scholar 

  9. Fauci AS (1980) Immunoregulation in autoimmunity. J Allergy Clin Immunol 66:5–17

    Google Scholar 

  10. Fishbein E, Alacron-Segovia D (1976) Phenotypically low acetyl transferase activity: A characteristic of SLE. Arthritis Rheum. 19:796

    Google Scholar 

  11. Folomeeva O, Nassonova VA, Alekberova AS, Talal N, Williams RC (1978) Comparative studies of antilymphocyte, antipolynucleotide, and antiviral antibodies among families of patients with systemic lupus erythematosus. Arthritis Rheum 21:23–27

    Google Scholar 

  12. Gross WL, Schlaak M (1977) Myasthenie und Lupus erythematodes. In: Hertel G (Hrsg), Mertens HG, Ricker K, Schimrigk K. Myasthenia gravis. Georg Thieme, Stuttgart, S 139–142

    Google Scholar 

  13. Hang L, Slack JH, Amudson C, Izui S, Theofilopoulos A, Dixon FJ (1983) Induction of murine autoimmune disease by chronic polyclonal B cell activation. J Exp Med 157:874–883

    Google Scholar 

  14. Inman RD (1978) Immunologic sex differences and the female prodominance in systemic lupus erythematosus. Arthritis Rheum 21:849–852

    Google Scholar 

  15. Izui S, Kobayakawa T, Zryd MJ, Louis J, Lambert PH (1977) Mechanism for induction of anti-DNA antibodies by bacterial lipopolysaccaride in mice. II. Correlation between anti-DNA induction and polyclonal antibody formation by various polyclonal B-lymphocyte activators. J Immunol 119:2157–2162

    Google Scholar 

  16. Jörgensen G (1962) Gibt es ätiologische Zusammenhänge zwischen der Sarkoidose (Morbus Besnier-Boeck-Schaumann) und dem Lupus erythematodes? Arch klin exp Derm 214:445–470

    Google Scholar 

  17. Johansson EA, Mustakallio KK, Mattila MM, Tiilikainen A (1976) Cutaneous reactions to drugs, acetylation phenotype and HLA antigens in patients with and without systemic lupus erythematosus (SLE). Ann Clin Res 8:126–128

    Google Scholar 

  18. Kirchner H, Tosato G, Blease RM, Broder S, Magrath IT (1979) Polyclonal immunoglobulin secretion by human B lymphocytes exposed to EBV in vitro. J Immunol 112:1310–1313

    Google Scholar 

  19. Landwirth J, Berger A (1973) Systemic lupus erythematosus and Klinefelter's syndrome. Am J Dis Child 126:851–856

    Google Scholar 

  20. Leonhardt ETG (1967) Family studies in systemic lupus erythematosus. Clin Exp Immunol 2:743–759

    Google Scholar 

  21. Lubinecki AS, Costa J, Rabson AS (1977) Elevated expression of T-antigen in skin fibroblasts from individuals with cytogenetic anomalies infected in vitro with simian or human papovaviruses. Proc Soc Exp Biol Med 154:505–507

    Google Scholar 

  22. Michalski JP, Snyder SM, McLeod RL, Talal N (1978) Monozygotic twins with Klinefelter's syndrome discordant for systemic lupus erythematosus and symptomatic myasthenia gravis. Arthritis Rheum 21:306–309

    Google Scholar 

  23. Miller KB, Schwartz RS (1979) Familial abnormalities of suppressor cell function in systemic lupus erythematosus. N Engl J Med 301:803–809

    Google Scholar 

  24. Mukerjee D, Bowen J, Anderson DE (1970) Simian papovavirus 40 transformation of cells from cancer patient with XY/XXY mosaic Klinefelter's syndrome. Cancer Res 30:1769–1771

    Google Scholar 

  25. Ortiz-Neu C, LeRoy EC (1969) The coincidence of Klinefelter's syndrome and systemic lupus erythematosus. Arthritis Rheum 12:241–246

    Google Scholar 

  26. Payne FE, Schmickel RD (1971) Susceptibility of trisomic and of triploid human fibroblasts to simian virus 40. Nature (New Biol.) 230:190

    Google Scholar 

  27. Pollak VE (1964) Antinuclear antibodies in families of patients with systemic lupus erythematosus. N Engl J Med 271:165–171

    Google Scholar 

  28. Price WH, McLean N, Littlewood AP (1976) Systemic lupus erythematosus and Klinefelter's syndrome. Lancet I:807

    Google Scholar 

  29. Reidenberg MM, Drayer DE (1978) Aromatic amines and hydrazines drug acetylation, and lupus erythematodes. Hum Genet Suppl 1:57–63

    Google Scholar 

  30. Roubinian JR, Papoian R, Talal N (1977) Androgenic hormones modulate autoantibody responses and improve survival in murine lupus. J Clin Invest 59:1066–1070

    Google Scholar 

  31. Siegel M, Lee SL, Widelock D, Gwon NV, Kravitz H (1965) A comparative family study of rheumatoid arthritis and systemic lupus erythematosus. N Engl J Med 273:893–897

    Google Scholar 

  32. Stern R, Fishman J, Brusman H, Kunkel HG (1977) Systemic lupus erythematosus associated with Klinefelter's syndrome. Arthritis Rheum 20:18–22

    Google Scholar 

  33. Svejgaard A, Platz P, Ryder LP (1983) HLA and disease 1982 — a survey. Immunol Rev 70:193–218

    Google Scholar 

  34. Talal N (1976) Disordered immunologic regulation and autoimmunity. Transplant Rev 31:240–263

    Google Scholar 

  35. Tan EM, Cohen AS, Fries JF, Masi AT, McShane DJ, Rothfield NF, Schaller JG, Talal N, Winchester RJ (1982) The 1982 revised criteria for the classification of systemic lupus erythematosus. Arthritis Rheum 25:1271–1277

    Google Scholar 

  36. Tsung SH, Ajlouni K (1978) Immune competence in patients with Klinefelter's syndrome. Am J Med Sci 275:311–317

    Google Scholar 

  37. Yocum MW, Grossman J, Waterhouse C, Abraham GN, May AG, Condemi JJ (1975) Monozygotic twins discordant for systemic lupus erythematosus. Arthritis Rheum 18:193–199

    Google Scholar 

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Schlegelberger, B., Schlegelberger, T., Kekow, J. et al. Monozygote Zwillinge mit Klinefelter-Syndrom (konkordant) und systemischem Lupus erythematodes (diskordant). Klin Wochenschr 62, 906–910 (1984). https://doi.org/10.1007/BF01727439

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  • DOI: https://doi.org/10.1007/BF01727439

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