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■03foo3C53boo6o’9o 00506036360 00(8)003250*68360 06 co6oob. 050 boboocnco36o 3,5 5 3600(85306360001,
336 0 63325336 0 (8>o3ob 06(8)0630(8)600(3025360 00- 303(002563806380005, 536360250*6363250 3 3 3 3 3 3 -
(8)ro3£50%33 6 0 o6(Bjnbb33C536o (ANCA - anti neutrophil 6 0 0 5 , 3033625030^3800010 coo 25030(0360001. C1313-
cytoplasmic antibody;. *60053536 3b <300680 300106- 600*63250 bo6co6oo8ob 3001005363*630 36033632500-
(0360 bob(8)333^o 3obj3C5o^)36ob (Wegener-ob 560- 30600 52500836305360b 30302506360b J3C025[,6ob
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<3006*63, %002,3536 30 0(0000300103600. (do6ocno(ooco O25638o6obo(53o) 5o63250cgfo6ob 50*6-
dcotngnvsmcoQOd. 05063825360 50(00(0363250 coo 6coob coo 3600(853063600^ bobb253o 025638060b
cooo ^fooboo, b3 o 6 ocg *63(30306*63 330003b 33(8)3- cooo6ob ’9 38006360 506030600636b 02563806-52500-
^03(0 33800605036b. 5250083(03253630 OC506036360 6305060b oio6oyo6(5oo6ob cgo6c5333ob coo 3o 3oo-
336003060 633600*60, 36C00005325360 3356303360b 36m(B)3o633oob, 6obo 3303350000 ’3 3’93336o. 506550
(50(33*6360 06 336003060 36(025013360000, 83*606- o3obo, C006C53332500 6o(8)6o33ob coo 6,y25nb 50800-
5 0 3 6 0 3356303360b 3600250(3360000. 3ob(8)0i2500~ yoogo, 6 0 0 o3do336b 33333360b. 3b 5o3oo6~33325oo
2,036003 32506C0360 6ob33o63o53o6336o, 6008253600 O25(ooob(8)36o>6ob, 06(8)0^0363*63250 3oo63 nbob
3noQ03b 3060318)325 330 0132536 335630336^ 3co- 3o336bg36g0ooo5, bo33ooio37)6o bob(8)33ob 05*663-
 aM Q fib a M n a a rra n bnb&oanb w m n c in a n d ivcnxo 159

4 -1 7 . Gojb^gofoGcngofonbgi^fon
c^nG gcgfnn^n. (Dr. M .A. Venkatachalam, University o f
Texas Health Sciences Center, San Antonio, TX.)

6ocn, 6o(8)6o363<b 32 ?o goj^n fn g& n b 0000165363001.

oq’933q6o 5080^0(8)32^00 3236 j ’^cn'^cnmgiob 6 3 5 0 -
b 3 6 . 4 -1 8 . 6ob33o6301306o b 3& 36o 52^018363-
oi6c)o, "9 {]9 q3J]5 30010600360 ob0O(8)O (50 3 oco6 oi-
2?01630360(8)0, 6 o%oc? 3 6 o 83866060b coocboo636o,
o ioi6ojbo.
3 C?od(§)6 o)6 o) 5 6 o 3 o. (Robbins and Cotran Pathologic
3O0 OQ6(8)O)O 3 3 6 o32? 3bm6 oc)o BnSo^Q&^c^oo jjoi- Basis o f D isease, 2005.)
c?Qb(8)o6o6ob, (9)6o^c?o036ocgQ6ob, coo6o2?o coo
doc?oo6 cgo6oc?o bo0j36o3ob 2?o3oi36oi(8)3o636ob
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2?o3oqo36oo. c)o6 co’3o 2^03000360 c^ooob 01030- 5 c?oi3363 c?oi63g 6 o(8)ob, 06(33^00360 3 6 oi03b3~
b^cgoc^o 0608013060 8303360b 06 01302^360 0bo- 60b (J6 o i6 o 3 3 c ? o B coo C 3330(8)0 (8)0 , bo(go2?obo,
8013060 bbg^c^O^ob liobooi. 506000 o3obo, c3o6 qoc)o ^ob^oiboiSoi'bo, 8oc?o6oo), bb30 03(8)010836360
oc^n6o’9636o 80801030^ 3602^0 802^03013060 3^0013- cooo3oco3636ob (Hashimoto-ob 01063010000(8)0) c?6oib.
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0 8 36 36 0 30183^3^36001 5o3302?3&32?o C00030Q03-
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600. ‘£>0153236 830160210 (30168360b co6oib 083-
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6 3 6 joi83c?3db36^o 3^06(5360 3 5^ (^ 536 36 0 (B
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63oi5c?oi63c?o6o) 06(8)0536360.
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0 3C?o c ? 3 6 3 6 o b C00030C0360. 6360 3o3oc?o636ob 33(52?ob aobjgc?36o. 32?3;j(8)6oi-
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160 ivmxo aarisnu aaanaansn unbdaanu wmncinana

