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Features of anemic syndrome in juvenile idiopathic arthritis 青少年特发性关节炎贫血综合征的特点
Pub Date : 2022-04-01 DOI: 10.14427/jipai.2022.2.65
A. Sukalo, N. Strogaya
Juvenile idiopathic arthritis (JIA) is a systemic chronic disease. One of the extra-articular manifestations of JIA are hematological changes. The most common is anemia. The aim of the study was to explore the indicators of the red blood cells and the state of iron metabolism in children with JIA, depending on the form and duration of the disease. As a result of the study, it was found that the decrease in the iron content in the blood serum is due not only to the true iron deficiency state, but also to the redistribution of iron reserves against the background of chronic autoimmune inflammation.
青少年特发性关节炎(JIA)是一种全身性慢性疾病。JIA的关节外表现之一是血液学改变。最常见的是贫血。本研究旨在探讨JIA患儿红细胞指标及铁代谢状态随疾病形式及病程的变化。研究结果发现,血清中铁含量的下降不仅是由于真正的缺铁状态,而且是由于慢性自身免疫性炎症背景下铁储备的重新分配。
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引用次数: 0
Onychomycosis in patients with chronic kidney disease 慢性肾病患者的甲真菌病
Pub Date : 2022-04-01 DOI: 10.14427/jipai.2022.2.74
N. Shipilova, I. Sergeeva
Chronic kidney disease (CKD) occurs in 15% of adults. The aim of the study was to evaluate the occurrence and clinical features of onychomycosis in patients with CKD receiving hemodialysis. A study comprised 25 patients (51±22 years) with CKD and nail changes with chronic renal failure under haemodialysis and 25 patients (53.6 ± 26.4 years) without CKD. For CKD, «yellow nails» are typical – in 17 (68%), without CKD – longitudinal stripes – in 16 (64%). Onychomycosis was diagnosed in 32% of patients with CKD and 64% without CKD. Out of 8 patients with diabetes mellitus and CKD, 7 had onychomycosis, 1 patient with CKD and onychomycosis did not have diabetes mellitus. For patients with CKD, the OSI index was 12 [9; 14], SCIO 10 [8; 12], without CKD: OSI – 16 [12; 17], SCIO – 12 [10; 15]. Onychomycosis in patients with CKD is less common than in patients without CKD, which indicates a lesser significance of nail infection with fungi in the development of their changes in patients under hemodialysis.
慢性肾脏疾病(CKD)发生在15%的成年人中。本研究的目的是评估CKD患者接受血液透析的甲癣的发生和临床特征。该研究包括25例(51±22岁)CKD合并指甲改变合并血液透析慢性肾衰竭患者和25例(53.6±26.4岁)非CKD患者。对于CKD,“黄指甲”是典型的- 17例(68%),没有CKD -纵向条纹- 16例(64%)。32%的CKD患者和64%的非CKD患者被诊断为甲癣。8例糖尿病合并慢性肾病患者中,7例合并甲真菌病,1例合并慢性肾病合并甲真菌病不合并糖尿病。对于CKD患者,OSI指数为12 [9;[14], [8];[12],无CKD: OSI - 16 [12;[17]、[10];15)。CKD患者的甲真菌病比非CKD患者少见,这表明在血液透析患者中,指甲感染真菌对其变化的发展意义较小。
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引用次数: 0
Heterogeneity of benign prostatic hyperplasia 良性前列腺增生的异质性
Pub Date : 2022-04-01 DOI: 10.14427/jipai.2022.2.45
O. Ishchenko, A. Badyukov, T. Badyoukova, A. Zebentaev, A. Valynets
Background. Benign prostatic hyperplasia (BPH) is a histologically determined condition of the male body and is characterized by glandular-stromal multi-focal proliferation originating from the paraurethral and (or) transition zone of the prostate gland. Proliferative processes in the body are under the control of the immune system. Identifying and understanding the immunological aspects of prostatic hyperplasia can help control prostate tissue growth, improving men's quality of life. The aim of our study was to conduct a pilot study, assessment of the immune status of patients with benign prostatic hyperplasia. Materials and methods. The study included patients having stage 2 BPH (according to Guyon’s updated classification system (n=8)) and patients who did not have clinical and morphological manifestations of BPH. The subjects underwent standard examinations in accordance with the clinical protocol of the Ministry of Health of the Republic of Belarus. The immunogram indicators included: the main subpopulations of lymphocytes (CD3 T lymphocytes, CD4 T helper cells, CD8 T cytotoxic lymphocytes), the ratio of Th/Tc, CD19 B lymphocytes, the level of serum immunoglobulins IgG, IgM, IgA and circulating immunocomplexes (CIC), as well as phagocytic index and phagocytic number. Results. Patients with BPH had statistically lower levels in the number of phagocytosed units compared to the patients without BPH. Furthermore, patients with BPH have highly variable results for immune system indices. Thus, the ratio of Th/Tc ranged from 1,3 to 2,3 units, and the level of CIC – from 10 to more than 300 units. The variability of the results obtained allowed us to divide patients with BPH into two groups: first group (n=3) with normal indices for levels of CIC and for the ratio of Th/Tc; the second group (n=5) with the indices for levels of CIC and for the ratio of Th/Tc that significantly exceeded the reference values. None of the patients in the second group had a concomitant autoimmune disease. Conclusions. Patients with BPH have a dysfunction of the immune system. Even having such a small number of enrolled subjects, it is possible to form subtypes of patients with BPH – they are future phenotypes. The study aiming at finding immunological disorders in patients with benign prostatic hyperplasia should be continued.
