ABSTRACT
It appears that chronic lupoid leishmaniasis is the result of type 2 predominant T helper response to parasite and a defect in the down regulation of IL-4 production during infection. The objective of this study was to evaluate the underlying immune status in these patients and their predominant T helper activity we considered serum IgE as an indicator of TH2 activity and IL-4 production as it has been shown in atopic diathesis. In 34 cases of chronic lupoid leishmaniasis serum IgE level was measured and compared with 34 control cases of age and sex matched healthy individuals without atopic diathesis. P< 0.05 was considered statistically significant. There were 21 females and 13 males with a mean age of 14.35 +/- 8.3 years in the patients group. The mean age of the control group was 16.11 +/- 8.4 [P>0.05 and matched]. Nine patients had atopic diathesis. Mean serum IgE level in patients and in the control group was 102.6 +/- 22.4 i.u/ml and 135.6 +/- 24.9 i.u/ml, respectively [P>0.05 with no significant difference]. Mean serum IgE level in patients without atopic diathesis [25 cases] was 66.8 +/- 113 i.u/ml which was significantly lower than the control group [P<0.05]. In this study, serum IgE level in cases with chronic lupoid leishmaniasis was lower than the control group and it seems that in these patients, there is not an underlying Th2 over activity as it is seen in atopic diathesis
Subject(s)
Humans , Male , Female , Immunoglobulin E/blood , Chronic Disease , Interleukin-4 , Th2 CellsABSTRACT
Nearly ninety percent [90%] of skin cancers occur in sun exposed areas. In this study the awareness of senior students of Mashhad University [Ferdowsi] about the effects of sunlight on the skin plus necessity and methods of sun protection is evaluated. In this descriptive study in 2004 at Mashhad University [Ferdowsi], 802 senior students of 9 majors enrolled. This study was approved by the local committee of Medical Ethics. The standard questionnaires including 24 questions distributed among students. The students divided into groups according to their score in the 24 awareness questions: weak [score = 12]; moderate [score 13-17]; and good, [score 18-24]. Data analyzed by SPSS software variance analysis, T-test and Chi-square test. The students groups were weak, with a frequency of 15.6%; moderate with frequency of 39.4%; and good, with a frequency of 45%. The average female and male scores in the 24 awareness questions were 18.31 +/- 3.32 and 14.90 +/- 3.93, respectively. The difference was statistically significant [p=0.002]. There were significant differences between two sexes in the awareness of :"sunlight usefulness", "harmfulness", "effect on skin aging", "cause and increase the skin nevi", "erythema", "tanning, "carcinogenicity", "osteoporosis", "different sunlight intensity in different hours of the day", "protection of the window glass", "the necessity of sun protection" and "the effect of cap and clothes", "the sunscreen necessity in any season", "sunscreen use just in special patients", and "repeating its use during the day". Educated Peoples' knowledge, about the necessity of protection against harmful and corrosive effects of sunlight is not enough. It necessitates public education to protect against sunlight complications
Subject(s)
Humans , Neoplasms, Radiation-Induced , Environmental Exposure/adverse effects , Awareness , Students , Chi-Square Distribution , Health Education , Protective Devices , Skin , Sunscreening AgentsABSTRACT
Acute hemorrhagic edema of infancy [AHEI] is a rare skin disorder which was first described by Snow in 1913.Clinical manifestations are usually limited to cutaneous lesions and is most commonly observed in infants under the age of 1 year. Usually, there is a history of recent upper respiratory tract infection and antibiotic administration. Clinical presentation of this disease includes petechia and ecchymosis on the head, face and distal extremities. Herein, a typical case of AHEI in a 10-month-old infant is reported. Differential diagnoses of AHEI is discussed