1971
DOI: 10.1111/j.1365-2133.1971.tb06851.x
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Disappearance of Immunoglobulin and Complement From the Arthus Reaction and Its Relevance to Studies of Vasculitis in Man

Abstract: The timing and changes of appearance in immune complex deposits in the Arthus reaction in the guinea-pig have been studied by immunofluorescence. At first vessels are outlined, then surrounded by chunky deposits which by 8 hr. have dispersed into the tissues. Complexes have disappeared completely at 18 hr. The relevance of these observations to the study of cutaneous vasculitis in man is discussed.Acceptod for publication Soptomber 17th, 1970.

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Cited by 92 publications
(33 citation statements)
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“…Although experimentally in the Arthus reaction complexes have completely disappeared from the lesions by 18 hours (Cream et al, 1971), in man immunoglobulin and/or complement can frequently be identified in the lesions of vasculitis-IgG, IgM, and C3 (Schroeter et al, 1971), IgM, IgA, and C3 (Sams et al, 1975), and IgD, IgA, IgG, C3, and C5 (Weidner, 1975). In the present study DV IgM was present in one case (with C3) and DV IgA in another; properdin was found in two cases, and IgG and IgD in none.…”
Section: Discussionmentioning
confidence: 99%
“…Although experimentally in the Arthus reaction complexes have completely disappeared from the lesions by 18 hours (Cream et al, 1971), in man immunoglobulin and/or complement can frequently be identified in the lesions of vasculitis-IgG, IgM, and C3 (Schroeter et al, 1971), IgM, IgA, and C3 (Sams et al, 1975), and IgD, IgA, IgG, C3, and C5 (Weidner, 1975). In the present study DV IgM was present in one case (with C3) and DV IgA in another; properdin was found in two cases, and IgG and IgD in none.…”
Section: Discussionmentioning
confidence: 99%
“…Histological findings of the skin of the two negative patients, however, were consistent with a complex-induced vasculitis. Experimental studies (Cream et al, 1971) have shown that the development of an inflammatory response soon makes it difficult to demonstrate the presence of complexes known to have been deposited in the skin. Though all our biopsy samples were taken within 24 hours of the appearance of a skin lesion this may still have been too late to allow the demonstration of complexes by immunofluorescence.…”
Section: Discussionmentioning
confidence: 99%
“…This is not altogether surprising since the lesions were all thought to have been present for 1 week or longer. It has been shown in experi mental animals that the natural 'clearing-out' processes of inflammatory cells result in the removal of immunoglobulins and comple ment from blood vessel walls within 18-48 h after their deposition [27,28]. Similarly in leukocytoclastic vasculitis in man, immuno reactants were easily detectable up to 4 h after the lesion occurred, but then disap peared rapidly [29].…”
Section: Discussionmentioning
confidence: 92%