背景。良性前列腺增生(BPH)是一种组织学上确定的男性身体状况,其特征是起源于尿道旁和(或)前列腺过渡带的腺体间质多灶性增生。体内的增殖过程是由免疫系统控制的。识别和了解前列腺增生的免疫学方面有助于控制前列腺组织的生长,提高男性的生活质量。本研究的目的是进行一项初步研究,评估良性前列腺增生患者的免疫状态。材料和方法。该研究包括2期BPH患者(根据Guyon更新的分类系统(n=8))和没有BPH临床和形态学表现的患者。受试者按照白俄罗斯共和国卫生部的临床规程接受了标准检查。免疫图指标包括:淋巴细胞主要亚群(CD3 T淋巴细胞、CD4 T辅助细胞、CD8 T细胞毒性淋巴细胞)、Th/Tc比值、CD19 B淋巴细胞、血清免疫球蛋白IgG、IgM、IgA和循环免疫复合物(CIC)水平、吞噬指数和吞噬数。结果。与没有前列腺增生的患者相比,前列腺增生患者的吞噬单位数量在统计学上较低。此外,前列腺增生患者的免疫系统指标变化很大。因此,Th/Tc比值范围为1,3 ~ 2,3个单位,CIC水平范围为10 ~ 300多个单位。结果的可变性允许我们将BPH患者分为两组:第一组(n=3) CIC水平和Th/Tc比值指标正常;第二组(n=5) CIC水平和Th/Tc比值指标明显超过参考值。第二组中没有患者同时患有自身免疫性疾病。结论。前列腺增生患者的免疫系统有功能障碍。即使招募的受试者数量如此之少,也有可能形成BPH患者的亚型-它们是未来的表型。针对良性前列腺增生患者免疫功能障碍的研究应继续进行。
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引用次数: 0
Correlation of physical fitness of CSС «Vitebsk» athletes and biochemical, immunological blood parameters CSС«维捷布斯克»运动员体能与生化、免疫血液参数的相关性
Pub Date : 2022-04-01 DOI: 10.14427/jipai.2022.2.68
R. Prokhorenko, N. Aliakhnovich, A. Patryna
Professional sports is a field of human activity where all body systems function in the zone of absolute physiological limits of the body. Good physical fitness of athletes in general was established, with satisfactory indicators in 26%. Disorders in the metabolism of athletes were found, indicating a violation of recovery after physical exertion and injury: a decrease in the atherogenicity index in 70%, the level of uric acid and globulins in 12% of participants; an increase in total and direct bilirubin in 28-32%, creatine phosphokinase in 42%. Increased physical activity affected the T-cell link of immunity (the relative number of T-lymphocytes was reduced in 20%, CD4-T-lymphocytes – in 24%, active T-lymphocytes were increased in 12% of athletes; the immunoregulatory index was increased in 8%, decreased in 14%). The examined athletes were often ill with acute infections – 52% suffered from acute respiratory viral infections, including Covid-19, acute intestinal infections in the last 3 months, 84% – in the last 12 months. Athletes noted a feeling of difficulty breathing after physical exertion (20% – less than several times a week, 4% – several times a week), episodes of suffocation – 10% of athletes, that is, they were at risk of developing bronchial asthma. A direct correlation was found between blood glucose, liver parameters, calcium and creatiphosphokinase levels, and pulse and blood pressure indicators before and after the Roufier test. The levels of creatyphosphokinase and liver parameters were inversely correlated with the number of episodes of difficulty breathing.