1. bo6oo)c^*'36o 3n j^ m b jro 3no; 2. 3e?3d(8)6o)6o)-

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3 6 C5 0 ) 0 )35^ 0*39 o. (Robbins and Cotran Pathologic Basis o f D isease, 2005.)

jc?o6o3*36oco 3 9 6 0 3 0 ^ ^ 3380^333030 C50030- 9m6^gnejm500. bo6ocoe*,3 6 o 80360^3013000)

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cog63 o b3o6oc5 30*0600360 e*o 3ooog6o qoo 300*3-
536300360 2-6 £e*ob oboj3 o, b3 o 6 oco 300106^0360
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boooi363c?o 6o3 o6oo b6"6oc3o 3ob*gbo 30)6(85030)- 6 (r)Jfc>0 bobooo)553&o o)o633 c*ob 5c?o)936*3 c?36ob
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6 30360)^ 0106 0bc?03b bb30 0(8)0130-360 550030- coo%oo63&*3c^oo 0)00)013*30^0 5 0 19 3 6 * 3 c^ob 60&0-
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coobg-0630oob 330035050 508018-330336*30*0 0o- odc^36o 5o63oo)o6c53b oc5o9oo6ob 03*360)503^0-
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0*oe*o <301680 300)0655360 0oc^o 63<g6o6ob B^i^o- 5090)633*30^0 o6<g3d0oob (HIV-63g6o)3oo)oo), 33601-
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 a a a n a a n s n bnuaaanu w m n d n a n a ivo ixo igi

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b*36. 4 - 20 . 80 608 02^ -360 0 3 C^nc^Q2)o2)nb C50030C5360. 1. b o 6oo 32?-3 6 o S o jfo m b jn ^ n o ; 2 . 32^3-
^(8)60060056080, 3 oocooo0 o(8)3 6 ob 80068360b 550^006360, CAP - jo 3 o c ^ o 6 n , V - 303-3005^360, Ep -
3 3 0 0 0 3 2 ^ 0 -3 8 0 , BM - 5 o(boc^,3 6 o 8 3 8 6 6 0 6 0 . (Robbins and Cotran Pathologic B asis o f D isease, 2005.)

