Clinical and immunological characteristics of fingers complicated pyoinflammatory diseases

Abstract


Fingers pyoinflammatory diseases diagnostic technique and surgical treatment perfecting is severe socio-medical problem. It is a retrospective analysis of 450 medical cards. 100 cases with complicated panaritium, and 40 - with noninflammatory diseases as a control group have been presented. Capable of working male-population morbidity high rate, right hand I, II fingers injuries dominate, microtrauma considerable proportion in fingers surgical infection have been determined. Finger pyoinflammatory diseases prehospital management deficiency have been noted. Tumor necrosis factor a and interferon-y impoverishment during acute inflammation regression have been detected. In addition, clinical presentations of pathologic alteration, bone tissue affected segment structure and consistency with proinflammatory cytokinins concentration correlation have been determined. Complicated panaritium ambulatory surgical care reorganization, home and occupational traumatism prophylaxis, stage and character of inflammatory process immunologic criteria usage, these factors are able to reduce treatment duration and to reach the best cosmetic and functional result.

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About the authors

S A Simbirtsev

Saint-Petersburg Medical Academy of Postgraduate Studies


A V Konichev

Saint-Petersburg Medical Academy of Postgraduate Studies; Municipal hospital № 14, St. Petersburg


D G Rutenburg

Saint-Petersburg Medical Academy of Postgraduate Studies; Municipal hospital № 14, St. Petersburg


A B Ivanenko

Municipal hospital № 14, St. Petersburg; Municipal hospital № 14, St. Petersburg; Municipal hospital № 14, St. Petersburg


O V Kokorev

Municipal hospital № 14, St. Petersburg; Municipal hospital № 14, St. Petersburg; Municipal hospital № 14, St. Petersburg


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Copyright (c) 2009 Simbirtsev S.A., Konichev A.V., Rutenburg D.G., Ivanenko A.B., Kokorev O.V.

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