Biomedical subjects

M Baleva

Publications and source records attributed to M Baleva.

At least 37 records · Page 2Linked to original sources

PubMed1990

[A rare case of Itsenko-Cushing disease accompanied by gangrene of the fingers and cryoglobulinemia].

A case of a woman with Itsenko [correction of Icenko]-Cushing's disease and a rare complication--necrosis of the fingers of the left hand--is presented. Besides the known factors of hypercorticism injuring the vascular wall, cryoglobulinemia was found in the patient. It is probably secondary in this disease and points out the complicated changes in the immunologic state of the patients with Itsenko [correction of Icenko]-Cushing's disease.

Adult↗

PubMed1989

[Changes in the level of urinary secretory immunoglobulin A in patients with recurrent pyelonephritis].

The urine concentration of secretory immunoglobulin A was studied in 58 healthy persons (26 women and 32 men) and in 55 patients (44 women and 11 men) with chronic recurrent pyelonephritis before the beginning of the antibacterial treatment. An immunoenzyme method on a solid phase was used (ELISA). In 21 patients a lowered urine secretory immunoglobulin A level (IgA) was found, in 19 patients it was elevated and in 15 patients it was in normal ranges. In the group of patients with an elevated secretory IgA level the antibacterial treatment was successful in 89.5% of the patients while in the group of patients with a lowered secretory IgA level the treatment was successful only in 61.9% of the patients. In 12 patients the secretory IgA level was examined after the treatment and in 72.7% of them it was changed--in 38.2% of the patients the level was lowered and in 34.5% of the patients it was elevated. The local immune response of the organism against infections is discussed.

Adult↗

PubMed1988

[The level of factor VIII/von Willebrand and inhibitors in diabetic retinopathy].

In 28 diabetics, classified into two groups according to the presence or absence of diabetic retinopathy, the following indices were examined: glycohemoglobin, factor VIII/von Willebrand, alpha-I-antitrypsin and alpha-2-macroglobulin. Factor VIII/von Willebrand and alpha-2-macroglobulin showed no changes in diabetes mellitus. Alpha-I-antitrypsin was statistically significantly decreased (p less than 0.05). Glycohemoglobin was significantly increased. No statistically significant differences were found between the two groups of diabetic patients (with and without retinopathy) studied for all indices examined.

Adult↗

PubMed1988

[Immunochemical studies in glomerulonephritis with mesangial immunoglobulin A precipitation].

Serum IgA, C3 and circulating immune complexes were examined in 20 patients with morphologically proved chronic glomerulonephritis with mesangial IgA precipitates and in 39 clinically healthy controls. The immune complexes were analyzed. 10 patients were with Berger's disease, 8 patients--with secondary IgA glomerulonephritis accompanying chronic liver disease and 1 patient was with Henoch-Schönlein's purpura. No significant differences were found between the mean values of IgA, C3 and the circulating immune complexes in the patients and the healthy controls as well as between the actively ill patients and those in remission. IgA and IgM in the immune complexes were significantly higher in the patients than in the healthy controls. IgA level in the immune complexes was significantly higher in the patients with active disease than in the patients in remission. In the patients with liver disease C3 and C4 often were not found in the immune complexes. In these patients it is possible that aggregates of immunoglobulins are found instead of immune complexes. The IgA level in the immune complexes could serve as a criterion for the disease activity.

Adolescent↗

PubMed1988

[Familial studies of patients with hereditary angioedema].

25 families with 607 members were studied. 165 persons of them suffer from hereditary angioneurotic edema and 28 persons had died from this disease. The clinical forms of the disease are discussed. A classification of angioneurotic edema caused by C-inactivator deficiency is presented. The importance of the examination of C1 inactivator (quantitatively and qualitatively) and of C4 complement fraction in patients with hereditary angioneurotic edema is pointed out.

Adolescent↗

PubMed1988

[Ischemic heart disease--clinical, biochemical and immunobiological parallels].