职业体育是人体活动的一个领域,所有身体系统都在身体的绝对生理极限区域内发挥作用。总体上运动员身体素质良好,各项指标满意的占26%。发现运动员的代谢紊乱,表明体力消耗和受伤后的恢复违反:70%的参与者动脉粥样硬化指数下降,12%的参与者尿酸和球蛋白水平下降;总胆红素和直接胆红素增加28-32%,肌酸磷酸激酶增加42%。增加体力活动影响免疫的t细胞环节(t淋巴细胞相对数量减少20%,cd4 - t淋巴细胞减少24%,活跃t淋巴细胞增加12%;免疫调节指数升高8%,降低14%)。接受检查的运动员经常患有急性感染——52%的运动员在过去3个月内患有急性呼吸道病毒感染,包括Covid-19, 84%的运动员在过去12个月内患有急性肠道感染。运动员注意到运动后呼吸困难的感觉(20% -每周不到几次,4% -每周几次),窒息发作- 10%的运动员,也就是说,他们有患支气管哮喘的风险。Roufier试验前后血糖、肝脏参数、钙和创造性磷酸激酶水平、脉搏和血压指标之间存在直接相关性。肌磷激酶水平和肝脏参数与呼吸困难发作次数呈负相关。
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引用次数: 0
The role of total serum immunoglobulin E level in diagnosis of fungal allergy 血清总免疫球蛋白E水平在真菌过敏诊断中的作用
Pub Date : 2022-04-01 DOI: 10.14427/jipai.2022.2.58
T. Novikova, E. Dotsenko
In the last two decades, there has been an increase in allergic reactions caused by sensitization to fungi. This variant of hypersensitivity causes more severe allergic disease, frequent, prolonged exacerbations that are difficult to control. Therefore, the diagnosis of early stages of fungi allergy is important. The study demonstrates the use of a differentiated model in diagnosis of the allergic nature of a respiratory disease depending on the total serum Ig E level in patients with bronchial asthma and allergic rhinitis with fungi sensitization. A differentiated assessment of total serum Ig E upper normal level, corresponding to clinical respiratory disease manifestations, allows the test using as the first stage of allergy diagnosis: screening of patients with respiratory diseases at the initial appointment to select those patients who need a specific allergy testing, performed by allergologist.
在过去的二十年里,由真菌致敏引起的过敏反应有所增加。这种过敏症的变体导致更严重的过敏性疾病,频繁,长期恶化,难以控制。因此,真菌过敏的早期诊断非常重要。该研究证明了在支气管哮喘和真菌致敏的变应性鼻炎患者中,根据血清总Ig E水平诊断呼吸道疾病过敏性的分化模型的使用。与临床呼吸道疾病表现相对应的血清总Ig E高正常水平的差异化评估,允许将该测试用作过敏诊断的第一阶段:在初次预约时筛选呼吸道疾病患者,选择需要由过敏症专家进行特定过敏测试的患者。
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引用次数: 0
Titanium dioxide effect on bacteriolytic activity and intrinsic fluorescence of lysozyme 二氧化钛对溶菌酶溶菌活性及本征荧光的影响
Pub Date : 2022-04-01 DOI: 10.14427/jipai.2022.2.38
N. Aliakhnovich, A. Skorobogatova, A. Gancharova
The effect of the white pigment titanium dioxide (TiO2) on the protein enzyme, the bacteriolytic component of the innate immune system, lysozyme, was evaluated. The effects of TiO2 in the form of nanoparticles, microparticles and particles used in the food industry at concentrations of 0.001-0.0001 mg/ml, corresponding to the calculated average daily intake and 10-fold dilution, were studied. It was found that a lower concentration of TiO2 (0.0001 mg/ml) of all particles types acts more efficiently, significantly reducing after 30 minutes, and completely blocking the own fluorescence of recombinant lysozyme after 60 minutes. TiO2 particles of three types at a higher concentration (0.001 mg/ml) completely block the intrinsic fluorescence of recombinant lysozyme after 60 minutes. After 30 minutes only microparticles cause a decrease in the intrinsic protein fluorescence. The inhibition of the bacteriolytic activity of recombinant lysozyme against the culture of K. pneumoniae under the action of nanoparticles, microparticles and particles of food TiO2 at concentrations of 0.001-0.0001 mg/ml was revealed.
