Aspirantskiy Vestnik PovolzhiyaAspirantskiy Vestnik Povolzhiya2072-23542410-3764Samara State Medical University2517510.17816/2072-2354.2010.0.7-8.139-143Early arthritises in children and teenagers: diagnostics and prospectsSemaginaO Volga_semagina@mail.ru15122010107-813914311032020Copyright © 1970, Semagina O.V.1970High blood levels of CD4, CD8, CD16, CD95. Pand anti- inflammatory interleukins were revealed at active stage of JIA particulary in pts with polyarthritis and extended olygoarthritis. Changes of mean lymphocyte morphometric measures linearly inversely correlated with relative lymphocyte markers level what proves relationship of processes of proliferation? Cytotoxicity and elevation of apoptotic cell count in blood. Howerver increase of programmed death cells may reflect not only proliferation but also capability of cells to induce cell death program in presence of provocative factors. In pts with very high humoral level of lymphocyte markers and cytokines appropriate therapy more often induces clinico-laboratory remission than in pts with lower values. Immune and cytokine status in children and adolescents with JIA determines evolution of arthritis. Early administration of disease modifying drugs more often induces of clinico-laboratory remission in pts with high levels of lymphocyte markers and antiinflammatory cytokines.lymphocyte markers, cytokines, idiopathic arthritis, ivvune response, prognosisмаркеры лимфоцитов, цитокины, ювенильный идиопатический артрит, иммунный ответ, прогноз[1. Алексеева Е.И., Шахбазян И.Е. Принципы патогенетической терапии тяжелых системных вариантов ювенильного ревматоидного артрита. // Серия. Аутоиммунные болезни. - Москва. 2002. - 130 с.][2. Баранов А.А., Алексеева Е.И., Шувалова М.П., Сырцова Л.Е. Проблемы ревматических болезней у детей в Российской Федерации. Росс. Педиатр. Жур. - 2003, № 5. - С. 4 - 10.][3. Кельцев В.А. Ювенильный идиопатический артрит . - Самара, 2005. - 214 с.]