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Clinical and immunological features of the atopic dermatitis in children 儿童特应性皮炎的临床及免疫学特点
Pub Date : 2022-12-20 DOI: 10.53529/2500-1175-2022-4-36-41
E. B. Belan, M. A. Chueva, Tatiana Leontievna Sadchikova
Background: “atopic march” (AM) is the natural history of allergy mostly in children. The aim: to describe the production of biomarkers of allergic inflammation in dependence on the duration of AD. Patients and methods. 94 children suffered from atopic dermatitis (AD) have been included to the study. The severity of the disease has been estimated, serum level of total IgE, IL-4, interferon gamma and sIL-2R have been estimated. Results. Coexistence of AR and AD was diagnosed in 32/94 (34.0%) patients. Less severity of AD (SCORAD 32.3 ± 9.17 score vs 22.2 ± 2.29 score, p < 0.05), but higher serum level of total IgE (Ме 123 [Q1-Q3 67–156] IU/ml vs Ме 53 [Q1-Q3 5–108] IU/ml, р < 0.001), IL-4 (Ме 12.0 [Q1-Q3 8.7–16.1] pg/ml vs Me 6.0 [Q1-Q3 2.2–12.1] pg/ml, р = 0.0399) and sIL-2R (Ме 2.1 [Q1-Q3 0–20] IU/ml vs Me 0 [Q1-Q3 0–12.9] IU/ml, р = 0.3365) are detected in comorbid patients. Eposides of wheezing are associated with additional risk of AD (OR 2.3 [95% CI 1, 18–4,54]). Discussion. The development of AR in children with AD is considered as progression of natural history of allergy. In our study it was associated with higher level of IgE, IL-4 and sIL-2R. At the same time the comorbid patients had less severity of AD. Conclusion. The coexistence of AD and AR in 3-year-old children is associated with less severity of skin symptoms but higher frequency of sensitization to inhalant allergens than in AD. AM is accompanied by higher production of Th2-dependent parameters and markers of early activation of T-cells. The probability of the AM is higher in 2 times if there were wheezing episodes in the anamnesis.
背景:“特应性进行曲”(AM)是常见于儿童的自然过敏史。目的:描述过敏性炎症生物标志物的产生依赖于AD的持续时间。患者和方法。94名患有特应性皮炎(AD)的儿童被纳入研究。估计疾病的严重程度,估计血清总IgE、IL-4、干扰素γ和sIL-2R水平。结果。94例患者中有32例(34.0%)诊断为AR和AD共存。AD的严重程度较轻(SCORAD评分为32.3±9.17分vs 22.2±2.29分,p < 0.05),但血清总IgE (Ме 123 [Q1-Q3 67-156] IU/ml vs Ме 53 [Q1-Q3 5-108] IU/ml, r < 0.001)、IL-4 (Ме 12.0 [Q1-Q3 8.7-16.1] pg/ml vs Me 6.0 [Q1-Q3 2.2-12.1] pg/ml, r = 0.0399)和sIL-2R (Ме 2.1 [Q1-Q3 0 - 20] IU/ml vs Me 0 [Q1-Q3 0 - 12.9] IU/ml, r = 0.3365)升高。哮喘发作与AD的额外风险相关(OR为2.3 [95% CI 1,18 - 4,54])。讨论。AD患儿发生AR被认为是过敏症自然病程的进展。在我们的研究中,它与较高水平的IgE、IL-4和sIL-2R有关。同时,合并症患者AD的严重程度较轻。结论。AD和AR共存的3岁儿童与AD相比,皮肤症状的严重程度较低,但对吸入性过敏原的致敏频率较高。AM伴随着更高的th2依赖性参数和t细胞早期激活标记物的产生。如果在记忆中有喘息发作,AM的概率在2倍时更高。
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引用次数: 0
Autoantibodies to neural receptors in children with type 1 diabetes mellitus 1型糖尿病儿童神经受体自身抗体的研究
Pub Date : 2022-12-20 DOI: 10.53529/2500-1175-2022-4-42-44
Y. Bykov, V. Baturin
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引用次数: 0
Allergic rhinitis caused by plant pollen in adolescents 植物花粉引起的青少年变应性鼻炎
Pub Date : 2022-12-20 DOI: 10.53529/2500-1175-2022-4-22-27
Guzel Mashutovna Nurtdinova, Elena Stanislavovna Galimova, Svetlana Germanovna Khamidullina, Victoria Kamilevna Muslimova, Adelia Ildarovna Gareeva, D. O. Galimov
Background. Allergic rhinitis is caused by grass pollen is a common problem in the world. The symptoms of this disease can varied on the age of the patient. Aim: to identify the etiology and analyze the clinic of allergic rhinitis in adolescents. Methods. An allergic examination was carried out in 96 patients with allergic rhinitis signs who were treated at MEGI MC, which included the study of an allergic history and setting of scarification tests, determination of IgE, comparison of clinical manifestations and detection of sensitization to pollen of various plants in adolescents with allergic rhinitis. Results. The prevailing share of girls was 65.4%. The etiological factors were tree pollen in 28.6% of cases (in 27 patients), weeds — 12.4% (12 people), meadow grasses — 10.6% (10 people), meadow and weeds — 8.3 % (8 people), a combination of trees, meadow and weeds — 6.4% (6 people) and trees and meadow grasses — 4.7% (4 people). Conclusion. Typical clinical manifestations consist of light and middle rhinitis — 71 people (94%), conjunctivitis — 45 people (58.8%), rhinosinusitis — 22 people (28.6%), bronchial asthma — 10 people (10.4%).
