1 research outputs found
ΠΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΈΠΉ ΡΠ»ΡΡΠ°ΠΉ ΡΠΈΠ½Π΄ΡΠΎΠΌΠ° ΠΠ»ΠΎΡ Π° β Π‘ΡΠ»ΡΡΠ±Π΅ΡΠ³Π΅ΡΠ°
Purpose.To present a clinical case of Bloch Sulzberger syndrome.
Material and methods. The examinations were performed to diagnose the disease: Π° visual examination of the skin, cytological analysis of the gallbladder fluid, general and biochemical blood tests, genetic research.
Results.During a visual examination of the skin, a differential diagnosis was made with infectious dermatitis, toxic-allergic dermatitis, epidermolysis bullosa and linear IgA-dependent dermatosis in children. Crucial in the diagnosis belonged to a genetic study, after which a deletion of exons 410 of the IKBKG gene was detected, which confirmed Bloch Sulzberger syndrome.
Conclusion.Newborns with vesicle-bullous rashes entering the neonatal pathology department and observed by neonatologists require a thorough examination, a mandatory consultation of a dermatologist inorder to determine further management tactics.Π¦Π΅Π»Ρ.ΠΡΠ΅Π΄ΡΡΠ°Π²ΠΈΡΡ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΈΠΉ ΡΠ»ΡΡΠ°ΠΉ ΡΠΈΠ½Π΄ΡΠΎΠΌΠ° ΠΠ»ΠΎΡ
Π°Π‘ΡΠ»ΡΡΠ±Π΅ΡΠ³Π΅ΡΠ°.
ΠΠ°ΡΠ΅ΡΠΈΠ°Π» ΠΈ ΠΌΠ΅ΡΠΎΠ΄Ρ.ΠΠ»Ρ Π΄ΠΈΠ°Π³Π½ΠΎΡΡΠΈΠΊΠΈ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΡ Π±ΡΠ»ΠΈ ΠΏΡΠΎΠ²Π΅Π΄Π΅Π½Ρ ΠΎΡΠΌΠΎΡΡ ΠΊΠΎΠΆΠΈ, ΡΠΈΡΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈΠΉ Π°Π½Π°Π»ΠΈΠ· ΠΏΡΠ·ΡΡΠ½ΠΎΠΉ ΠΆΠΈΠ΄ΠΊΠΎΡΡΠΈ, ΠΎΠ±ΡΠΈΠΉ ΠΈ Π±ΠΈΠΎΡ
ΠΈΠΌΠΈΡΠ΅ΡΠΊΠΈΠΉ Π°Π½Π°Π»ΠΈΠ·Ρ ΠΊΡΠΎΠ²ΠΈ, Π³Π΅Π½Π΅ΡΠΈΡΠ΅ΡΠΊΠΎΠ΅ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠ΅.
Π Π΅Π·ΡΠ»ΡΡΠ°ΡΡ.ΠΡΠΈ ΠΎΡΠΌΠΎΡΡΠ΅ ΠΊΠΎΠΆΠΈ Π±ΡΠ» ΠΏΡΠΎΠ²Π΅Π΄Π΅Π½ Π΄ΠΈΡΡΠ΅ΡΠ΅Π½ΡΠΈΠ°Π»ΡΠ½ΡΠΉ Π΄ΠΈΠ°Π³Π½ΠΎΠ· Ρ Π΄Π΅ΡΠΌΠ°ΡΠΈΡΠ°ΠΌΠΈ, Π±ΡΠ»Π»Π΅Π·Π½ΡΠΌ ΡΠΏΠΈΠ΄Π΅ΡΠΌΠΎΠ»ΠΈΠ·ΠΎΠΌ ΠΈ Π»ΠΈΠ½Π΅Π°ΡΠ½ΡΠΌ IgA-Π·Π°Π²ΠΈΡΠΈΠΌΡΠΌ Π΄Π΅ΡΠΌΠ°ΡΠΎΠ·ΠΎΠΌ Ρ Π΄Π΅ΡΠ΅ΠΉ. Π Π΅ΡΠ°ΡΡΠ΅Π΅ Π·Π½Π°ΡΠ΅Π½ΠΈΠ΅ Π² ΠΏΠΎΡΡΠ°Π½ΠΎΠ²ΠΊΠ΅ Π΄ΠΈΠ°Π³Π½ΠΎΠ·Π° ΠΏΡΠΈΠ½Π°Π΄Π»Π΅ΠΆΠ°Π»ΠΎ Π³Π΅Π½Π΅ΡΠΈΡΠ΅ΡΠΊΠΎΠΌΡ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ, ΠΏΠΎΡΠ»Π΅ ΠΏΡΠΎΠ²Π΅Π΄Π΅Π½ΠΈΡ ΠΊΠΎΡΠΎΡΠΎΠ³ΠΎ Π±ΡΠ»Π° Π²ΡΡΠ²Π»Π΅Π½Π° Π΄Π΅Π»Π΅ΡΠΈΡ ΡΠΊΠ·ΠΎΠ½ΠΎΠ² 410 Π³Π΅Π½Π° IKBKG, ΡΡΠΎ ΠΏΠΎΠ΄ΡΠ²Π΅ΡΠ΄ΠΈΠ»ΠΎ ΡΠΈΠ½Π΄ΡΠΎΠΌ ΠΠ»ΠΎΡ
Π°Π‘ΡΠ»ΡΡΠ±Π΅ΡΠ³Π΅ΡΠ°.
ΠΠ°ΠΊΠ»ΡΡΠ΅Π½ΠΈΠ΅.ΠΠΎΠ²ΠΎΡΠΎΠΆΠ΄Π΅Π½Π½ΡΠ΅ Ρ Π²Π΅Π·ΠΈΠΊΡΠ»ΠΎ-Π±ΡΠ»Π»Π΅Π·Π½ΡΠΌΠΈ Π²ΡΡΡΠΏΠ°Π½ΠΈΡΠΌΠΈ, ΠΏΠΎΡΡΡΠΏΠ°ΡΡΠΈΠ΅ Π² ΠΎΡΠ΄Π΅Π»Π΅Π½ΠΈΠ΅ ΠΏΠ°ΡΠΎΠ»ΠΎΠ³ΠΈΠΈ Π½ΠΎΠ²ΠΎΡΠΎΠΆΠ΄Π΅Π½Π½ΡΡ
ΠΈ Π½Π°Π±Π»ΡΠ΄Π°Π΅ΠΌΡΠ΅ Π½Π΅ΠΎΠ½Π°ΡΠΎΠ»ΠΎΠ³Π°ΠΌΠΈ, ΡΡΠ΅Π±ΡΡΡ ΡΡΠ°ΡΠ΅Π»ΡΠ½ΠΎΠ³ΠΎ ΠΎΠ±ΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ, ΠΎΠ±ΡΠ·Π°ΡΠ΅Π»ΡΠ½ΠΎΠΉ ΠΊΠΎΠ½ΡΡΠ»ΡΡΠ°ΡΠΈΠΈ Π΄Π΅ΡΠΌΠ°ΡΠΎΠ»ΠΎΠ³Π° Ρ ΡΠ΅Π»ΡΡ ΠΎΠΏΡΠ΅Π΄Π΅Π»Π΅Π½ΠΈΡ Π΄Π°Π»ΡΠ½Π΅ΠΉΡΠ΅ΠΉ ΡΠ°ΠΊΡΠΈΠΊΠΈ Π²Π΅Π΄Π΅Π½ΠΈΡ