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Target Concepts:
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Query: UMLS:C0018681 (
headache
)
56,091
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
The clinical profile of cluster
headache
, in Italy better known as "Horton's histaminic headache" is described. The Author makes an inventory of all pathogenetic theories about this excruciating pain syndrome that strikes men more than women. On the basis of findings of the Author and his School over a ten-year period, there is a "periodic lack of immunitary oversee". The salient points of various stages of this study are: low frequency of HLA-
B14
antigen with, in contrast, high frequency of the HLA-DR5 antigen of the major histocompatibility system. The HLA B18 antigen of the same major histocompatibility system has been found in patients who respond to lithium therapy. A lack of the HLA-B18 antigen has been found in cluster
headache
patients who are "non-responders" to lithium therapy. Low titers of antibody response in the pain free periods of these subjects, and high titers in the painful periods has also been found in the serum of cluster
headache
patients; the lack of alpha 1-antitrypsin in basal conditions; increase of IgE (PRIST) values in painful periods; high titers of C1qSp and KgBt circulating immuno-complexes. The cellular immunity studies of the patients showed an increase of the leukocyte subpopulations Leu7+ and Leu M3+. Besides, the natural killer function that contributes to the defense-mechanism against viral disease, was very low. High titers of anti-herpes simplex 1 and 2 viruses and anti-Epstein-Barr virus have been found in cluster
headache
patients and in a few observations of Burkitt's lymphoma with associated cluster
headache
, studied in Sahel area too.(ABSTRACT TRUNCATED AT 250 WORDS)
...
PMID:New findings in cluster headache. 215 Apr 89
Thirteen patients affected by Burkitt's lymphoma were studied. Six out of them had cluster
headache
associated with Burkitt's lymphoma, and in this group we observed the absence of HLA-
B14
antigen. The presence of HLA-
B14
antigen in the remaining seven patients, confirm the hypothesis of a protective role of this antigen against cluster
headache
.
...
PMID:[Cluster headache, Epstein-Barr and Burkitt's lymphoma virus infections]. 256 49