背景。由草花粉引起的过敏性鼻炎是世界上常见的问题。这种疾病的症状会因病人的年龄而异。目的:探讨青少年变应性鼻炎的病因及临床特点。方法。对96例在MEGI医院就诊的有变应性鼻炎症状的患者进行过敏检查,包括变应性鼻炎青少年患者的过敏史、擦伤试验的设置、IgE的测定、临床表现的比较以及对各种植物花粉的致敏性检测。结果。女生占主导地位的比例为65.4%。病因为树花粉27例(28.6%)、杂草12.4%(12人)、草甸草10.6%(10人)、草甸和杂草8.3%(8人)、树木、草甸和杂草6.4%(6人)、树木和草甸草4.7%(4人)。结论。典型临床表现为轻、中度鼻炎71例(94%),结膜炎45例(58.8%),鼻窦炎22例(28.6%),支气管哮喘10例(10.4%)。
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引用次数: 0
Sensitization peculiarities for children with allergic rhinitis living in Magnitogorsk and Beloretsk cities 马格尼托哥尔斯克和别洛列茨克市儿童变应性鼻炎的致敏特点
Pub Date : 2022-12-20 DOI: 10.53529/2500-1175-2022-4-14-21
E. Andronova, T. S. Lepeshkova
Basis. Allergic rhinitis is a common chronic disease. The significant increase in incidence among children alarms doctors and parents. We have only isolated epidemiological data on the frequency of occurrence, prevalence and morbidity among children of early and preschool age. The allergic rhinitis incidence depends on the patients’ age, residence, atopic heredity, and other factors. Local studies on the spectrum of sensitization have great practical value. The data gathered from region of residence helps to identify and eliminate clinically significant triggers at an early stage and to prevent the development of comorbid diseases and co-conditions. The aim is to analyze the sensitization profile of 2–4 years-old children with allergic rhinitis living in two neighboring territories: Magnitogorsk (Chelyabinsk region, Russia) and Beloretsk (Republic of Bashkortostan, Russia). Methods and research material We examined 107 children from two to four years old with diagnosed allergic rhinitis. All patients were divided into two groups according residence: 1st group — 71 kids (average age 3,2 ± 0,7 years) from Magnitogorsk (Chelyabinsk region, Russia), 2nd group — 36 kids (average age 3,1 ± 0,8 years) from Beloretsk (Republic of Bashkortostan, Russia). The children were tested for total IgE and eosinophilic cationic protein, specific IgE (sIgE) to house dust mites, allergens of trees, weeds and grasses, epidermal allergens (ImmunoСap, Phadia). The rate of sensitization to sIgE was estimated in kU/l. The scale of antibodies level is from undetectable (less than 0,35) to extremely high (more than 100). Results. The received data shows that children in both groups have high sensitization level to cat and dog allergens, as well as to birch pollen. In addition, patients from Beloretsk have significally more confirmed cases of sensitization to house dust mites (genus Dermatophagoides) than ones from Magnitogorsk (р < 0,01). Summary. To get more accurate idea of sensitization spectrum and level among regions of Russia, it is necessary to examine local areas and regions of residence. Local detailed information will help to design an algorithm of treatment aimed to prevent severe forms of allergic diseases in a particular region or territory.
