Affiliation:
1. Russian National Research Medical University named after N.I. Pirogov, Ministry of Health of the Russian Federation
2. Multidisciplinary clinic «VESSEL CLINIC»
Abstract
Numerous literature data show the role of mycoplasma infection in the development of non-respiratory lesions of various organs and systems, including the skin. Herpesvirus and mycoplasma infections can trigger the development of immune-mediated inflammatory reactions of the skin and mucous membranes — erythema multiforme exudative, Stevens-Johnson syndrome, vesicular pustular dermatosis — Sneddon-Wilkinson syndrome, etc.In order to study the frequency and nature of skin lesions with mycoplasmosis combined with herpesvirus infection, 45 patients aged 3 to 15 years of life were observed. A comprehensive clinical and laboratory study revealed skin lesions in 27 patients associated with current mycoplasma and herpesvirus infections. Thus, multiforme exudative erythema in the small form variant was diagnosed in 13 patients, skin vasculitis in 4, hemorrhagic purpura in 3, urticaria rash in 3, erythema nodosum in 2, mucositis in 2 children. In 18 children, a combined mycoplasma and herpesvirus infection was established. In 9 children, a mono infection was detected (in 5 — herpes virus and in 4 — mycoplasma).All observed patients showed antibodies to smooth muscle antigens in titers from 1:80 to 1:160 (normal 1:40) and in the vast majority (in 24 patients) — antibodies to vascular endothelial antigens in titers from 1:80 to 1:320 (with the norm of 1:40). Compaction of the intima-media complex was detected in 6 patients with monoinfection and in 16 patients with co-infection, according to ultrasound duplex scanning of the vessels of the brachiocephalic department.Thus, for various immuno-inflammatory, allergic skin diseases, screening for infections, in particular, mycoplasma and herpesvirus, is necessary to optimize treatment.
Publisher
Journal of Childrens Infections
Reference63 articles.
1. Nilsson A.C., Bjorkman P., Persson K. Polymerase chain reaction is superior to serology for the diagnosis of acute Mycoplasma pneumoniae infection and reveals a high rate of persistent infection. BMC Microbiology. 2008; 8:93. doi:10.1186/1471-2180-8-93.
2. Yamazaki T., Kenri T. Epidemiology of Mycoplasma pneumoniae infections in Japan and therapeutic strategies for macrolid resistant M. pneumonia. Front Microbiol. 2016; 23 (7): 693.
3. Yushchuk N.D., Ogienko O.L. Mikoplazmozy. M.: GEOTAR-Media, 2011:23. (v Natsional'nom rukovodstve «Infektsionnye bolezni»). Yushchuk N.D., Ogienko O.L. Mycoplasmosis. M.: GEOTAR-Media, 2011: 23. (In Russ.)
4. Hoek K.L., Duffy L.B., Cassell G.H., Atkinson T.P. A role for the Mycoplasma pneumoniae adhesin P1 in Interleukin (IL)-4 synthesis and release from rodent mast cells. Microb Pathog. 2005; 39:149—158.
5. Popova N.V., Deev I.E., Petrenko A.G. Klatrin-zavisimyi endotsitoz i belki-adaptery. Acta Naturae. 2013. 3(48):66—77. Popova N.V., Deev I.E., Petrenko A.G. Clathrin-dependent endocytosis and adapter proteins. Acta Naturae. 2013. 3(48): 66–77. (In Russ.)
Cited by
1 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献
1. Post-covid syndrome in children;Rossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics);2021-12-09