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The gluten enteropathy in East Slovakia 东斯洛伐克的麸质肠病
IF 0.2 Pub Date : 2021-01-01 DOI: 10.5114/pja.2021.106683
Gabriela Harvanová, S. Duranková, A. Csanády
Celiac disease is characterized as an autoimune disorder, and the trigger is gluten delivered into the body in a meal. The main purpose of the study was the issues about gluten enteropaty in East Slovakia, based on special scientific and foreign literature which was avaliable, also there are characteristics about digestion, celiac disease and gluten, critical factors and also premiss beginners of celiac disease. The research, which is discussed at the end of the thesis, was conducted in East Slovakia, namely in the gastroenterologic ambulance in the Humenné town. The above-mentioned research brought us information about the current position of celiac disease between different ages in the Humenné region. Our main aim was to find out whether there is any significant correlation between the age and risk of involvement of celiac disease.
乳糜泻的特点是一种自身免疫性疾病,而触发因素是通过一顿饭进入体内的麸质。本研究的主要目的是研究东斯洛伐克的谷蛋白企业问题,在现有的特殊科学文献和国外文献的基础上,同时也有消化、乳糜泻和谷蛋白的特点,关键因素和乳糜泻初学者的前提。本文最后讨论的研究是在东斯洛伐克进行的,即在humenn镇的胃肠病学救护车中进行的。通过上述研究,我们了解了胡门地区不同年龄段乳糜泻的发病现状。我们的主要目的是找出年龄和乳糜泻患病风险之间是否存在显著相关性。
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引用次数: 0
Categorization of allergic diseases in the new version of International Classification of Diseases ICD-11 新版国际疾病分类ICD-11中变态反应性疾病的分类
IF 0.2 Pub Date : 2021-01-01 DOI: 10.5114/pja.2021.111799
Lesia Rozłucka, Olga Branicka, R. Gawlik
The International Classification of Diseases (ICD) was implemented by the WHO to classify diseases and medical procedures. It is updated regularly, usually every 10 years. The ICD is widely used for the refund purposes and funds deployment in the healthcare system. Due to the rapid development of medicine, the need for detailed recording of new clinical situations increased. The current version of the ICD-10 began to lose its relevance. In 2011 WHO began to work on the new version of ICD. The latest version of ICD-11 will be effective from January 1, 2022. In the article we present the differences between the current ICD-10 and ICD-11 classification, updated rules for classifying and characterizing diseases and describe the newly created chapter on allergic diseases.
世界卫生组织实施了《国际疾病分类》,对疾病和医疗程序进行分类。它定期更新,通常每10年更新一次。ICD在医疗保健系统中广泛用于退款目的和资金部署。由于医学的快速发展,对新的临床情况进行详细记录的需求增加了。当前版本的ICD-10开始失去其相关性。2011年,世卫组织开始制定新版《国际疾病分类》。最新版ICD-11将于2022年1月1日生效。在文章中,我们介绍了当前ICD-10和ICD-11分类之间的差异,更新了分类和表征疾病的规则,并描述了新创建的过敏性疾病章节。
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引用次数: 23
Immunotherapy – the causes of sub-optimal efficacy in inhaled allergies 免疫疗法-吸入性过敏的次优疗效的原因
IF 0.2 Pub Date : 2021-01-01 DOI: 10.5114/PJA.2021.104618
M. Nittner-Marszalska
Allergen immunotherapy (AIT) has proven efficacy in IgE-dependent respiratory diseases. When AIT is con-ducted continnuosly for 3 years, it confers long-term clinical benefits after cessation of treatment. While multiple studies confirm high efficacy of AIT, there are some patients who do not respond to this therapy (“non-responders”) or find its results non-satisfactory (“poor-responders”). What factors may be responsible for lack of a therapeutic success of AIT or the therapy’s not fully optimal result? How to predict AIT treatment failures? Can biomarkers facilitate the prediction? How to identify patients who may turn out to be treatment failures? The article sets forth causes of AIT failures: wrong diagnosis of the underlying allergic disease, selection of a clinically non-important allergen for AIT, lack of sensibilization to the major allergen and badly performed AIT. In regard to AIT success of failure, additionally addressed is the issue of heterogeneity of molecular profiles and the sensibilization to clinically important molecules like Der p 23.
