Algorithm for Calcium Deficiency Correction in Young Children with Food Allergy Manifestations
Journal Title: Здоров`я дитини - Year 2014, Vol 6, Issue 57
Abstract
Objective — to develop algorithm for calcium deficiency correction in young children with food allergy (FA) manifestations. Materials and Methods. We have examined 150 children aged 1 to 3 years age with FA and sensitization to cow’s milk protein and in two study groups: 1) I group — children with FA manifestations and the laboratory signs of calcium deficiency (n = 56); 2) II group — children with FA manifestations without the laboratory signs of calcium deficiency (n = 94). The level of total calcium, inorganic phosphorus and vitamin 25(OH)D3 in blood serum were investigated. Results. As a result of inspection 150 children with FA, we have found decline of serum calcium concentration in 56 children (37.3 %) (fluctuations of parameters from 2.08 to 2.24 mmol/l). The same situation was marked in relation to the level of serum inorganic phosphorus in children of I group (fluctuations of parameters from 1.42 to 1.54 mmol/l). When analyzing the content of vitamin D3 in blood serum, it was discovered, that in children from the study groups this index was within the limits of age-dependent norm (fluctuations of indexes from 24.21 to 26.81 ng/ml). There has been developed an algorithm of differentiated therapeutic and prophylactic measures, including localization, fixation and elimination of causally significant allergens (hypoallergic diet, sorbents), anti-inflammatory therapy (antihistamines, inhibitor of mast cell degranulation, local therapy), correcting therapy for disorders of osteogenesis processes. After the conducted correction, normalization of indexes of total calcium and inorganic phosphorus was marked in the blood serum of children from I study group has been noted. Conclusion. Developed algorithm for differentiated therapeutic and prophylactic measures enables to reduce of activity of allergic inflammatory process and to normalize indexes, characterizing the processes of osteogenesis in young children with food allergy.
Authors and Affiliations
O. V. Kryazhev, L. S. Ovcharenko, A. O. Vertegel, I. V. Samokhin, T. G. Andriyenko, N. V. Zhikhareva
Atopic march in pediatrics: genotype-associated mechanisms Part 2. Perspective genotype-associated mechanisms and markers of atopic disorders in children
The review deals with the data of studies covering last 10 years held in populations of different countries concerning the association of atopic diseases, which compose the atopic march in children (atopic eczema, allerg...
The drugs based on molecular structures of antimicrobial peptides and their therapeutic potential in the treatment of infectious diseases of the respiratory tract (part 2)
Currently in medical practice, the effectiveness of the use of antimicrobial peptides, such as derivatives of cathelicidin (omiganan), defensin mimetic (brilacidin), α-helical magainin (pexiganan), synthetic antimicrobia...
Effectiveness of Allergen-Specific Immunotherapy in Children with Bronchial Asthma
The study of clinical and immunological effectiveness of specific allergen vaccination has been carried out among 487 children with bronchial asthma, depending on the duration of treatment, severity of illness and type o...
Intravenous Immunoglobulins: Mechanism of Action and Limitations of Clinical Application in Pediatrics
This review deals with an analysis of the available clinical studies and reports concerning the evaluation of the effectiveness and safety of intravenous immunoglobulins (IVIG) in various diseases in children. Intravenou...
Tocilizumab in the Treatment of Juvenile Rheumatoid Arthritis
In the development of rheumatic diseases, especially juvenile rheumatoid arthritis, the important role of some cytokines, most important of which are interleukin-1, interleukin-6 and tumor necrosis factor α, has been pro...