ГоловнаArchive of numbers2017Volume 25, issue 2 (91)Prediction of the severity of myasthenia gravis depending on the structural changes of the thymus
Title of the article | Prediction of the severity of myasthenia gravis depending on the structural changes of the thymus | ||||
Authors |
Samoilova Hanna |
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In the section | DIAGNOSTICS AND THERAPY OF NEUROLOGICAL DISORDERS | ||||
Year | 2017 | Issue | Volume 25, issue 2 (91) | Pages | 28-30 |
Type of article | Scientific article | Index UDK | 616.831.8-009.17:616.438:53.083.3 | Index BBK | - |
Abstract | The results of clinical and immunological examination of 102 patients with myasthenia gravis have been analyzed. Was found that the thymus structure changes aff ect the severity of the disease according to the indicators of QMG scale (the most severe course was in patients with myasthenia gravis+ thymoma, the easiest — in patients without structural changes in the thymus). For patients with myasthenia gravis without structural changes of thymus criteria of the disease severity are: reduction of phagocytic index, inhibition of expression of CD8+ expression and increased CD50+ and CD54+. For patients with myasthenia + thymic hyperplasia criteria of the disease severity are: inhibition of expression of CD8+, and increased expression of CD16+, CD50+ and CD54+. For patients with myasthenia+ thymoma inhibition of: reduction of phagocytic index, inhibition of expression of CD11a+, increased expression of CD11b+, CD16+, CD19+, CD50+ and CD54+. | ||||
Key words | myasthenia gravis, the thymus hyperplasia, thymoma, immunological imbalance | ||||
Access to full text version of the article pdf | download | ||||
Bibliography | 1. Бойко В. В., Климова Е. М., Кудревич А. Н. Лечение миастении с учетом иммунофизиологи чес ких фенотипов. Харьков :
Изд-во Шейниной Е. В., 2008. 424 с.
2. Иммунологическая характеристика различных видов миастении и тимом / [В. В.Бойко, Е. М. Климова, Ю. П. Костя, А. П. Самойлова] // Харківська хірургічна школа. 2013. № 6 (63). С. 33—34. 3. Клинико-иммунологи чес кие особенности у пациентов с миастенией в зависимости от структуры тимуса / [Е. Л. Товажнянская, Е. М. Климова, А. П. Самойлова и др.] // Неврология и нейрохирургия. 2015. № 4. С. 15—23. 4. Современные взгляды на диаг ностику и лечение миастении [Электронный ресурс] / В. В. Бойко, Н. П. Волошина, О. В. Егоркина [и др.] // НейроNews. 2009. Режим доступа : http://neuronews.com. ua/page/sovremennye-vzglyady-na-diagnostiku-i-lechenie-miastenii. 5. EFNS/ENS Guidelines for the treatment of ocular myasthenia / E. Kertya, A. Elsaisa, Z. Argovc [et al.] // European Journal of Neurology. 2014. № 2. Р. 687—693. DOI: 10.1111/ene.12359 6. International consensus guidance for management of myasthenia gravis [Electronic Resource] / [Donald B. Sanders, Gil I. Wolfe, Michael Benatar et al.] // Neurology. 2016. URL : http://www. neurology.org/content/early/2016/06/29/WNL.0000000000002790. full.pdf+html. 7. The quantitative myasthenia gravis score: comparison with clinical, electrophysiological, and laboratory markers / [C. Barnett, H. Katzberg, M. Nabavi, V. Bril] // J Clin Neuromuscul Dis. 2012. Vol. 13 (4). P. 201—205. |