的基础上。过敏性鼻炎是一种常见的慢性疾病。儿童发病率的显著增加使医生和家长感到震惊。我们只有关于早期和学龄前儿童发病率、流行率和发病率的孤立的流行病学数据。变应性鼻炎的发病与患者的年龄、居住地、特应性遗传等因素有关。局部研究敏化谱具有重要的实用价值。从居住地区收集的数据有助于在早期阶段识别和消除临床显著的触发因素,并预防共病和合并症的发展。目的是分析居住在两个相邻地区的2-4岁变应性鼻炎儿童的致敏概况:马格尼托格尔斯克(俄罗斯车里雅宾斯克地区)和别洛列茨克(俄罗斯巴什科尔托斯坦共和国)。方法与研究材料我们对107例2 ~ 4岁诊断为变应性鼻炎的儿童进行了调查。所有患者根据居住地分为两组:第一组来自马格尼托格尔斯克(俄罗斯车里雅宾斯克地区)的儿童71例(平均年龄3.2±0.7岁),第二组来自别洛列茨克(俄罗斯巴什科尔托斯坦共和国)的儿童36例(平均年龄3.1±0.8岁)。检测儿童总IgE、嗜酸性阳离子蛋白、室内尘螨特异性IgE (sIgE)、树木、杂草和草的过敏原、表皮过敏原(ImmunoСap, Phadia)。以kU/l估计对sIgE的敏化率。抗体水平从检测不到(小于0.35)到极高(大于100)不等。结果。收到的数据显示,两组儿童对猫和狗的过敏原以及桦树花粉都有很高的致敏水平。此外,来自别洛列茨克的患者比来自马格尼托格尔斯克的患者有更多确诊的室内尘螨(Dermatophagoides属)致敏病例(p < 0.01)。总结。为了更准确地了解俄罗斯各地区之间的致敏谱和水平,有必要对当地和居住地区进行检查。当地的详细信息将有助于设计一种治疗算法,旨在预防特定地区或领土上严重形式的过敏性疾病。
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引用次数: 0
Model for predicting the risk of severe bronchial asthma in children 预测儿童严重支气管哮喘风险的模型
Pub Date : 2022-12-20 DOI: 10.53529/2500-1175-2022-4-28-35
O. Semernik, A. Lebedenko, E. B. Tyurina, M. Dudareva
Objective: to develop a model for predicting the severe course of bronchial asthma (BA) in children. Materials and methods: a comprehensive examination was conducted of 213 children aged 3 to 12 years suffering from atopic asthma (mild course was observed in 85.0%, moderate — in 10.3%, severe — 4.7%). A statistical analysis of clinical and laboratory parameters was performed using the logistic regression method, which allowed us to identify a number of factors that increase the probability of developing a more severe course of BA in children. Results. A mathematical model for predicting the risk of severe bronchial asthma in children has been developed, including such factors as the child's age, the degree of respiratory failure, the value of the peak expiratory rate, the duration of the disease, and the presence of an association of exacerbations of the disease with changes in the weather and physical activity. A computer program has also been developed that allows you to automatically calculate the amount of risk after entering the child's data. Conclusion. The use of this model makes it possible to predict the further course of BA with a high degree of confidence, and, consequently, to correct the basic therapy in time to prevent the development of complications in a sick child.
目的:建立儿童支气管哮喘(BA)重症病程预测模型。材料与方法:对213例3 ~ 12岁特应性哮喘患儿进行综合检查,其中轻度占85.0%,中度占10.3%,重度占4.7%。使用逻辑回归方法对临床和实验室参数进行统计分析,这使我们能够确定一些增加儿童发生更严重BA病程概率的因素。结果。已经建立了一个用于预测儿童严重支气管哮喘风险的数学模型,该模型包括儿童年龄、呼吸衰竭程度、呼气峰值值、疾病持续时间以及疾病恶化与天气和身体活动变化之间存在的关联等因素。一个计算机程序也被开发出来,允许你在输入孩子的数据后自动计算风险的大小。结论。该模型的应用使我们能够高度自信地预测BA的进一步病程,从而及时纠正基础治疗,防止患儿并发症的发生。
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引用次数: 0
Quality of life, nutritive status and physical development of atopic dermatitis children (Review) 特应性皮炎儿童的生活质量、营养状况和身体发育(综述)
Pub Date : 2022-12-20 DOI: 10.53529/2500-1175-2022-4-4-13
Daria Alekseevna Rakcheeva, N. Migacheva, O. V. Sazonova, M. Nurdina
Introduction. Atopic dermatitis in children is an important medical and socio-economic problem of pediatrics and clinical allergology due to its wide prevalence in the pediatric population, variety and severity of clinical manifestation. In recent years, the attention of scientists has been attracted by the issues of impaired quality of life, changes in the nutritional status and physical development of such patients, associated both with the influence of the disease and the negative impact of many restrictive measures and elimination diets. The aim of the review is to analyze and systematize the currently available scientific data on the quality of life, nutritive status and physical development of atopic dermatitis children and the most important factors that may influence them.