过敏原免疫疗法(AIT)已被证明对ige依赖性呼吸系统疾病有效。当AIT持续进行3年,它可以在停止治疗后获得长期的临床益处。虽然多项研究证实了AIT的高疗效,但仍有一些患者对这种治疗没有反应(“无反应”)或发现其结果不令人满意(“不良反应”)。什么因素可能导致AIT治疗不成功或者治疗效果不理想?如何预测AIT治疗失败?生物标志物能促进预测吗?如何识别治疗失败的病人?本文阐述了AIT失败的原因:对潜在过敏疾病的错误诊断,临床上对AIT的非重要过敏原的选择,对主要过敏原的不敏感以及AIT的不良执行。关于AIT的成功或失败,另外要解决的问题是分子谱的异质性和对临床重要分子(如Der p 23)的敏感性。
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引用次数: 0
Safety of biological treatment of severe asthma during the COVID-19 pandemic COVID-19大流行期间重症哮喘生物治疗的安全性
IF 0.2 Pub Date : 2021-01-01 DOI: 10.5114/pja.2021.109381
Dorota Nawarycz, R. Pawliczak
COVID-19 is an infectious disease that rapidly spread around the world and therefore is a challenge for treating chronic diseases, such as severe asthma. According to the guidelines of various health organizations, biological treatment in patients with severe asthma should be continued. The aim of this study was to evaluate the information we have gathered so far about safety of biological treatment of severe asthma during the COVID-19 pandemic. We analyzed data involving omalizumab, reslizumab, mepolizumab, benralizumab and dupilumab coming from case studies, surveys, single-center and multicenter studies, and review articles as well. The study focuses on risks of asthmatic patients' deterioration during COVID-19 and the severity of the infection itself. As a result, we learned that there is no strong evidence for asthma exacerbations in patients infected with COVID-19 while on their biological treatment course. Biological therapy can be safely used in patients with severe asthma, as long as all the precautions and the individual evaluation are provided.
COVID-19是一种在世界各地迅速传播的传染病,因此对治疗严重哮喘等慢性疾病构成挑战。根据各卫生组织的指导方针,重症哮喘患者应继续进行生物治疗。本研究的目的是评估我们迄今收集到的关于COVID-19大流行期间严重哮喘生物治疗安全性的信息。我们分析了omalizumab、reslizumab、mepolizumab、benralizumab和dupilumab的数据,这些数据来自病例研究、调查、单中心和多中心研究以及综述文章。这项研究的重点是哮喘患者在COVID-19期间病情恶化的风险以及感染本身的严重程度。因此,我们了解到,在生物治疗过程中,没有强有力的证据表明感染COVID-19的患者哮喘会加剧。生物疗法可以安全地用于重度哮喘患者,只要提供所有注意事项和个体评估。
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引用次数: 0
CAR-T therapy in oncology and other fields of medicine CAR-T疗法在肿瘤学和其他医学领域的应用
IF 0.2 Pub Date : 2021-01-01 DOI: 10.5114/pja.2021.106685
Amelia Kierasińska, Damian Ciunowicz, Marta Węgierska, E. Stoczyńska-Fidelus, P. Rieske
Recently, there has been a breakthrough in immunotherapy. The development of the advanced therapy medicinal product (ATMP) is a striking example of that. Chimeric antigen receptors T cell therapy (CAR-T therapy) is the result of cooperation between biotechnologists, oncologists and immunologists. This article deals with the issues related to the development of CAR-T technology. The basics of CAR-T design and the mechanism of this therapy action are discussed. Its successes were indicated mainly in the treatment of patients with leukemias and lymphomas. EGFRvIII as an exemplary target for the therapy of solid tumors is described. However, it was pointed out what difficulties the therapy against mutated variant of epidermal growth factor receptor EGFRvIII-positive cells encounters. The growing importance of PSMA and GD2 as targets for CAR-T was also pointed out. New trends in this technology, such as the next generations of CAR-T and development of CAR-M, were noticed. Finally, the potential of CAR-T treatment in non-cancerous diseases, such as cardiac diseases, allergies or infectious diseases, including COVID-19, was characterized.
