Реакции гиперчувствительности инсектного генеза у детей
Реакции гиперчувствительности инсектного генеза у детей
Мильдзихова Д.Р., Невозинская З.А., Корсунская И.М. Реакции гиперчувствительности инсектного генеза у детей. Педиатрия. Consilium Medicum. 2020; 2: 46–49. DOI: 10.26442/26586630.2020.2.200219
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Аннотация
Насекомые составляют 1/2 живых организмов на планете. Укусы насекомых – распространенное явление, обычно не требующее обращения за специализированным лечением. Установить достоверную частоту аллергических реакций на укусы насекомых практически невозможно. Наиболее часто к специалисту обращаются по поводу выраженных кожных проявлений у детей ввиду укусов комаров, пчел, клопов, вшей и блох. Самый пик обращений приходится на летний период, так, по некоторым данным, укусы насекомых являются причиной обращений за помощью в 44% случаях. Кожные проявления аллергии зачастую обусловлены не самим укусом, а различными ферментами в слюне насекомого. Укусы насекомых могут проявляться в виде крапивницы или реакций замедленного типа с папулами, язвами или пузырями, сохраняющимися в течение нескольких недель. Основной проблемой при укусах насекомых является интенсивный зуд, который может стать причиной присоединения бактериальной инфекции. Ввиду этого терапия инсектных аллергий в первую очередь направлена на купирование зуда. У детей в разных возрастных группах вне зависимости от локализации укусов может применяться гель, содержащий диметиндена малеат, демонстрирующий высокую эффективность при аллергодерматозах.
Ключевые слова: инсектная аллергия, укусы насекомых, зуд, диметиндена малеат.
Key words: insect allergy, insect bites, pruritus, dimethindene maleate.
Ключевые слова: инсектная аллергия, укусы насекомых, зуд, диметиндена малеат.
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Key words: insect allergy, insect bites, pruritus, dimethindene maleate.
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27. Cummings C, Finlay JC, MacDonald NE. Head lice infestations: A clinical update. Paediatr Child Health 2018; 23 (1): e18–e24. DOI: 10.1093/pch/pxx165
28. Chin HC, Ahmad NW, Lim LH et al. Infestation with the cat flea, Ctenocephalides felis felis (Siphonaptera: Pulicidae) among students in Kuala Lumpur, Malaysia. Southeast Asian J Trop Med Public Health 2010; 41: 1331–4.
29. Chua EC, Goh KJ. A flea-borne outbreak of dermatitis. Ann Acad Med Singapore 1987; 16: 648–50.
30. Ласица О.И., Яковлева Н.Ю., Леуш В.Т. Опыт применения препарата Фенистил у детей с аллергодерматозами. Совр. педиатр. 2004; 2 (3): 61–4.
[Lasitsa O.I., Iakovleva N.Iu., Leush V.T. Opyt primeneniia preparata Fenistil u detei s allergodermatozami. Sovr. pediatr. 2004; 2 (3): 61–4 (in Russian).]
31. Перламутров Ю.Н., Ольховская К.Б. Терапия зуда при аллергических заболеваниях кожи. Рос. аллергологический журн. 2014; 1: 69–72.
32. Коган Б.Г., Терлецкий В.Б., Терлецкий Р.В. Современная терапия аллергических дерматозов. Вересень. 2005; 3: 22–4.
[Kogan B.G., Terletskii V.B., Terletskii R.V. Sovremennaia terapiia allergicheskikh dermatozov. Veresen'. 2005; 3: 22–4 (in Russian).]
33. Катона М., Терек Е. Применение диметиндена малеата при различных зудящих заболеваниях кожи в детском возрасте. Лечащий врач. 2011; 4: 86–7.
[Kogan B.G., Terletskii V.B., Terletskii R.V. Sovremennaia terapiia allergicheskikh dermatozov. Veresen'. 2005; 3: 22–4 (in Russian).]
