Affiliation:
1. Military Medical Academy named after S.M. Kirov
Abstract
Rationale:In the Armed Forces of the Russian Federation, treatment of inflammatory processes of the skin and subcutaneous tissue is relevant. We have not found data on the peculiarities of the etiology of facial boils in practically healthy military personnel of the RF Armed Forces and the reasons contributing to its development. Purpose: to study the causes of the development of facial boils in military personnel, as well as the factors contributing to its appearance, to determine the nature of the relationship between them using factor analysis. Methods: In the period from 2019 to 2021, 53 patients with abscess boils of the face aged 18 to 25 years were examined and treated, among whom 38 were conscripts (72%), contract soldiers were 15 (28%). Upon admission, clinical and laboratory tests.The control group consisted of 30 practically healthy individuals in the age range from 8 to 25 years. To create a mathematical model, binomial regression analysis was used, the subject of which was to predict the development of a furuncle in the maxillofacial area in military personnel. The following variable factors were assessed: age, service life, season of development of the disease, the amount of glucose in the blood serum, lymphocytes, leukocytes, CD3+, CD4+, CD8+, IgA, IgG, IgM, regulatory T-helper cells with immunosuppressive function (CD4+CD25brightCD45+) (% of all T-helpers), skin type and microbial composition of the skin of the maxillofacial area. Results: it was found that the combination of oily skin type and certain indicators of lymphocytes (20.3±1.03%) and IgG (10.15±0.7%) in the blood increase the risk of developing a boil in the maxillofacial area in military personnel. servicemen. Conclusion: the established cumulative influence of general and local factors on the development of facial boils in military personnel allows for more targeted planning of preventive and therapeutic measures.
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