最近,免疫疗法有了突破。先进治疗药物(ATMP)的发展就是一个显著的例子。嵌合抗原受体T细胞疗法(CAR-T疗法)是生物技术专家、肿瘤学家和免疫学家合作的结果。本文论述了CAR-T技术发展的相关问题。本文讨论了CAR-T设计的基本原理和这种治疗作用的机制。它的成功主要表现在治疗白血病和淋巴瘤患者。EGFRvIII作为实体肿瘤治疗的示范靶点被描述。然而,研究人员指出,表皮生长因子受体egfrviii阳性细胞的突变变体治疗遇到的困难。还指出PSMA和GD2作为CAR-T靶点的重要性日益增加。人们注意到这项技术的新趋势,如下一代CAR-T和CAR-M的发展。最后,对CAR-T治疗非癌性疾病(如心脏病、过敏或包括COVID-19在内的传染病)的潜力进行了描述。
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引用次数: 1
17th International Academy of Dermatology and Allergology (17ADA), Gdynia 2021 第17届国际皮肤病学和过敏症学会(17ADA), Gdynia 2021
IF 0.2 Pub Date : 2021-01-01 DOI: 10.5114/PJA.2021.104657
E. Grubska-Suchanek, R. Nowicki
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引用次数: 0
Do parents of children with allergic diseases need psychological support? 过敏性疾病患儿的父母需要心理支持吗?
IF 0.2 Pub Date : 2021-01-01 DOI: 10.5114/PJA.2021.106689
E. U. Severcan, Nilgun Erdonmez Karslioglu, I. Bostanci
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引用次数: 0
Genome editing tools to modify immune cells 基因组编辑工具修饰免疫细胞
IF 0.2 Pub Date : 2021-01-01 DOI: 10.5114/pja.2021.111800
E. Stoczyńska-Fidelus, P. Rieske
szczególną rolę. abSTracT Techniques such as TALEN, CRISPR-CAS9 or traktuje komórkę oraz jej elementy, np. białka, w sposób podobny do tego, którego używa się przy opracowywaniu układów scalonych w elektronice. PE polega na działaniu dwóch chimer, każdej złożonej z trzech podjednostek. Trzy elementy białkowe tworzą jedną chimerę (nikaza, odwrotna editing systems in therapy. Immune system cells also seem to be particularly suitable as starting points for the creation of completely new cell types thanks to synthetic biology, in which genome editing techniques play an important role. All this makes CRISPR-CAS9 or PE more and more interesting for immunologists. The article discusses the basics of these techniques and explains the reasons for their imperfections.
一个特殊的角色。abSTract Techniques干燥为TALEN、CRISPR-CAS9或以类似于电子集成电路开发中使用的方式处理细胞及其成分,如蛋白质。PE由两个嵌合体组成,每个嵌合体由三个亚基组成。三种蛋白质组成一个嵌合体由于基因组编辑技术在合成生物学中发挥着重要作用,免疫系统细胞似乎也特别适合作为创造全新细胞类型的起点。所有这些都使CRISPR-CAS9或PE对免疫学家越来越感兴趣。本文讨论了这些技术的基础,并解释了他们不完美的原因。
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引用次数: 0
Hereditary angioedema type III – case report 遗传性血管性水肿III型1例报告
IF 0.2 Pub Date : 2021-01-01 DOI: 10.5114/PJA.2021.104656
Katarzyna Waligóra-Dziwak, M. Woźniak, D. Jenerowicz, Z. Adamski, M. Czarnecka-Operacz
Hereditary angioedema (HAE) is a genetically determined disease characterized by recurrent episodes of subcu-taneous or submucosal tissue oedema. Failure to respond to the classical treatment of angioedema with antihista-mines, glucocorticosteroids as well as adrenaline is highly characteristic for HAE. Three main types of HAE have been described: type I – associated with hereditary reduction of C1 esterase inhibitor plasma concentration, type II – associated with its dysfunction and type III with both C1 inhibitor concentration and activity being within the normal range. We present a case report of a 16-year-old female patient with chronic spontaneous angioedema with normal activity and concentration of C1 inhibitor as well as an updated review of the current knowledge concerning pathophysiology, clinical genetic HAE type
