Immune status indicators of children with atopic dermatitis
Abstract
Aim. To study the state of cellular and humoral immunity in patients with atopic dermatitis.
Material and methods. 50 patients with atopic dermatitis aged 2-13 were observed. Patients were divided according to severity and the state of the disease. The state of cellular and humoral immunity was studied. The degree of severity was assessed by SCORAD index identification.
Result. The study of cellular and humoral immunity showed that in children with mild disease, Tlymphocyte and their subpopulations slightly deviated from the norm, but tended to decrease in comparison to the control group. Patients with moderate and severe course showed statistically significant (P <0.001) decrease in all parameters of the immune status.
Conclusion. Patients with a moderate and severe course of the disease showed an imbalance in various parts of the immune system. That contributed to the further chronicity of the process. It aggravated the clinical course and worsened the prognosis of the disease, leading to the disruption of compensatory adaptive mechanisms. Secondary immune deficiency increased indicating the need for early diagnosis of the disease and timely administration of etiopathogenetic treatment.
About the Authors
M. P. NosirovaTajikistan
N. Sh. Abdullaeva
Tajikistan
N. K. Kuzibaevа
Tajikistan
References
1. Malanicheva T. G., Denisova S. N., Vakhrameeva S. N. Atopicheskiy dermatit u detey – sovremennye osobennosti techeniya i diagnostika [Atopic dermatitis in children - modern features of the course and diagnostics]. Rossiyskiy vestnik perinatologii i pediatrii - Russian journal of perinatology and pediatrics, 2012, No. 2, pp.109-117.
2. Romanenko V. N., Romanenko K. V., Ermilova N. V. Immunnyy status bolnykh atopicheskim dermatitom [Immune status of patients with atopic dermatitis]. Universitetskaya klinika - University clinic, 2017, Vol. 13, No.1, pp. 31-34.
3. Sizyakina L. P., Penechko E. M., Andreeva I. I. Vozmozhnosti zamestitelnoy interferonoterapii v lechenii atopicheskogo dermatita [Possibilities of interferon replacement therapy in the treatment of atopic dermatitis]. Meditsinskiy sovet - Medical council, 2017, No. 11, pp. 84-87.
4. Shevchenko I. M., Titkova E. V. Faktory riska i osobennosti debyuta atopicheskogo dermatita u detey pervogo polugodiya zhizni [Risk factors and features of atopic dermatitis debut in children of the first half year of life]. Meditsinskie nauki - Medical sciences, 2015, No. 8 (13), pp. 125-127.
5. Novak N., Simon D. Atopic dermatitis: from new pathophysiologic insights to individualized therapy. Allergy, 2011, Vol. 66, No. 7, pp. 830-839.
6. Beikert F. C., Langenbruch A. K., Radtke M. A., Kornek T., Purwins S., Augustin M. Willingnes to pay and quality of life in patients with atopic dermatitis. Archives of Dermatological Research, 2014, p. 279-286.
7. Mark Boguniewicz Donald, Leung Y.M. The ABC’s of managing patients with severe atopic dermatitis. Journal of allergy and clinical immunology, 2014, Vol. 132, pp. 38-41.
Review
For citations:
Nosirova M.P., Abdullaeva N.Sh., Kuzibaevа N.K. Immune status indicators of children with atopic dermatitis. Health care of Tajikistan. 2018;(3):48-53. (In Russ.)