Vol 10, No 3 (2013)

Allergy to peanuts is an actual problem of practical health care associated with a significant prevalence and severity of peanut-allergic reactions, which can include anaphylaxis. The characteristic of peanut allergen components is presented in the review. Modern approaches to the diagnosis of allergy to peanuts reflected in the article. The article presents research findings on development and natural history of allergy to peanuts, clinical mmanifestations, also considered the priority therapeutic approaches.

The proper diagnose of anaphylaxis is based on the early recognition of symptoms, term definitions and the reasons of anaphylaxis reaction development. Modern data on the diagnostics of food anaphylaxis and a number of symptoms’ features are given in the article. The basic principles of treatment and anaphylaxis prevention are considered.

Background. The aim of the study was to investigate peculiarities of immune responses on the vaccination with Priorix in healthy children and patients with atopic dermatitis. Methods. Thirty five healthy children aged 1-2 years old (Group 1) and 15 children the same age with atopic dermatitis (Group 2) were vaccinated with Priorix. Serum level of IgE was measured by ELISA, and serum concentrations of 7 cytokines: IL-4, IL-5, IL-6, IL-8, IL-10, IFN-γ, and TNF-α were measured by BioPlex technology before vaccination, 7 days, and 30 days after. Serum level of IgE was measured by ELISA. Results. The level of serum IgE relatively decreased or increased on seventh day after vaccination. In a month IgE level returned back. It was found that in group1 51,4% children demonstrated Th1 type response and 48,6% children showed Th2 type response on the vaccination. Similar distribution was obtained in group 2 (53,3% children showed Th1 type response and 46,7% children demonstrated Th2 type). A significant positive correlation was observed between IgE level increasing and Th2 type of immune response. It was shown that 68,6% of children of group 1 and 66,7% of children of group 2 demonstrated after vaccination the superiority of anti-inflammatory IL-10 over pro-inflammatory TNF-α. We suppose that children with atopic dermatitis can be vaccinated with Priorix.

This article deals with skin care of sensitive, irritated skin. Application of the daily basic skin care products improves the effectiveness of treatment and quality of life of patients with sensitive skin.

In the article data about epidermal barrier disfunction in atopic dermatitis patients and modern approaches to their correction with use of modern skin-care products are submitted.