研究了白色色素二氧化钛(TiO2)对天然免疫系统溶菌酶蛋白酶的影响。研究了TiO2以纳米粒子、微粒子和食品工业中使用的颗粒形式存在的影响,其浓度为0.001 ~ 0.0001 mg/ml,对应于计算的平均日摄入量和10倍稀释。研究发现,所有颗粒类型的TiO2浓度越低(0.0001 mg/ml),作用效率越高,30分钟后显著降低,60分钟后完全阻断重组溶菌酶自身荧光。较高浓度(0.001 mg/ml)的三种TiO2颗粒在60分钟后完全阻断重组溶菌酶的固有荧光。30分钟后,只有微粒引起固有蛋白质荧光的减弱。结果表明,在0.001 ~ 0.0001 mg/ml浓度的纳米颗粒、微颗粒和食物TiO2颗粒作用下,重组溶菌酶对肺炎克雷伯菌培养物的溶菌活性均有抑制作用。
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引用次数: 0
Non-angioedema-related macroglossia: case report 非血管性水肿相关性巨舌1例
Pub Date : 2022-04-01 DOI: 10.14427/jipai.2022.2.51
T. Sobolenko, O. Ishchenko, O. Zakharov, V. Laporevich
Acute macroglossia not associated with angioedema is a rare condition. We present a case of acute unilateral macroglossia of unclear etiology in a 46-year-old man. Tongue enlargement was accompanied by difficulty in talking, but did not result in upper airway obstruction. Angioedema of the tongue was excluded. The symptoms disappeared within one month. Cervical radiculopathy and COVID-19 infection are considered as probable causes of macroglossia.
急性大舌音不伴有血管性水肿是一种罕见的情况。我们提出一个病例急性单侧大舌不明病因在一个46岁的男子。舌肿大伴说话困难,但未引起上气道阻塞。排除舌部血管性水肿。症状在一个月内消失。颈椎神经根病和COVID-19感染被认为是大舌缺失的可能原因。
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引用次数: 0
The use of ORF2 and ORF3 proteins for creating an enzyme-linked immunosorbent assay for viral hepatitis E 利用ORF2和ORF3蛋白建立酶联免疫吸附法检测病毒性戊型肝炎
Pub Date : 2022-04-01 DOI: 10.14427/jipai.2022.2.28
S. Zhavoronok, I. Zadora, V. Davydov, T. Rogacheva, L. Anisko, G. Alatortseva, V. Simirsky, A. Shcherban, N. Sсhuka, N. Bayur, Y. Shebeko, J. Mitko
Due to the lack of national analogies a prototype of enzyme-linked immunosorbent assay (ELISA) test system was developed for the qualitative determination of antibodies class G to hepatitis E virus (HEV) based on the using of antigenic polypeptides ORF2 and ORF3 of the 3rd genotype (FSBSI «I.I. Mechnikov Research Institute of Vaccines and Serums», Russia). The results of experimental ELISA conducted in parallel with the reference test system «DS-ELISA-ANTI-HEV-G» (NPO Diagnostic Systems, Russia) are presented. The working concentrations of ORF2 and ORF3 antigens were 2.5 µg/mL and 0.25 µg/mL, respectively. They were tested with 200 donors and patients’ serum samples. The article reflects the determination of sensitivity, specificity and reproducibility results. The developed test system demonstrated high efficiency in the detection of specific anti-HEV-IgG.
由于缺乏全国性的类似物,基于第三基因型(FSBSI)的抗原多肽ORF2和ORF3,开发了用于戊型肝炎病毒(HEV) G类抗体定性测定的酶联免疫吸附试验(ELISA)测试系统的原型梅奇尼科夫疫苗和血清研究所»,俄罗斯)。本文介绍了与参考检测系统«DS-ELISA-ANTI-HEV-G»(NPO诊断系统,俄罗斯)并行进行的ELISA实验结果。ORF2和ORF3抗原的工作浓度分别为2.5µg/mL和0.25µg/mL。他们用200名捐赠者和患者的血清样本进行了测试。文章反映了灵敏度、特异性和重复性结果的测定。所开发的检测系统在检测特异性抗hev - igg方面具有较高的效率。
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引用次数: 0
Quantitative determination of circular DNA fragments of the T- and B-cell receptor TREC/KREC in patients with ataxia-telangiectasia with a mutation in the ATM gene ATM基因突变的共济失调毛细血管扩张患者T细胞和b细胞受体TREC/KREC环状DNA片段的定量测定
Pub Date : 2022-04-01 DOI: 10.14427/jipai.2022.2.6
E. Polyakova, I. Guryanova, M. Stegantseva, S. Sharapova, I. Sakovich, A. Kupchinskaya, S. Aleshkevich, Y. Zharankova, V. Kazak, T. Volodashchik, M. Belevtsev
Purpose. Evaluate the diagnostic significance of quantitative determination of T- and B-cell receptor DNA ring fragments in peripheral blood of patients for diagnosis of ataxia-teleangiectasia. Materials and methods. The subjects of the study were peripheral blood samples from 14 patients diagnosed with ataxia-teleangiectasia aged 4.9 (1.6; 14.4) years with mutations in the ATM gene and from 40 healthy children aged 11.0 (6.7; 14.8) years. Results and discussion. Patients with ataxia-teleangiectasia revealed a significant decrease in TREC and KREC values (p<0.05) compared to the control group of healthy children. Diagnostic sensitivity and specificity concerning the use of TREC determination (92.8% and 93.4% respectively) and KREC (85.7% and 96.7% respectively) in patients with ataxia-telangioectasia allow the use of this analysis in laboratory practice. Conclusion. The method of quantitative determination of TREC and KREC due to high values of sensitivity and specificity of the applied technique can be used in the diagnosis of ataxia-teleangiectasia.