In patients with various forms of ischemic heart disease the following indices were examined by radial immunodiffusion: alpha-1-acid glycoprotein, alpha-1-antitrypsin, haptoglobin, alpha-2-glycoprotein, beta-2-glycoprotein, immunoglobulin, C3 and C4 complement fractions. The changes in the serum glycoproteins during the acute phase of myocardial infarction are pointed out. The changes in the immunoglobulins and the complement fractions in patients with ischemic heart disease are discussed. Their determination in patients with stenocardia and past myocardial infarction is of no diagnostic value.

Angina Pectoris↗

PubMed1987

[Glycosylated proteins and various hemostatic indices in diabetic retinopathy].

The changes in the level of glycated proteins and some factors of coagulation were studied in 30 patients with diabetes mellitus--15 with and 15 without diabetic retinopathy. The mean level of glycoalbumin was elevated (2.9 +/- 0.8 mg) HMF (mg protein) without an authentic difference in the two subgroups. Glycohemoglobin was also increased (means--13.6 +/- 1%) in all studied subjects The activity of antithrombin III was high (means--222 +/- 53%) and the concentration--reduced--means--22.1 +/- 2.2 mg%, without authentic difference in the two subgroups. The concentration of alpha-2-macroglobulin, as well as its activity showed no significant deviations. Factor VIII (von Willebrand) was within reference limits (means--97.04 +/- 15.06%) with a tendency to lower values in the group without diabetic retinopathy. Fibrinogen level (means--4.3 +/- 1.2 g) was within the reference range, and FDP--increased in the majority of the examined. A syndrome of intensified latent coagulability, equivalent to chronic decompensated DIC, determined by the basic dismetabolism and non-enzymatic glycating of proteins has been outlined. The changes are more marked in the cases with diabetic retinopathy.

Adolescent↗

PubMed1987

[Factor VIII (von Willebrand antigen) in patients with acquired thrombocytopathies].

Factor VIII/von Willebrand antigen (VA), part of the molecule of plasma factor VIII, realizes the interaction between platelets and vascular endothelium and the triggering of primary hemostasis. The modern diagnostics and treatment of the complicated acquired thrombocytopathies are impossible without the investigation on the concentration of factor VIII/von Willebrand antigen. The immune coagulation method used allows the objective, exact and fast determination of VA--referent values have been developed in healthy subjects. The patients with blastic leukosis studied--28 and with chronic myeloleukemia--18, all with severe endogenous complicated thrombocytopathy, functionally and biochemically confirmed, showed normal values of VA/von Willebrand antigen. On the contrary, a slightly elevated VA was established in patients with diabetes with no vascular-degenerative syndrome, corresponding to the activation of platelet functions and to enhanced adhesiveness in particular, contributing to thrombotic complications. The data obtained are discussed in connection with the etiopathogenesis of the separate kinds of thrombocytopathies and the necessity of substitutive therapy.

Acute Disease↗

PubMed1987

[Antibodies against soluble nuclear antigens in rheumatic diseases].

The basic contemporary methods for determination of serum antibodies against DNA are compared. The immunoenzyme methods are recommended because of their accessibility. The high frequency of antibodies against DNA in lupous patients is pointed out. The antibodies against extractable nuclear antigens (Sm and RNP) in rheumatic patients are also determined. The results are compared with these of a control group of healthy persons and patients with non-rheumatic diseases. The antibodies against extractable nuclear antigens are found most frequently in lupous patients.

Antibodies, Antinuclear↗

PubMed1986

[Immunological changes in the exacerbated form of chronic obstructive pulmonary disease].

Ninety four subjects were examined, 42 of them with chronic obstructive pulmonary disease (COPD) and 52--healthy. The following indices followed up: immunoglobulins G, A, M, fraction of the complement--C3 and C4, alpha 2-macroglobulin (alpha 2MG), alpha 1-antitrypsin (alpha 1 AT). The following methods were applied: radial immunodiffusion according to Manccini et al and counter-electrophoresis on cellulose-acetate. Antisera and standards of the firm "Behring"--FRG were used. The data obtained are compared with those from the group the healthy subjects. Changes were established, manifested in increased level of immunoglobulin (IgG) and considerable reduction in the values of alpha 1AT, in the patient, with exacerbated form of COPD. No substantial deviations in IgA, complement fractions and alpha 2MG were established.

Adult↗

PubMed1986