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Lymphocytotoxins in Epileptic Patients Receiving Phenytoin

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Date 1977 Oct 1
PMID 304779
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Abstract

The present study was undertaken to determine the prevalence and nature of lymphocytotoxic antibodies in patients receiving phenytoin. Of forty-six sera examined, lymphocytotoxins and antinuclear antibodies were detected in fourteen and eleven samples respectively. Antibodies to double-stranded RNA (poly-A-poly-U) were found in six out of thirty-eight sera studied. A highly significant correlation was found between the presence of lymphocytotoxins and antinuclear antibodies (chi2 = 9.72; P less than 0.01). Lymphocytotoxins were found to be of the IgM class, to have activity against T and B cells, and to be dependent on the presence of Ca and Mg ions for activity. These findings may have pathogenetic importance in the genesis of the altered immune state of patients reveiving phenytoin.

References
1.
Jacobs J . SYSTEMIC LUPUS ERYTHEMATOSUS IN CHILDHOOD. REPORT OF THIRTY-FIVE CASES, WITH DISCUSSION OF SEVEN APPARENTLY INDUCED BY ANTICONVULSANT MEDICATION, AND OF PROGNOSIS AND TREATMENT. Pediatrics. 1963; 32:257-64. View

2.
POLLAK V . ANTINUCLEAR ANTIBODIES IN FAMILIES OF PATIENTS WITH SYSTEMIC LUPUS ERYTHEMATOSUS. N Engl J Med. 1964; 271:165-71. DOI: 10.1056/NEJM196407232710401. View

3.
Lindqvist T . Lupus erythematosus disseminatus after administration of mesantoin; report of two cases. Acta Med Scand. 1957; 158(2):131-8. DOI: 10.1111/j.0954-6820.1957.tb15754.x. View

4.
Gams R, Neal J, CONRAD F . Hydantoin-induced pseudo-pseudolymphoma. Ann Intern Med. 1968; 69(3):557-68. DOI: 10.7326/0003-4819-69-3-557. View

5.
HYMAN G, SOMMERS S . The development of Hodgkin's disease and lymphoma during anticonvulsant therapy. Blood. 1966; 28(3):416-27. View