目的。评价外周血T细胞和b细胞受体DNA环片段定量测定对共济失调-毛细血管扩张的诊断意义。材料和方法。研究对象为14例诊断为共济失调-毛细血管扩张的患者的外周血样本,年龄为4.9 (1.6;14.4)年的ATM基因突变和40名11.0岁(6.7;14.8)年。结果和讨论。与健康儿童对照组相比,共济失调性毛细血管扩张患者TREC、KREC值显著降低(p<0.05)。TREC(分别为92.8%和93.4%)和KREC(分别为85.7%和96.7%)在共济失调-毛细血管扩张患者中的诊断敏感性和特异性允许在实验室实践中使用该分析。结论。定量测定TREC和KREC的方法具有较高的敏感性和特异性,可用于共济失调性毛细血管扩张的诊断。
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引用次数: 0
Trial of the differential diagnostic media «DTM-Expert» for the diagnosis of dermatophytosis in the dermatovenerological dispensaries 鉴别诊断介质«DTM-Expert»在皮肤性病诊所诊断皮肤癣的试验
Pub Date : 2022-01-01 DOI: 10.14427/jipai.2022.1.53
R. Ovchinnikov, E. Bratchikova, N. Gareeva, A. Gaynullina, V. Savinov, L. Said-Uelina, A. Cherednikova, E. Guryanova, A. Kapustin
Fungal culture represents the «gold standard» for diagnosing infections caused by dermatophytes. However, laboratories and trained mycological staff are required for culture diagnostics. It is desirable to introduce methods for point-of-care diagnosis of dermatophytosis, which would be effective and easy to use. The aim of the study was the approbation of the domestic diagnostic media DTM-Expert for the diagnosis of human dermatophytosis in the conditions of dermatovenerological dispensaries. In two separated healthcare dispensaries, a cultural study of 40 clinical samples was conducted using DTM-Expert medium in parallel with Sabouraud medium. It was established that the isolation rate of dermatophytes on the DTM-Expert medium was 42.5%, while on the Sabouraud medium it was only 27.5%. Twelve isolates of Microsporum canis, 2 of Trichophyton rubrum, 3 of Microsporum spp. were isolated at DTM-Expert. Eleven isolates of M. canis were obtained on Sabouraud's medium, while T. rubrum was not isolated at all. Dermatophyte M. canis caused reddening of the DTM-Expert medium at 6.6 days on average, thus providing a quick visual indication of pathogens. Contamination on the experimental medium was observed in 5% of cases, and in 42.5% on the Sabouraud medium. The data obtained allow us to recommend the DTM-Expert diagnostic media for implementation in medical healthcare practice.
真菌培养是诊断由皮肤真菌引起的感染的“金标准”。然而,培养诊断需要实验室和训练有素的真菌学工作人员。希望能有一种简便有效的即时诊断方法。本研究的目的是批准国内诊断媒体DTM-Expert在皮肤性病诊所条件下诊断人类皮肤癣。在两个独立的医疗诊所,使用DTM-Expert培养基与Sabouraud培养基并行进行了40个临床样本的培养研究。结果表明,在DTM-Expert培养基上,皮肤真菌的分离率为42.5%,而在Sabouraud培养基上,分离率仅为27.5%。12隔离Microsporum犬属2毛癣菌属石,Microsporum的第3种虫害在DTM-Expert孤立。在Sabouraud培养基上分离到11株犬支原体,而未分离到红支原体。狗皮癣菌导致DTM-Expert培养基平均在6.6天变红,从而提供了病原体的快速视觉指示。实验培养基上的污染率为5%,Sabouraud培养基上的污染率为42.5%。获得的数据允许我们推荐DTM-Expert诊断媒体在医疗保健实践中实施。
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引用次数: 0
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Immunopathology, Allergology, Infectology
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