A Delayed Type Hypersensitivity (DTH) Skin Reaction to Hepatitis B Surface Antigen (HBsAg) and Intradermal Hepatitis B Vaccination
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- Nagafuchi Seiho
- Department of Health Sciences, School of Medicine, Kyushu University
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- Kashiwagi Seizaburo
- Fukuoka Red Cross Blood Center
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- Hayashi Jun
- Department of Environmental Medicine and Infectious Diseases, Faculty of Medical Sciences
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- Katsuta Hitoshi
- Department of Health Sciences, School of Medicine, Kyushu University
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- Ikematsu Hideyuki
- Department of Clinical Research, Hara-Doi Hospital
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- Harada Mine
- Department of Medicine and Biosystemic Science, Graduate School of Medical Sciences, Kyushu University
Bibliographic Information
- Other Title
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- HBs抗原に対する遅延型過敏症皮膚反応とHBワクチン皮内接種の臨床的意義
- Delayed Type Hypersensitivity DTH Skin Reaction to Hepatitis B Surface Antigen HBsAg and Intradermal Hepatitis B Vaccination
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Description
The significance of a delayed type hypersensitivity skin reaction to hepatitis B surface antigen (HBsAg) (HBs-DTH) in type B viral hepatitis (VHB) and in intradermal hepatitis B (HB) vaccination is reviewed. HBs-DTH could be developed by the intradermal injection of HB vaccine in anti-HBs positive people and also in persons immunized with HB vaccine. Thus, HBs-DTH could serve as a useful marker for the acquisition of an active Thl type immunoreactivity to HBsAg. HBs-DTH was absent in patients with chronic VHB. In contrast, HBs-DTH developed early in the convalescent phase of the acute VHB, whereas the production of anti-HBs was significantly delayed, thus suggesting that HBs-DTH may be involved in the recovery mechanisms of acute VHB. Intradermal HB vaccination is useful not only in lowering the cost, but also in the rapid development of anti-HBs, reversing non-responsiveness, improving postexposure prophylaxis and in immunizing immunosuppressed people. A similar vaccination strategy should prove to be useful in prevention and control of not only other infectious diseases but also malignant neoplasms.
Journal
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- 福岡醫學雜誌
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福岡醫學雜誌 95 (12), 305-313, 2004-12-25
Fukuoka Medical Association
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Keywords
Details 詳細情報について
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- CRID
- 1390290699740406784
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- NII Article ID
- 120002834530
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- NII Book ID
- AN00215478
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- DOI
- 10.15017/19250
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- HANDLE
- 2324/19250
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- NDL BIB ID
- 7284256
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- ISSN
- 0016254X
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- PubMed
- 15732372
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- Text Lang
- en
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- Data Source
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- JaLC
- IRDB
- NDL
- PubMed
- CiNii Articles
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- Abstract License Flag
- Allowed