Correlation between Interleukin 10 Serum Levels and Severity of Peripheral Neuropathy in Multibacillary Leprosy Patients a Research Article

Fajar Sekti Reliyana, Hexanto Muhartomo, Endang Kustiowati, Yosep Ferdinand Rahmat Sugiyanto, R. Retnaningsih, Arinta Puspita Wati, Rahmi Ardhini, Aditya Kurnianto
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Abstract

ABSTRACT  Background of the ResearchLeprosy is a chronic infectious peripheral neuropathy caused by Mycobacterium leprae. Clinical presentations of leprosy neuropathy are obtained when the nerve damage is more than 30% of peripheral nerve fibers. The anti-inflammatory property of interleukin 10 is supposed to protect tissue from the damage caused by proinflammatory cytokines. Instead, it causes extensive nerve damage due to suppression of the cellular immune system, failure of forming granuloma to limit the growth of Mycobacterium leprae. As a result, it multiplies and spreads. Purpose of the ResearchThe purpose of the research is to analyze the correlation between interleukin levels 10 serum and the severity of peripheral neuropathy. Methods of the ResearchThe method used is cross-sectional research on 30 subjects with multibacillary leprosy aged 18-65 at the Neurology Department of Kelet Hospital Jepara from September to October 2021. The questionnaire was used to collect data of the patients. Interleukin level 10 serum evaluation is assessed by examining blood serum. Data analysis used Spearman Correlation Test. The significant result occurs if it is p<0.05. Research resultPatients with multibacillary leprosy are mostly men (73.3%). There is also a strong significant correlation between interleukin 10 levels and the severity of peripheral neuropathy (p<0.001) with rho (0.7) ConclusionThere is a strong and significant correlation between serum interleukin 10 levels and the severity of peripheral neuropathy in multibacillary leprosy Keywords: multibacillary leprosy, interleukin 10, peripheral neuropathy
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多菌性麻风病患者血清白细胞介素10水平与周围神经病变严重程度的相关性研究
研究背景麻风是由麻风分枝杆菌引起的一种慢性感染性周围神经病变。当神经损伤超过30%的周围神经纤维时,可获得麻风神经病的临床表现。白细胞介素10的抗炎特性被认为可以保护组织免受促炎细胞因子造成的损伤。相反,由于细胞免疫系统受到抑制,不能形成肉芽肿以限制麻风分枝杆菌的生长,它会引起广泛的神经损伤。因此,它会繁殖和扩散。研究目的分析血清白细胞介素10水平与周围神经病变严重程度的相关性。研究方法采用横断面研究方法,对2021年9月至10月在Jepara Kelet医院神经内科就诊的30例年龄在18-65岁的多菌性麻风患者进行研究。采用问卷法收集患者资料。白细胞介素10水平的血清评价是通过检查血清来评估的。数据分析采用Spearman相关检验。p<0.05为显著性结果。研究结果多菌性麻风患者以男性居多(73.3%)。结论多菌性麻风患者血清白细胞介素10水平与周围神经病变严重程度有较强的相关性(p<0.001), rho值为0.7。关键词:多菌性麻风,白细胞介素10,周围神经病变
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