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DOC 0000017443
Page 353
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Xereovsr* the modern tendency to class the diffuse collagen diseases* neb as
acute rheumatic fever, rheumatoid arthritis* dlsseminatedlxipos aryth—utosaa.
polyarteritis* capillary platelet thrombosis, and sclsroderoa* aa modlfisd
forma of Artlma 1 * phenomenon indicates that there are additional charactarlstlca
a.
or foaetiona of the nntigan-enfibody "reaction that have set yet been elucidated.
for a number of years the author has been convinced that one of the functions
of the antigen-antibody reaction la to prolong the iaflassantory process by
liberating irritating amines, which for vent of a better tern hare been
described in the literature as "salon bodies**
It appears that Haturs'e oldest
oad nest reliable naans to conhat injury and Infection is the inflemmatoxy
process-, and although the Issnme process is Bora nodarn and efficient, It
nonetheless is still mistrusted and provision ia nods for antigen-antibody
onion to prolong inflamnatlon under special elrcniBstances.
She foot that the
flonbinatlon of antigen and antibody union can itself initiate an lnflamatory
response ia only too well denonstrated in oases of sesame* nrtiearla end
bay fever-.
It is only with the greatest attention to details that an Incipi-
ent ease of hey toror can be differentiated from a common cold*
Bxparl wtatlon %rlth several irritating mines has finally permitted
the characterisation of a substance* which we have tensed "alarmine,* which
ve believe is an essential part of antigen-antibody reactions*
She liberation
of soda aa amine. substance daring the antigen-antibody reaction has throe
separata functions*
1.
She irritant amine or alarmine prolongs the local
lsflammatoxy reaction*
Shis it does by alteration of the capillary wall of
the affected locality ia a more narked fashion than histamine or *H* substance.
2.
It triggers the general adaptation ayndrosaa In the adrenals, releasing
cortisone, which increases the amount of l^wniae globulin liberated through
the b-aaJe-tqp of lymphoid tissue*
If repetitive injury does not occur* the
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