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Maladie de Wegener après exposition à la silice. Etude des mécanismes physiopathologiques.

Auteurs : Moulin P1, Lehucher-Michel MP
Affiliations : 1Faculté de médecine de Marseille, Université de la Méditerranée, Assistance Publique-Hôpitaux de Marseille, Hôpital de la Timone.
Date 2004 Novembre 06, Vol 33, Num 19 Pt 1, pp 1349-51Revue : La Presse médicaleType de publication : article de périodique; revue de la littérature;
Résumé

CRYSTALLINE SILICA: Crystalline silica is an abundant mineral found in multiple occupational exposures. It is a recognised occupational risk factor for some systemic auto-immune diseases such as progressive systemic scleroderma and Caplan-Colinet's syndrome, or just suspected in Goujerot-Sjögren's syndrome, periarteritis nodosa and systemic lupus erythematosus. WEGENER'S GRANULOMATOSIS: A rare disease of unknown of unknown aetiology, the disease is characterised by granulomatous vasculitis affecting the upper respiratory tracks, lungs and kidneys, associated with glomerulonephropathy. THE ROLE OF SILICA PARTICLES: Studies have shown that crystalline silica may be implied in Wegener's disease. Associated with other factors, notably with a genetic predisposal, silica particles might, through the release of reactive oxygen radicals and inflammatory cytokines, trigger-off immunopathological mechanisms. The latter would be manifested by exocytosis of the proteinase 3 and myeloperoxidase antigens on the surface of the polynuclear neutrophils.

 Source : MEDLINE©/Pubmed© U.S National Library of Medicine
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Moulin P, Lehucher-Michel M. Maladie de Wegener après exposition à la silice. Etude des mécanismes physiopathologiques. La Presse médicale. 2004 Nov 06;33(19 Pt 1):1349-51.
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Dernière date de mise à jour : 01/09/2017.


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