34. Феденко Е.С., Елисютина О.Г., Ильина Н.И. Эффективность и безопасность диметиндена малеата в клинической практике. Рос. аллергологический журн. 2013; 6: 64–8.
[Fedenko E.S., Elisiutina O.G., Il'ina N.I. Effektivnost' i bezopasnost' dimetindena maleata v klinicheskoi praktike. Ros. allergologicheskii zhurn. 2013; 6: 64–8 (in Russian).]
2. Xavier DM, Cezar-Vaz MR, Bonow CA, Schimith MD. Work accidents with children and youth in a rural environment in southern Brazil. Rev Lat Am Enfermagem 2020; 28: e3243. DOI: 10.1590/1518-8345.3188.3243
3. Karthikeyan K, Thappa DM, Jeevankumar B. Pattern of pediatric dermatoses in a referral center in South India. Indian Pediatr 2004; 41: 373–7.
4. Banerjee S, Gangopadhyay DN, Jana S, Chanda M. Seasonal Variation in pediatric dermatosis. Indian J Dermatol 2010; 55: 44–6.
5. Shvets S.M. Allergicheskie reaktsii na iad zhaliashchikh nasekomykh. Ros. allergologicheskii zhurn. 2004; 3: 9–18 (in Russian).
6. Singh S, Mann BK. Insect bite reactions. Indian J Dermatol Venereol Leprol 2013; 79 (2): 151–64. DOI: 10.4103/0378-6323.107629
7. James AA, Rossignol PA. Mosquito salivary glands: parasitological and molecular aspects. Parasitol Today 1991; 7: 267–71. Ribeiro JM. Vector salivation and parasite transmission. Mem Inst Oswaldo Cruz 1987; 82 (Suppl. 3): 1–3.
8. Smallegange RC, Verhulst NO, Takken W. Sweaty skin: an invitation to bite? Trends Parasitol 2011; 27: 143–8.
9. Michael E, Ramaiah KD, Hoti SL et al. Quantifying mosquito biting patterns on humans by DNA fingerprinting of bloodmeals. Am J Trop Med Hyg 2001; 65: 722–8.
10. Carnevale P, Frézil JL, Bosseno MF et al. The aggressiveness of Anopheles gambiae A in relation to the age and sex of the human subjects. Bull World Health Organ 1978; 56: 147–54.
11. Oliveira SK, Trevisol DJ, Parma GC et al. Honey bee envenoming in Santa Catarina, Brazil, 2007 through 2017: an observational, retrospective cohort study. Rev Soc Bras Med Trop 2019; 52: e20180418. DOI: 10.1590/0037-8682-0418-2018
12. Diniz AG, Belmino JF, Araújo KA et al. Epidemiology of honeybee sting cases in the state of ceará, northeastern Brazil. Rev Inst Med Trop Sao Paulo 2016; 58: 40. DOI: 10.1590/S1678-9946201658040
13. Reinhardt K, Kempke D, Naylor R, Siva-Jothy MT. Sensitivity to bites by the bedbug, Cimex lectularius. Med Vet Ent 2009; 23: 163–6.
14. Valenzuela JG, Ribeiro JM. Purification and cloning of the salivary nitrophorin from the hemipteran Cimex lectularius. J Exp Biol 1998; 201: 2659–64.
15. Valenzuela JG, Guimaraes JA, Ribeiro JM. A novel inhibitor of factor X activation from the salivary glands of the bed bug Cimex lectularius. Exp Parasitol 1996; 83: 184–90.
16. Valenzuela JG, Charlab R, Galperin MY, Ribeiro JM. Purification, cloning, and expression of an apyrase from the bed bug Cimex lectularius: A new type of nucleotide-binding enzyme. J Biol Chem 1998; 273: 30583–90.
17. Kočišová A. The occurrence of bedbug (Cimex lectularius) in Eastern Slovakia. Dezinfekce Dezinsekce Deratizace 2006; 15.