遗传性血管性水肿(HAE)是一种由遗传决定的疾病,其特征是皮下或粘膜下组织水肿反复发作。抗组胺药、糖皮质激素和肾上腺素对血管水肿的经典治疗无效是HAE的高度特征。已经描述了三种主要类型的HAE: I型与遗传性C1酯酶抑制剂血浆浓度降低有关,II型与C1酯酶抑制剂功能障碍有关,III型C1酯酶抑制剂浓度和活性均在正常范围内。我们报告了一例16岁的慢性自发性血管性水肿女性患者,其C1抑制剂活性和浓度正常,并对目前有关病理生理学、临床遗传HAE类型的知识进行了最新综述
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引用次数: 0
Importance of aerobiological monitoring to determine artemisia and ambrosia hypersensitivity 生物监测对青蒿和凤仙花超敏反应的重要性
IF 0.2 Pub Date : 2021-01-01 DOI: 10.5114/pja.2021.106688
M. M. Cicekliyurt, M. Akkaya
Introduction: Allergic sensitization to aeroallergen (atmospheric pollen and fungal spores) is the most common seasonal allergy trigger. The main reason for that study is unexpected skin prick test results obtained in our dermatology department. For that reason, we would like to check whether the consequences depend on cross-reactivity or aeroallergen invasion. Aim: The purpose of the present study is to determine the pollen types, including the amount and concentration of the native and invasive pollen in the Çanakkale Region during the spring and summer periods. The main reason for that study is unexpected skin prick test results obtained in our dermatology department. For that reason, we would like to check whether the consequences depend on cross-reactivity or aeroallergen invasion. Material and methods: The pollen monitoring station was placed in the Çanakkale Central Public Park. The sampling was performed by a Durham trap based on the gravimetric method. The slide was replaced with a new one every week and evaluated by 10× ocular and 40× apochromatic lenses. Results: The primary pollen producers were the following arboreal plants: Pinus sp. (65.0%), Quercus sp. (9.37%), Platanus sp. (4.29%), Moraceae (3.87%), Oleaceae (2.71%). The pollen distribution of herbaceous plants and bushes were determined as Poaceae (4.34%), Chenopodiaceae (1.99%), Plantago sp. (1.97%) and Xanthium sp. (1.35%). In addition to our current knowledge, Ambrosia pollens’ first record was found with a ratio of 0.22% in the Çanakkale atmosphere. These invasive plants have most probably entered the atmosphere with long-distance transport. Conclusions: Aerobiological monitoring is essential to determine allergen variety and concentrations to find a cure against pollinosis. The health professionals should apply a skin prick test against a significant allergen, i.e. Ambrosia pollens even if there is no previous report in the region. The authors also advised clinicians to be aware of pollen invasion to ensure that patients do not have false-negative results.
对空气过敏原(大气花粉和真菌孢子)的过敏性致敏是最常见的季节性过敏诱因。这项研究的主要原因是我们皮肤科的皮肤点刺试验结果出乎意料。因此,我们想要检查其后果是否取决于交叉反应性或空气过敏原入侵。目的:本研究的目的是确定Çanakkale地区春夏季节的花粉类型,包括原生和入侵花粉的数量和浓度。这项研究的主要原因是我们皮肤科的皮肤点刺试验结果出乎意料。因此,我们想要检查其后果是否取决于交叉反应性或空气过敏原入侵。材料与方法:花粉监测站设在Çanakkale中央公园。采用基于重力法的达勒姆捕集器进行采样。每周更换一张新的载玻片,用10倍目镜和40倍消色差透镜评估。结果:主要产生花粉的乔木植物为松(65.0%)、栎(9.37%)、扁桃(4.29%)、桑科(3.87%)、油棕科(2.71%);草本植物和灌木的花粉分布依次为禾科(4.34%)、藜科(1.99%)、车前草(1.97%)和苍耳(1.35%)。除了我们目前的知识,在Çanakkale大气中发现了Ambrosia花粉的第一个记录,其比例为0.22%。这些入侵植物很可能是通过长途运输进入大气层的。结论:空气生物学监测对确定过敏原的种类和浓度,找到治疗花粉症的方法至关重要。卫生专业人员应应用皮肤点刺试验对一个重要的过敏原,即Ambrosia花粉,即使以前没有报告在该地区。作者还建议临床医生注意花粉入侵,以确保患者不会出现假阴性结果。
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引用次数: 0
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Alergologia Polska - Polish Journal of Allergology
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