No abstract available.
Adenosine Deaminase* ; Adenosine* ; Cerebrospinal Fluid* ; Child* ; Humans ; Tuberculosis, Meningeal*

Psoriasis has been known to have various humoral and cellular immune abnormalities. And adenosine deaminase (ADA) activities are known to be decreased in immune deficiency diseases. The present study was designed to measure the activities of ADA in sera and erythrocytes of psoriasis patients by Giustiss method. There were no significant differences in the erythrocytes ADA activities between normal subjects (9, Gp+4 43 units/10 cells) and psoriasis patients (7, 29+3. 64 units /10 cells). The ADA activities in sera of the psoriasis patients (13. 15+3. 43 units/ L) showed lowered activities than those of normal subjects (20. 44-2, 07 units/L).
Adenosine Deaminase* ; Adenosine* ; Deficiency Diseases ; Erythrocytes* ; Humans ; Psoriasis*

No abstract available.
Adenosine Deaminase* ; Adenosine* ; Pleural Effusion ; Tuberculosis ; Tuberculosis, Pleural*

Tuberculous pleurisy is the most common form of extrapulmonary tuberculosis in Korea. Tuberculous pleurisy presents a diagnostic and therapeutic problem due to the limitations of traditional diagnostic tools. There have been many clinical research works during the past decade. Recent studies have provided new insight into the tuberculous pleurisy, which have a large impact on clinical practice. This review is a general overview of tuberculous pleurisy with a focus on recent findings on the diagnosis and management.
Adenosine Deaminase ; Diagnosis ; Korea ; Pleural Effusion ; Tuberculosis ; Tuberculosis, Pleural*

We studied the activity of adenosine deaminase in the urine of 38 patients who were divided into four groups :Urinary tract tuberculosis without ureteral obstruction(Group I ), Urinary tract tuberculosis with ureteral obstruction (Group II ), Urinary tract infection ( Group III ) and control subjects (Group IV). In patients with urinary tract tuberculosis with ureteral obstruction the adenosine deaminase activity in aspirated renal urine was significantly higher than for the rest of the groups (p<0.001). Adenosine deaminase activity in renal aspirated urine has proved to be a simple and reliable diagnostic method for urinary tract tuberculosis with ureteral obstruction.
Adenosine Deaminase* ; Adenosine* ; Humans ; Tuberculosis* ; Ureter ; Ureteral Obstruction ; Urinary Tract Infections ; Urinary Tract*

BACKGROUND: Tuberculosis is the most common cause of pleural effusion in Korea. But the differential diagnosis of pleural effusion is important because malignancy and pneumonia are also other common causes of pleural effusion. Adenosine deaminase (ADA) activity is used to differentiate tuberculous pleurisy from non-tuberculous pleural effusion. However, some cases of non-tubercu-lous effusion show increased activity of ADA. Therefore, this study is for evaluating diagnostic efficacy of the ADA isoenzyme activity in the diagnosis of tuberculous pleurisy. METHODS: The activity of total ADA and ADA2 isoenzyme activity and ratio of ADA2/ADA in 293 patients with pleural effusion were measured. Then, it was compared to conventional and PCR-hybridization methods for tuberculous pleurisy. RESULTS: Total ADA and ADA2 isoenzyme activity in tuberculous pleurisy were 81.8+/-29.5 U/L and 67.0+/-23.2, respectively, which were significantly higher than non-tuberculous effusion (20.3+/-21.3 U/L and 12.5+/-9.0 U/L1). With a cut-off level of 45 U/L in total ADA activity and the ratio of ADA2/ADA 0.6 or greater, the sensitivity and specificity for tuberculous pleurisy were 92.1% and CONCLUSIONS: Total ADA and ADA isoenzyme activities are useful to differentiate tuberculous pleurisy from non-tuberculous pleural effusion compared to conventional methods. Especially, various combinations of the total ADA, the ADA2 isoenzyme activities, and the ratio of ADA2/total ADA show high diagnostic efficacy for tuberculous pleurisy.
Adenosine Deaminase* ; Adenosine* ; Diagnosis ; Diagnosis, Differential ; Humans ; Korea ; Pleural Effusion ; Pneumonia ; Sensitivity and Specificity ; Tuberculosis ; Tuberculosis, Pleural*