18. Mullen GR, Durden LA. Medical and Veterinary Entomology, Second Ed. Amsterdam: Academic Press Elsevier; 2009.
19. Reinhardt K, Kempke D, Naylor RA, Siva-Jothy MT. Sensitivity to bites by the bedbug, Cimex lectularius. Med Vet Entomol 2009; 23: 163–6.
20. Goddard J, de Shazo R. Bedbugs (Cimex lectularius) and clinical consequences of their bites. J Am Med Assoc 2009; 301: 1358–66.
21. Doggett SL, Dwyer DE, Peñas PF, Russell RC. Bedbugs: clinical relevance and control options. Clin Microbiol Rev 2012; 25: 164–92.
22. Lowe CF, Romney MG. Bedbugs as vectors for drug-resistant bacteria. Emerging Infect Dis J 2011; 17: 1132–4.
23. Van der Wouden JC, Klootwijk T, Le Cleach L et al. Interventions for treating head lice Cochrane Database. Wiley Online Library; 2011. DOI: 10.1093/database/baq027
24. Centers for Disease Control and Prevention website. Parasites – lice – head lice. http://www.cdc.gov/parasites/lice/head/index.html
25. Falagas ME, Matthaiou DK, Rafailidis PI et al. Worldwide prevalence of head lice. Emerg Infect Dis 2008; 14 (9): 1493–4.
26. Kartashova OV, Lobuteva LA, Zakharova OV et al. Medical and Social Factors of Pediculosis. Open Access Maced J Med Sci 2019; 7 (19): 3240–4. DOI: 10.3889/oamjms.2019.699
27. Cummings C, Finlay JC, MacDonald NE. Head lice infestations: A clinical update. Paediatr Child Health 2018; 23 (1): e18–e24. DOI: 10.1093/pch/pxx165
28. Chin HC, Ahmad NW, Lim LH et al. Infestation with the cat flea, Ctenocephalides felis felis (Siphonaptera: Pulicidae) among students in Kuala Lumpur, Malaysia. Southeast Asian J Trop Med Public Health 2010; 41: 1331–4.
29. Chua EC, Goh KJ. A flea-borne outbreak of dermatitis. Ann Acad Med Singapore 1987; 16: 648–50.
30. Lasitsa O.I., Iakovleva N.Iu., Leush V.T. Opyt primeneniia preparata Fenistil u detei s allergodermatozami. Sovr. pediatr. 2004; 2 (3): 61–4 (in Russian).
31. Перламутров Ю.Н., Ольховская К.Б. Терапия зуда при аллергических заболеваниях кожи. Рос. аллергологический журн. 2014; 1: 69–72.
32. Kogan B.G., Terletskii V.B., Terletskii R.V. Sovremennaia terapiia allergicheskikh dermatozov. Veresen'. 2005; 3: 22–4 (in Russian).
33. Kogan B.G., Terletskii V.B., Terletskii R.V. Sovremennaia terapiia allergicheskikh dermatozov. Veresen'. 2005; 3: 22–4 (in Russian).
34. Fedenko E.S., Elisiutina O.G., Il'ina N.I. Effektivnost' i bezopasnost' dimetindena maleata v klinicheskoi praktike. Ros. allergologicheskii zhurn. 2013; 6: 64–8 (in Russian).
2. Xavier DM, Cezar-Vaz MR, Bonow CA, Schimith MD. Work accidents with children and youth in a rural environment in southern Brazil. Rev Lat Am Enfermagem 2020; 28: e3243. DOI: 10.1590/1518-8345.3188.3243
3. Karthikeyan K, Thappa DM, Jeevankumar B. Pattern of pediatric dermatoses in a referral center in South India. Indian Pediatr 2004; 41: 373–7.
4. Banerjee S, Gangopadhyay DN, Jana S, Chanda M. Seasonal Variation in pediatric dermatosis. Indian J Dermatol 2010; 55: 44–6.
