Герпетические инфекции и аллергические заболевания у детей
Герпетические инфекции и аллергические заболевания у детей
Максимова А.В., Смолкин Ю.С. Герпетические инфекции и аллергические заболевания у детей. Педиатрия. Consilium Medicum. 2020; 4: 44–51. DOI: 10.26442/26586630.2020.4.200542
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Maximova A.V., Smolkin Yu.S. Herpes infections and allergic diseases in children. Child with transplanted kidney – difficult patient: peculiarities of medical observation, interaction with family. Pediatrics. Consilium Medicum. 2020; 4: 44–51. DOI: 10.26442/26586630.2020.4.200542
Герпетические инфекции и аллергические заболевания у детей
Максимова А.В., Смолкин Ю.С. Герпетические инфекции и аллергические заболевания у детей. Педиатрия. Consilium Medicum. 2020; 4: 44–51. DOI: 10.26442/26586630.2020.4.200542
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Maximova A.V., Smolkin Yu.S. Herpes infections and allergic diseases in children. Child with transplanted kidney – difficult patient: peculiarities of medical observation, interaction with family. Pediatrics. Consilium Medicum. 2020; 4: 44–51. DOI: 10.26442/26586630.2020.4.200542
Ежегодно частота встречаемости аллергической патологии существенно возрастает. Герпетическая же инфекция является постоянным спутником человека. Учитывая высокий процент инфицированности герпес-вирусами, а также их практически пожизненную персистенцию у пациентов, вопросы ассоциации герпес-инфекций и аллергических заболеваний являются особенно актуальными. Наиболее часто герпес-инфекции осложняют течение атопического дерматита у детей, приводя к развитию как острой, так и рецидивирующей герпетической экземы. Ветряная оспа у детей с атопическим дерматитом протекает тяжелее, зачастую осложняясь присоединением вторичной бактериальной инфекции. Доказано, что герпес-инфекции усугубляют течение бронхиальной астмы, а также могут выступать триггером развития острой и хронической крапивницы. С точки зрения лечения атопических заболеваний, ассоциированных с герпес-инфекциями, при планировании терапии помимо стандартного лечения необходимо проводить патогенетическую противовирусную терапию.
The frequency of allergic pathology increases significantly every year. Herpetic infection is a constant companion of a person. Given the high percentage of herpes viruses infected, as well as their almost lifelong persistence in patients, the Association of herpes infections and allergic diseases is particularly relevant. Most often, herpes infections complicate the course of atopic dermatitis in children, often leading to the development of both acute and recurrent herpetic eczema. Chickenpox in children with atopic dermatitis is more severe, often complicated by the addition of a secondary bacterial infection. It is proved that herpes infections worsen the course of bronchial asthma, and can also trigger the development of acute and chronic urticaria. From the point of view of treatment of atopic diseases associated with herpes infections, in addition to standard treatment, it is necessary to conduct pathogenetic antiviral therapy when planning therapy.
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Авторы
А.В. Максимова 1*, Ю.С. Смолкин 1,2
1 OOO «Научно-клинический консультативный центр аллергологии и иммунологии», Москва, Россия;
2 ФГБУ «Государственный научный центр "Институт иммунологии"» ФМБА России, Москва, Россия
Anna V. Maximova 1*, Yury S. Smolkin 1,2
1 Scientific and Clinical Advisory Center of Allergy and Immunology, Moscow, Russia;
2 State Research Center "Institute of Immunology", Moscow, Russia