[Reiter's disease as the source of errors in the diagnosis of traumatic arthritis].
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Biomedical subjects
Publications and source records attributed to I I Il'in.
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Chrisanol therapy was provided to 172 men suffering from Reiter's disease, having histocompatibility antigen B35 and its combination with B27 as well as B17 and B11 indicating that the articular syndrome may run a persistent and grave course. Chrisanol therapy brought about a decrease of the activity of complement, lysozyme, bactericidal activity of blood serum, a reduction of the content of serum IgG, and autoimmune reactions parameters. Chrisanol therapy was tolerated well. The ten-year follow-up revealed relapses in 8.3% of the patients.
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In 84 white non-inbred rats, subjected to the effect of total continuous low-frequency vibration (8 Hz, 95 dB) for 1, 3, 7, 14, 20, 30 days, morphological and histoenzymatic changes have been studied in the nuclear neurons and in the cerebellar cortex. The former are presented as axonal reactions, as chromatolysis of various degree of manifestation, as changes in amount of hypochromic neurons, as glial reactions of various forms. They are interpreted as reactive and are of stage character. The histoenzymatic changes of the oxidation-reduction enzymes come to alterations in the activity of NAD and NADPH-dependent enzymes ratio and possible transformation of the cycle of tricarboxylic acids into the "incomplete" one. The structural and histoenzymatic changes correlate with each other.
The results of photochemotherapy of 5 patients with chronic benign familial pemphigus are described. Standard scheme with puvalen and PUVA-22A chamber (Finland) were employed. A course of inpatient treatment consisted of 10-25 irradiation sessions followed by outpatient maintenance photochemotherapy (once a week or two). Erosions and fissures started epithelializing after 8-12 irradiation sessions. A remission of up to 19 months was achieved in all the patients; it was more manifest and durable than after treatment with other schemes.
The authors compare the frequencies of recurrences after various methods of basalioma treatment on the basis of the literature data and their own findings with the patients subjected to skin cryodestruction for this condition in 1983-1988. The frequency of recurrences was found to be 2-4 percent and virtually unrelated to the treatment modality employed. Therefore in choosing the treatment strategy, the physician should consider other features of the therapeutic methods.
Standard microlymphocytic cytotoxic test was used in 43 cases of solitary keratoacanthoma. Increased incidence of HLA-B16 and HLA-B18 antigens was established. Presence of HLA-A2 was shown to adversely influence the course of the disease.
The complement fixation test, microprecipitation, leukocyte migration inhibition, leukocyte agglomeration phenomenon, direct and indirect immunofluorescence were used to demonstrate that chronic prostatovesiculitis associated with Reiter's disease may be of immune-induced nature. This requires a differentiated approach to the choice of the treatment policy. The methods of the treatment for the urogenital inflammatory focus in men suffering from Reiter's disease are provided. It is indicated that complete cure of Reiter's disease can be attained only after elimination of inflammation in the urogenital organs.
The results of cryodestruction treatment of basaliomas over 1983-1987 are analyzed. The authors compare the cost of cryodestruction and of the routine short-focus x-ray therapy; they come to the conclusion on the high therapeutic and economic efficacy of cryodestruction treatment of basaliomas of the skin.
The authors consider it desirable that the following forms of this condition be singled out as a nosologic entity: (1) atopic neurodermatitis, a hereditary disease with characteristic immunologic shifts; (2) chronic diffuse neurodermatitis of adults, a disease developed by subjects without atopic anamnesis, characterized by a torpid course; remissions and exacerbations are not season-associated; (3) chronic local neurodermatitis, a disease with a typical morphology in foci of involvement, with prolonged remissions following intensive local therapy.
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