5. Швец С.М. Аллергические реакции на яд жалящих насекомых. Рос. аллергологический журн. 2004; 3: 9–18.
[Shvets S.M. Allergicheskie reaktsii na iad zhaliashchikh nasekomykh. Ros. allergologicheskii zhurn. 2004; 3: 9–18 (in Russian).]
6. Singh S, Mann BK. Insect bite reactions. Indian J Dermatol Venereol Leprol 2013; 79 (2): 151–64. DOI: 10.4103/0378-6323.107629
7. James AA, Rossignol PA. Mosquito salivary glands: parasitological and molecular aspects. Parasitol Today 1991; 7: 267–71. Ribeiro JM. Vector salivation and parasite transmission. Mem Inst Oswaldo Cruz 1987; 82 (Suppl. 3): 1–3.
8. Smallegange RC, Verhulst NO, Takken W. Sweaty skin: an invitation to bite? Trends Parasitol 2011; 27: 143–8.
9. Michael E, Ramaiah KD, Hoti SL et al. Quantifying mosquito biting patterns on humans by DNA fingerprinting of bloodmeals. Am J Trop Med Hyg 2001; 65: 722–8.
10. Carnevale P, Frézil JL, Bosseno MF et al. The aggressiveness of Anopheles gambiae A in relation to the age and sex of the human subjects. Bull World Health Organ 1978; 56: 147–54.
11. Oliveira SK, Trevisol DJ, Parma GC et al. Honey bee envenoming in Santa Catarina, Brazil, 2007 through 2017: an observational, retrospective cohort study. Rev Soc Bras Med Trop 2019; 52: e20180418. DOI: 10.1590/0037-8682-0418-2018
12. Diniz AG, Belmino JF, Araújo KA et al. Epidemiology of honeybee sting cases in the state of ceará, northeastern Brazil. Rev Inst Med Trop Sao Paulo 2016; 58: 40. DOI: 10.1590/S1678-9946201658040
13. Reinhardt K, Kempke D, Naylor R, Siva-Jothy MT. Sensitivity to bites by the bedbug, Cimex lectularius. Med Vet Ent 2009; 23: 163–6.
14. Valenzuela JG, Ribeiro JM. Purification and cloning of the salivary nitrophorin from the hemipteran Cimex lectularius. J Exp Biol 1998; 201: 2659–64.
15. Valenzuela JG, Guimaraes JA, Ribeiro JM. A novel inhibitor of factor X activation from the salivary glands of the bed bug Cimex lectularius. Exp Parasitol 1996; 83: 184–90.
16. Valenzuela JG, Charlab R, Galperin MY, Ribeiro JM. Purification, cloning, and expression of an apyrase from the bed bug Cimex lectularius: A new type of nucleotide-binding enzyme. J Biol Chem 1998; 273: 30583–90.
17. Kočišová A. The occurrence of bedbug (Cimex lectularius) in Eastern Slovakia. Dezinfekce Dezinsekce Deratizace 2006; 15.
18. Mullen GR, Durden LA. Medical and Veterinary Entomology, Second Ed. Amsterdam: Academic Press Elsevier; 2009.
19. Reinhardt K, Kempke D, Naylor RA, Siva-Jothy MT. Sensitivity to bites by the bedbug, Cimex lectularius. Med Vet Entomol 2009; 23: 163–6.
20. Goddard J, de Shazo R. Bedbugs (Cimex lectularius) and clinical consequences of their bites. J Am Med Assoc 2009; 301: 1358–66.
21. Doggett SL, Dwyer DE, Peñas PF, Russell RC. Bedbugs: clinical relevance and control options. Clin Microbiol Rev 2012; 25: 164–92.
