The role of secretary-motor stomach disorders in the genesis of atopic dermatitis in children

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Abstract

Objective: to study the relationship of the main mediators of atopy and clinical and morphological characteristics lesions of the stomach with its secretory-motor disorders in children with atopic dermatitis. We study 134 patients aged 7 to 14 years with atopic dermatitis and 30 healthy children as control group. All children passed general clinical and laboratory instrumental investigations. In addition, children with manifestations of atopic dermatitis and secretory-motor disorders of the stomach Fibroesophagogastroduodenoscopy, topographic intragastric pH-metry with aspiration biopsy of the gastric mucosa were performed, followed by morphological investigations. In sick children, an increase in the levels of total IgE, histamine and serotonin was detected in the blood, combined with a tendency to decrease acid-forming function, endoscopic and morphological changes in the gastric mucosa. It is assumed that concomitant atopic dermatitis secretory-motor disorders of the stomach are manifestations of gastrointestinal syndrome, which can be both secondary and primary in relation to skin manifestations and in both situations contribute the formation of endoallergens and maintain a vicious cycle of the pathological process.

About the authors

Vladimir N. Buryak

North-Western State Medical University named after I.I. Mechnikov

Author for correspondence.
Email: vladimir.buryak@inbox.ru

MD, PhD, Dr Med Sci, Professor, Department of Pediatrics and Pediatric Cardiology

Russian Federation, Saint Petersburg

Tatyana I. Antonova

Children’s City Polyclinic No. 35

Email: antian@bk.ru

MD, PhD, Head

Russian Federation, Saint Petersburg

Inna V. Malysheva

Children’s City Polyclinic No. 35

Email: inness6996@yandex.ru

Allergologist

Russian Federation, Saint Petersburg

Kirill K. Shepelenko

Children’s City Polyclinic No. 35

Email: shess08@inbox.ru

Allergologist

Russian Federation, Saint Petersburg

Maria V. Dudko

Children’s City Polyclinic No. 35

Email: maria.dudko17@gmail.com

Allergologist

Russian Federation, Saint Petersburg

Yulia V. Peshekhonova

Children’s City Polyclinic No. 35

Email: peshekhonova@mail.ru

MD, PhD, Allergologist

Russian Federation, Saint Petersburg

Nikolay V. Buryak

Donetsk National Medical University named after M. Gorky

Email: vladimir.buryak@inbox.ru

Student, 3rd Year, Pediatric Faculty

Donetsk

References

  1. Броева М.И., Сурков А.Н., Черников В.В. Современные проблемы диагностики и лечения функциональных заболеваний желудочно-кишечного тракта у детей // Педиатрическая фармакология. – 2017. – Т. 14. – № 6. – С. 527–534. [Broeva MI, Surkov AN, Chernikov VV. Current Issues of Diagnosis and Treatment of Functional Gastrointestinal Disorders in Children. Pediatric pharmacology. 2017;14(6):527-534. (In Russ.)]. https://doi.org/10.15690/pf.v14i6.1837.
  2. Ксензова Л.Д. Атопический марш. Риск развития атопического дерматита и бронхиальной астмы у детей с атопическим дерматитом // Аллергология и иммунология в педиатрии. – 2018. – № 4. – С. 25–30. [Ksenzova LD. Atopic March. Risk of developing of allegic rinitis and bronchial asthma in children with atopic dermatitis. Allergologiya i immunologiya v pediatrii. 2018;(4):25-30. (In Russ.)]
  3. Намазова-Баранова Л.С., Баранов А.А., Кубанова А.А., и др. Атопический дерматит у детей: современные клинические рекомендации по диагностике и терапии // Вопросы современной педиатрии. – 2016. – Т. 15. – № 3. – С. 279–294. [Namazova-Baranova LS, Baranov AA, Kubanova AA, et al. Atopic Dermatitis in Children: Current Clinical Guidelines for Diagnosis and Therapy. Current pediatrics. 2016;15(3): 279-294. (In Russ.)]. https://doi.org/10.15690/vsp.v15i3.1566.
  4. Новоселов А.В., Новоселов В.С., Лебедева С.В. Патология желудочно-кишечного тракта у дерматологических пациентов // РМЖ. – 2016. – № 10. – С. 636–641. [Novoselov AV, Novoselov VS, Lebedeva SV. Gastrointestinal disorders in dermatological patents. RMZh. 2016;(10):636-641. (In Russ.)]
  5. Прошина Л.Я. Определение гистамина и серотонина в одной пробе крови // Лабораторное дело. – 1981. – № 2. – С. 90–93. [Proshina LYa. Opredelenie gistamina i serotonina v odnoy probe krovi. Lab Delo. 1981;(2):90-93. (In Russ.)]
  6. Смирнова Г.И. Атопический дерматит у детей: новое в патогенезе, диагностике и лечении // Лечащий врач. – 2017. – № 4. – С. 12. [Smirnova GI. Atopicheskiy dermatit u detey: novoe v patogeneze, diagnostike i lechenii. Practitioner. 2017;(4):12. (In Russ.)]
  7. Тамразова О.Б., Новосельцев М.В. Экзематозные поражения кистей рук // Вестник дерматологии и венерологии. – 2016. – № 1. – С. 85–92. [Tamrazova OB, Novoseltsev MV. Hand microbial eczemas. Vestn Dermatol Venerol. 2016;(1):85-92. (In Russ.)]
  8. Яблокова Е.А., Горелов А.В. Функциональные расстройства желудочно-кишечного тракта у детей: диагностика и возможности спазмолитической терапии // РМЖ. – 2015. – Т. 23. – № 21. – С. 1263–1267. [Yablokova EA, Gorelov AV. Funktsional’nye rasstroystva zheludochno-kishechnogo trakta u detey: diagnostika i vozmozhnosti spazmoliticheskoy terapii. RMZh. 2015;23(21):1263-1267. (In Russ.)]
  9. Czarnowicki T, Krueger JG, Guttman-Yassky E. Novel concepts of prevention and treatment of atopic dermatitis through barrier and immune manipulations with implications for the atopic march. J Allergy Clin Immunol. 2017;139(6):1723-1734. https://doi.org/10.1016/j.jaci.2017.04.004.

Copyright (c) 2020 Buryak V.N., Antonova T.I., Malysheva I.V., Shepelenko K.K., Dudko M.V., Peshekhonova Y.V., Buryak N.V.

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This work is licensed under a Creative Commons Attribution 4.0 International License.
 


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