Biochemical indicators and course of dermatosis in children with psoriasis depending on the body mass index

E. Murzina
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Abstract

The aim. To study the effect of increased body weight in children with psoriasis on the indicators of the biochemical profile and the severity of the pathological process. Materials and methods. The indicators of the biochemical profile were studied in 108 children, namely: the level of total protein, total bilirubin, cholesterol, liver enzymes (ALT, AST, GGT), triglycerides and low density lipoproteins, creatinine, urea, uric acid (UA), depending on the mass index body (BMI). The research materials were statistically processed using parametric analysis methods using the STATISTICA 13.3 software (developed by StatSoft. Inc). Results. Lipid profile indices both in the group of children with normal BMI and in the group of children with increased BMI are within the reference values. Statistically significant differences were found between the average GGT level in the group of children with increased BMI compared with the indicators in the group of children with normal BMI and indicators in the children of the control group. Also, in children with increased BMI, the average UA level is statistically significant higher than in children of the control group and has direct moderate and significant correlations with indices of the severity of the pathological process. In children with increased BMI, psoriasis severity indices correlate with BMI: PGA (r=0.51, p<0,01) BSA (r=0.48, p<0,01), PASI at the beginning of treatment (r=0.41, p<0,05) and PASI at the end of treatment (r=0.67, p<0.001) and percentage of excess body weight: BSA (r=0.34, p<0,05), PASI at the end of treatment (r=0.67, p<0.001). In children with normal BMI, such correlations were not found
小儿银屑病的生化指标及病程与体重指数的关系
的目标。探讨体重增加对银屑病患儿生化指标及病理过程严重程度的影响。材料和方法。研究108例儿童的生化指标,即:总蛋白、总胆红素、胆固醇、肝酶(ALT、AST、GGT)、甘油三酯和低密度脂蛋白、肌酐、尿素、尿酸(UA)水平,根据体质指数(BMI)测定。采用StatSoft公司开发的STATISTICA 13.3软件对研究资料进行参数化分析。公司)。结果。BMI正常组和BMI增高组的血脂指标均在参考值范围内。BMI增高组平均GGT水平与BMI正常组及对照组儿童各项指标比较,差异均有统计学意义。BMI升高患儿平均UA水平明显高于对照组,且与病理过程严重程度指标有直接中度显著相关。在BMI升高的儿童中,银屑病严重程度指标与BMI相关:PGA (r=0.51, p< 0.01)、BSA (r=0.48, p< 0.01)、治疗开始时PASI (r=0.41, p< 0.05)、治疗结束时PASI (r=0.67, p<0.001)、超重体重百分比:BSA (r=0.34, p< 0.05)、治疗结束时PASI (r=0.67, p<0.001)。在BMI正常的儿童中,没有发现这种相关性
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6 weeks
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