22. Lowe CF, Romney MG. Bedbugs as vectors for drug-resistant bacteria. Emerging Infect Dis J 2011; 17: 1132–4.
23. Van der Wouden JC, Klootwijk T, Le Cleach L et al. Interventions for treating head lice Cochrane Database. Wiley Online Library; 2011. DOI: 10.1093/database/baq027
24. Centers for Disease Control and Prevention website. Parasites – lice – head lice. http://www.cdc.gov/parasites/lice/head/index.html
25. Falagas ME, Matthaiou DK, Rafailidis PI et al. Worldwide prevalence of head lice. Emerg Infect Dis 2008; 14 (9): 1493–4.
26. Kartashova OV, Lobuteva LA, Zakharova OV et al. Medical and Social Factors of Pediculosis. Open Access Maced J Med Sci 2019; 7 (19): 3240–4. DOI: 10.3889/oamjms.2019.699
27. Cummings C, Finlay JC, MacDonald NE. Head lice infestations: A clinical update. Paediatr Child Health 2018; 23 (1): e18–e24. DOI: 10.1093/pch/pxx165
28. Chin HC, Ahmad NW, Lim LH et al. Infestation with the cat flea, Ctenocephalides felis felis (Siphonaptera: Pulicidae) among students in Kuala Lumpur, Malaysia. Southeast Asian J Trop Med Public Health 2010; 41: 1331–4.
29. Chua EC, Goh KJ. A flea-borne outbreak of dermatitis. Ann Acad Med Singapore 1987; 16: 648–50.
30. Ласица О.И., Яковлева Н.Ю., Леуш В.Т. Опыт применения препарата Фенистил у детей с аллергодерматозами. Совр. педиатр. 2004; 2 (3): 61–4.
[Lasitsa O.I., Iakovleva N.Iu., Leush V.T. Opyt primeneniia preparata Fenistil u detei s allergodermatozami. Sovr. pediatr. 2004; 2 (3): 61–4 (in Russian).]
31. Перламутров Ю.Н., Ольховская К.Б. Терапия зуда при аллергических заболеваниях кожи. Рос. аллергологический журн. 2014; 1: 69–72.
32. Коган Б.Г., Терлецкий В.Б., Терлецкий Р.В. Современная терапия аллергических дерматозов. Вересень. 2005; 3: 22–4.
[Kogan B.G., Terletskii V.B., Terletskii R.V. Sovremennaia terapiia allergicheskikh dermatozov. Veresen'. 2005; 3: 22–4 (in Russian).]
33. Катона М., Терек Е. Применение диметиндена малеата при различных зудящих заболеваниях кожи в детском возрасте. Лечащий врач. 2011; 4: 86–7.
[Kogan B.G., Terletskii V.B., Terletskii R.V. Sovremennaia terapiia allergicheskikh dermatozov. Veresen'. 2005; 3: 22–4 (in Russian).]
34. Феденко Е.С., Елисютина О.Г., Ильина Н.И. Эффективность и безопасность диметиндена малеата в клинической практике. Рос. аллергологический журн. 2013; 6: 64–8.
[Fedenko E.S., Elisiutina O.G., Il'ina N.I. Effektivnost' i bezopasnost' dimetindena maleata v klinicheskoi praktike. Ros. allergologicheskii zhurn. 2013; 6: 64–8 (in Russian).]
________________________________________________
2. Xavier DM, Cezar-Vaz MR, Bonow CA, Schimith MD. Work accidents with children and youth in a rural environment in southern Brazil. Rev Lat Am Enfermagem 2020; 28: e3243. DOI: 10.1590/1518-8345.3188.3243
3. Karthikeyan K, Thappa DM, Jeevankumar B. Pattern of pediatric dermatoses in a referral center in South India. Indian Pediatr 2004; 41: 373–7.
4. Banerjee S, Gangopadhyay DN, Jana S, Chanda M. Seasonal Variation in pediatric dermatosis. Indian J Dermatol 2010; 55: 44–6.