介绍。儿童特应性皮炎由于其在儿科人群中的广泛流行、临床表现的多样性和严重性,是儿科和临床过敏症的一个重要的医学和社会经济问题。近年来,这类患者的生活质量受损、营养状况变化和身体发育等问题引起了科学家的注意,这些问题既与疾病的影响有关,也与许多限制性措施和消除饮食的负面影响有关。本综述的目的是分析和整理目前可获得的关于特应性皮炎儿童的生活质量、营养状况和身体发育以及可能影响他们的最重要因素的科学数据。
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引用次数: 0
The relationship of spirographic and hematological parameters in children with bronchial asthma 支气管哮喘患儿肺活学指标与血液学指标的关系
Pub Date : 2022-09-20 DOI: 10.53529/2500-1175-2022-3-57-59
E. Tush, D. V. Azarnov, S. A. Pedchenko, M. V. Bogoroditskaya, T. Potemina, T. Eliseeva
{"title":"The relationship of spirographic and hematological parameters in children with bronchial asthma","authors":"E. Tush, D. V. Azarnov, S. A. Pedchenko, M. V. Bogoroditskaya, T. Potemina, T. Eliseeva","doi":"10.53529/2500-1175-2022-3-57-59","DOIUrl":"https://doi.org/10.53529/2500-1175-2022-3-57-59","url":null,"abstract":"","PeriodicalId":323866,"journal":{"name":"Allergology and Immunology in Pediatrics","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125248617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Primary immunodeficiency in the practice of a pediatric doctor — a long diagnosis in pediatric? 原发性免疫缺陷在儿科医生的实践中-儿科的长期诊断?
Pub Date : 2022-09-20 DOI: 10.53529/2500-1175-2022-3-55-56
E. Stezhkina, A. I. Agapova, I. Rybakova
{"title":"Primary immunodeficiency in the practice of a pediatric doctor — a long diagnosis in pediatric?","authors":"E. Stezhkina, A. I. Agapova, I. Rybakova","doi":"10.53529/2500-1175-2022-3-55-56","DOIUrl":"https://doi.org/10.53529/2500-1175-2022-3-55-56","url":null,"abstract":"","PeriodicalId":323866,"journal":{"name":"Allergology and Immunology in Pediatrics","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114425110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The relationship of synonasal symptoms with systemic and local markers of inflammation in children with bronchial asthma and allergic rhinitis 支气管哮喘和变应性鼻炎患儿鼻窦症状与全身及局部炎症标志物的关系
Pub Date : 2022-09-20 DOI: 10.53529/2500-1175-2022-3-48-49
K. Gorbunova, S. Krasilnikova, T. Eliseeva, D. Ovsyannikov, A. V. Shakhov, O. Khaletskaya
{"title":"The relationship of synonasal symptoms with systemic and local markers of inflammation in children with bronchial asthma and allergic rhinitis","authors":"K. Gorbunova, S. Krasilnikova, T. Eliseeva, D. Ovsyannikov, A. V. Shakhov, O. Khaletskaya","doi":"10.53529/2500-1175-2022-3-48-49","DOIUrl":"https://doi.org/10.53529/2500-1175-2022-3-48-49","url":null,"abstract":"","PeriodicalId":323866,"journal":{"name":"Allergology and Immunology in Pediatrics","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126346298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Allergic reactions to iodine during contrast-enhanced computed tomography 对比增强计算机断层扫描对碘的过敏反应
Pub Date : 2022-09-20 DOI: 10.53529/2500-1175-2022-3-50-52
O. L. Perkova, T. A. Epishina, E. Stezhkina
{"title":"Allergic reactions to iodine during contrast-enhanced computed tomography","authors":"O. L. Perkova, T. A. Epishina, E. Stezhkina","doi":"10.53529/2500-1175-2022-3-50-52","DOIUrl":"https://doi.org/10.53529/2500-1175-2022-3-50-52","url":null,"abstract":"","PeriodicalId":323866,"journal":{"name":"Allergology and Immunology in Pediatrics","volume":"85 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116100152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Allergology and Immunology in Pediatrics
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