boSb^jBob, cno6 j 3c^ob bb30 cooo3oco3&3&ob (IgA 33336 bo6oo)-36ob coab3oo6obo0 (b-36. 4 - 21 ). b3 o-
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600^0). ^-36023 25^00636-32^00. o 3*36ooo32^‘3 oo63 b 036-
05500030000-360 336003060 b35336(8)-36o 52^0383- 0ooco 32^0623360 IgM-ob C5<^ C 3 -ob 553300^0(8)360.
6 ‘3cnoob3co36mt6o 33055536b 63<36oocb,3c^>o bo6c56oo- 8005300636000 b 32^36 n % o •3(3600 5o3oobO(8)-32?oo,
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3o336(8)36cbooco, b3 o 6 oco 5o6o0coob 36oo563boob (3002^0350-360 306006(8)00 3002^ 0^-360 52^00336-3-
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oo63b0360ooco 35^*0655360 IgM-ob coo C 3-ob 060- 52^oi336-3c^oob32^36oo^)ob (3006^3 52^00-
b330n<3 o3-3 6 o co33oot6o(B)3cbo b32^i36rofbob -360630. 336 -32^ o 6 o b 3005^ 0 ^ 0 0 0 0 550 b32*36oocfeoco. 08
336003060 b35336(8),3 6 o 52?oo336-32?oob3c?36co- C56oob c5o3obobooco363c^oo 52?oo336*3 co36ob 3 0 5 -
60000 3300332^-360 '3556355360b 36002^003360000
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C50 20336^)6000300. 050 b3 o 6 oc5 55030330636-32^00
3-3(8)0000, 600832^00 O3oocgo636b 002^0 63g6o6b
HIV-63<g6oo3ocr)oobcoo6 C50 cno6 o b c ^ b 3o2?0336ob
(3 3 coob 3oocooo0o(8)36ob o33b363o coo 0635*32^0-
230^006360 C50 3o36oo0ob(8)36ob 6'o6 3 ooJ36o. 36005-
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600^0 0'3C5oo.
3-3(8)0000, 600832^00 0300550636b 002^0 3rocoro0o6b.
HIV- 6a<g6 m3oo>oo 8000003b coo633c^ob 863033
33C006360C0 0^3000000 3oocooo0o(8)36ob oj(8)o6ob
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C50 IgG-b. II (B)o3ob co6oob 6o‘boe?,3 6 o 83666060
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3(^030 056350(8,360 (83^0650*360 6500(^360).
IgA- 60? 36 m 5 Cn06 (Berger-ob (50030C5360) bo-
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b'36. 4 -21. 336003060 5c?oo836‘3e?m- 93tbo65o,33'9o, 3obo 000056006(85030 33bodc?363c?oo
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Disease, 2005.) IgA-63<36oo3oo)oo b"3 o 6 oo oboc?5o‘£>6coo obo3"3o,
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83866060 "330003b '3x6 3C 5 ,3C?o 3c?3336(8)36ob (83- b‘3 6 . 4 - 22. 8336 6o6oo36ooc?o(336o0o'3c?o 5Q00-
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6o6o)36b (b'36. 4- 22). 32^‘3 ^ 6 o o 6 ,3c?o 3036006300- Basis o f Disease, 2005.)
 aM Q iib a a a n a a m n bfibaaanb w m n c in a n a iv o w o 1G3

b'gfo. 4 - 23. 33866o6m36mc^>o<336o0o*35^>o 55^*m336*32^m63<36o(8)ob 3£^3;j(8)6m6m56o3o. I . I (8)o 3o;

2. II (8)o3o, M - 83^0650*360 3o(8)6 ojb o, CL - 3o3oe*o6ob bo6ooi*36o, Ep - 3300132^0*380, E - 3650m-
0135^0*380. (Robbins and Cotran Pathologic Basis o f Disease, 2005.)

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336*32*0063(360(8)0). 52*00836*3 e*36ob 3o3oc*o6 g63o bm3o)boi0)6 33^050*35^*0 (30*1680, 6m5o3bo0 32^060-
33odc*o&o 5080035^065^ cjoO^m^rt^aio, obg$), 3*360 60^6360 35^0650360 80803003630, bmc^m jo-
336013060 bg53Q6(&),g 6 o bjc*o6m ‘bo. oS^Bm oje^m - 51*360 8(8)0)6365^360 06006 500 05^3603636001 3bm-
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503300*60(8)360. 3*3 (8)000001.
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164 ivowo 3dA*snb aaanaarran bnbaaanb wmmc:nand

b*gfo. 4 -2 4 . Ig A - 6 3 <g6 m 3 omoo. (R obbins and Cotran

Pathologic Basis o f D isease, 2005.)
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550 S^jm^nc^oboJofnocgQiob 5502,600336000 (^0030-
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