5. Shvets S.M. Allergicheskie reaktsii na iad zhaliashchikh nasekomykh. Ros. allergologicheskii zhurn. 2004; 3: 9–18 (in Russian).
6. Singh S, Mann BK. Insect bite reactions. Indian J Dermatol Venereol Leprol 2013; 79 (2): 151–64. DOI: 10.4103/0378-6323.107629
7. James AA, Rossignol PA. Mosquito salivary glands: parasitological and molecular aspects. Parasitol Today 1991; 7: 267–71. Ribeiro JM. Vector salivation and parasite transmission. Mem Inst Oswaldo Cruz 1987; 82 (Suppl. 3): 1–3.
8. Smallegange RC, Verhulst NO, Takken W. Sweaty skin: an invitation to bite? Trends Parasitol 2011; 27: 143–8.
9. Michael E, Ramaiah KD, Hoti SL et al. Quantifying mosquito biting patterns on humans by DNA fingerprinting of bloodmeals. Am J Trop Med Hyg 2001; 65: 722–8.
10. Carnevale P, Frézil JL, Bosseno MF et al. The aggressiveness of Anopheles gambiae A in relation to the age and sex of the human subjects. Bull World Health Organ 1978; 56: 147–54.
11. Oliveira SK, Trevisol DJ, Parma GC et al. Honey bee envenoming in Santa Catarina, Brazil, 2007 through 2017: an observational, retrospective cohort study. Rev Soc Bras Med Trop 2019; 52: e20180418. DOI: 10.1590/0037-8682-0418-2018
12. Diniz AG, Belmino JF, Araújo KA et al. Epidemiology of honeybee sting cases in the state of ceará, northeastern Brazil. Rev Inst Med Trop Sao Paulo 2016; 58: 40. DOI: 10.1590/S1678-9946201658040
13. Reinhardt K, Kempke D, Naylor R, Siva-Jothy MT. Sensitivity to bites by the bedbug, Cimex lectularius. Med Vet Ent 2009; 23: 163–6.
14. Valenzuela JG, Ribeiro JM. Purification and cloning of the salivary nitrophorin from the hemipteran Cimex lectularius. J Exp Biol 1998; 201: 2659–64.
15. Valenzuela JG, Guimaraes JA, Ribeiro JM. A novel inhibitor of factor X activation from the salivary glands of the bed bug Cimex lectularius. Exp Parasitol 1996; 83: 184–90.
16. Valenzuela JG, Charlab R, Galperin MY, Ribeiro JM. Purification, cloning, and expression of an apyrase from the bed bug Cimex lectularius: A new type of nucleotide-binding enzyme. J Biol Chem 1998; 273: 30583–90.
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Авторы
Д.Р. Мильдзихова1, З.А. Невозинская2, И.М. Корсунская*1
1 ФГБУН «Центр теоретических проблем физико-химической фармакологии» РАН, Москва, Россия;
2 ГБУЗ «Московский научно-практический центр дерматовенерологии и косметологии» Департамента здравоохранения г. Москвы, Москва, Россия
*marykor@bk.ru
1 Center for Theoretical Problems of Physical and Chemical Pharmacology, Moscow, Russia;
2 Moscow Scientific and Practical Center of Dermatovenerology and Cosmetology, Moscow, Russia
*marykor@bk.ru
1 ФГБУН «Центр теоретических проблем физико-химической фармакологии» РАН, Москва, Россия;
2 ГБУЗ «Московский научно-практический центр дерматовенерологии и косметологии» Департамента здравоохранения г. Москвы, Москва, Россия
*marykor@bk.ru
________________________________________________
1 Center for Theoretical Problems of Physical and Chemical Pharmacology, Moscow, Russia;
2 Moscow Scientific and Practical Center of Dermatovenerology and Cosmetology, Moscow, Russia
*marykor@bk.ru
Цель портала OmniDoctor – предоставление профессиональной информации врачам, провизорам и фармацевтам.