Adenosine deaminase(ADA) is an enzyme capable of catalysing the pathway from adenosine to inosine. Previous studies have shown that this enzyme may be useful in recognition of a tubeculous etiology of pleural, peritoneal, or meningeal effusions. ADA activity was studied in 42 patients with large amount of pericardial effusion. Patients were subdivided into the following four group : (A) 15 cases of tuberculous effusions : (B) 4 with pyogenic effusions : (C) 15 with idiopathic effusions : (D) 9 with malignant effusions. The results were as follows ; 1) The mean ADA activities assessed in pericardial effusions were 134.0+/-77.6U/L in group A : 93.8+/-43.8 in group B : 38.3+/-23.2 in group C : 27.3+/-20.8 in group D. Comparing the level achieved in group A with all others, the difference is significant at the P<0.001 level. 2) The mean ADA activities assessed in sera were 50.7+/-57.2 U/L in group A : 63.5+/-24.1 in group B : 25.9+/-12.0 in group C : 14.0+/-7.5 in group D. Comparing the level achieved in group A with all others, there is no significant difference. 3) Specificity(0.87) and sensitivity(0.93) of the test for the differential diagnosis of patients with tuberculous effusion from those with idiopathic effusion is high, when a value of more than 50 U/L is considered. In conclusion, the assessment of ADA in pericardial effusions is of great value in the diagnosis of tuberculous pericarditis.
Adenosine Deaminase* ; Adenosine* ; Diagnosis ; Diagnosis, Differential ; Humans ; Inosine ; Pericardial Effusion* ; Pericarditis, Tuberculous

BACKGROUND: The aim of this study was to consider the significance of pleural fluid adenosine deaminase (ADA) activity combined with lymphocyte/neutrophil (L/N) ratio in the diagnosis of tuberculous pleurisy (TBpl) in a region of intermediate prevalence of tuberculosis (TB). METHODS: We collected data from 388 patients with exudative pleural effusions. The final diagnoses were compared to the results from our diagnostic method using pleural fluid ADA and L/N ratio. RESULTS: 108 patients had a final diagnosis of TBpl; 102 cases had high levels of ADA (> or =40 IU/L). When we considered ADA > or =40 IU/L as a diagnostic criterion, the sensitivity was 94.4%, specificity 87.5%, and post-test probability 74.5%. However, when we considered ADA > or =40 IU/L combined with the L/N ratio > or =0.75 as a diagnostic criterion, the specificity and post-test probability were rose to 97.5% and 93%, respectively. The other causes of high ADA and L/N ratios were lymphoma and metastatic carcinoma, but mass-like lesions were found on the chest radiographs or CT scans. CONCLUSION: To evaluate the causes of exudative pleural effusions in a region of intermediate prevalence of tuberculosis, we recommend measuring the pleural fluid ADA and L/N ratio first. If the result is high and malignancies are not suspected, it may be diagnostic of TBpl.
Adenosine ; Adenosine Deaminase ; Humans ; Lymphoma ; Pleural Effusion ; Prevalence ; Thorax ; Tuberculosis ; Tuberculosis, Pleural

No abstract available.
Adenosine Deaminase* ; Adenosine* ; Bronchoalveolar Lavage Fluid* ; Bronchoalveolar Lavage* ; Humans ; Tuberculosis, Pulmonary*

BACKGROUND: ADA is an enzyme found in most cells, and is involved in purine metabolism, but its chief role concerns the proliferation and differentiation of lymphocytes, especially T-lymphocytes. For that reason ADA has been looked on as a marker of cell-mediate immunity, which is th key mechanism of the tuberculous pleural effusion. Thus, the pleural fluid ADA activity is increased in the tuberculous pleural effusion.Age associated immune deline is characterized by decreases in both B and T-lymphocyte function and the former may be largely a result of the latter. Therefore, the epleural fluid ADA activity would be lower in old rather than in young, patients with tuberculous pleural effusion. We studied the relationship between age, and pleural fluid ADA activity, in patients with tuberculous pleural effusion. METHODS: In the 46 patients with tuberculous pleural effusion enroll in this study, the pleural fluid ADA activities were measured by means of an automated kinetic method. RESULTS: The mean age of the patients was 53.0+/-22.0 years, with a male to female ratio of 30 : 16. The patients were divided into two groups, young patients, regarded as <65 and old regarded as >or=65 years with 28 and 18 patients, respectively. The pleural fluid ADA activity in both groups show significant differences : 99.4+/- 22.6 IU/L(young patients) Vs. 75.8+/-30.9 IU/L(old patients)(p<0.05), but a negative correlation with age (r=-0.311, p<0.05). CONCLUSION: Although pleural fluid ADA activity was not adequately increase, tuberculous pleural effusion, in older patients, would have to be considered clinically suspicious tuberculous pleural effusion.
Adenosine Deaminase* ; Adenosine* ; Female ; Humans ; Lymphocytes ; Male ; Metabolism ; Pleural Effusion* ; T-Lymphocytes