[Correlation of the results of bacteriological and bronchological examination of bronchial secretion in children].
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Biomedical subjects
Publications and source records attributed to J Zebrak.
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Bronchial secretions from 207 children suffering from various pulmonary diseases and from 15 healthy controls were tested concentration of IgA, IgG, lactoferrin and lysozyme. The results obtained suggest that in many cases of chronic lung diseases in children the levels of lactoferrin and immunoglobulins, especially secretory IgA, are very low. In severe infections (cystic fibrosis, bronchiectases) significant increase of IgG concentration was observed.
The concentration of immunoglobulins, lactoferrin and lysozyme we compared in bronchial secretions obtained from children with various chronic lung diseases. The IgG, lactoferrin and lysozyme, but not secretory IgA, concentrations were shown to be increased during chronic inflammatory response.
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In a group of 223 children with various chronic, non-specific respiratory diseases, the levels of serum inhibitory proteolytic enzymes in bronchial secretions was measured. Activity of inhibitory proteolytic enzymes was analyzed according to the nature of bronchial lesions observed at bronchoscopy and character and cellular composition of bronchial secretion. Statistically significant increase of the mean inhibitory value in comparison to values in the control group, was found in children with recurrent bronchitis (a-1-AT), cystic fibrosis (a-1-AT and a-1-X), chronic bronchitis (a-1-X), bronchiectases (a-1-X) and in children with obstructive bronchitis (a-2-M).
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