Biomedical subjects
Publications and source records attributed to Iu V Sergeev.
The paper contains literature data and the results of author's own observations, devoted to the clinical manifestations, ethiology and pathogenesis of Kaposi's sarcoma. An algorithm of diagnostics of the disease and methods of treatment are offered, which are developed taking into account the type of the disease, its form, the extent of the pathologic process and immunological parameters.
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Examinations of 59 patients with atopic dermatitis have revealed increased content of the major inhibitors of proteinases, a relationship between the patients' age and alpha 2-macroglobulin level in both the patients and the reference group normal subjects. Detection of correlations between alpha 1-proteinase inhibitor and serum IgE as well as between C1 inactivator and C3c have lead to a supposition on the contribution of proteinase inhibitors in the modulation of immune reactions. Clinical features of atopic dermatitis in alpha 1-proteinase inhibitor deficiency and in various blood serum IgE levels are discussed.
Examinations of 78 patients with atopic dermatitis have confirmed the important role played by the immune complexes in the immunopathological and inflammatory processes. In atopic dermatitis elevated concentrations of immune complexes could be detected only in the patients with a severe diffuse process. The findings evidence that the most informative parameters of circulating immune complexes are their size and composition, that are of diagnostic and prognostic value in this condition. Studies of the relationships between the characteristics of immune complexes and the parameters of the immune status of patients have revealed correlations between serum IgE levels and immune complexes IgM, as well as between C4 concentration and size of the immune complexes.
Altogether 97 patients with atopic dermatitis have been examined to follow this relationship, 72 patients presented with disseminated efflorescence, 25 patients with local rash. Measurements of immunoglobulins A, M, G, and D, of the C3c complement components, of the total and allergen-specific IgE C4, inactivators have been carried out, as well as of the total lymphocyte, B lymphocyte, and CD3+, CD4+, and CD8+ lymphocyte subpopulations; the lymphocyte response to ConA mitogenic stimulation has been also under study. The patients with normal and elevated levels of IgE differed by the clinical picture of the disease and by case histories, as well as by the immunity parameters and by the results of zaditen therapy. Cases with very low IgE levels may be indicative of alternative pathogenetic mechanisms.
Eighty-eight patients with atopic dermatitis have been examined for the complementary proteins C3 (C3c), C3act., C4, C1inact. by radial immunodiffusion; in 36 of these patients anaphylatoxins C3a des Arg, C5a des Arg, and C4a des Arg have been radioimmunoassayed. Increased levels of C4a des Arg have been revealed in 50% of the examinees. C3a des Arg levels did not differ significantly from the reference values, and C5a des Arg level has been within the normal range in all the patients. C4a des Arg has been related to the severity of the skin inflammation and did not depend on the serum IgE content. C3 (C3c), C3act., C1inact. have been elevated and C4 reduced. These findings evidence activation of the complementary system in atopic dermatitis and indicate the role of anaphylatoxin C4a des Arg in the maintenance of the inflammatory reactions.
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