Dynamics of Interleukin-4 and Interleukin-8 in Young Children with Complicated Pneumonia Secondary to Iron-Deficiency Anemia

The objective of the research was to study serum levels of pro-inflammatory interleukin-8 and anti-inflammatory interleukin-4 in infants with complicated pneumonia depending on concomitant iron-deficiency as well as to establish their diagnostic value.Materials and methods. The levels of interleukin...

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Main Author: Haridzhuk, L. I. (Author)
Format: EJournal Article
Published: Ivano-Frankivsk National Medical University, 2016-06-30.
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LEADER 03659 am a22002653u 4500
001 galician_552_524
042 |a dc 
100 1 0 |a Haridzhuk, L. I.  |e author 
245 0 0 |a Dynamics of Interleukin-4 and Interleukin-8 in Young Children with Complicated Pneumonia Secondary to Iron-Deficiency Anemia 
260 |b Ivano-Frankivsk National Medical University,   |c 2016-06-30. 
520 |a The objective of the research was to study serum levels of pro-inflammatory interleukin-8 and anti-inflammatory interleukin-4 in infants with complicated pneumonia depending on concomitant iron-deficiency as well as to establish their diagnostic value.Materials and methods. The levels of interleukin-4 and interleukin-8 were studied in 80 children with complicated pneumonia at the age of 2 months to 3 years, 60 out of them developed the condition secondary to iron-deficiency anemia. Children were divided into two groups: Group I included patients with complicated pneumonia without iron-deficiency anemia; Group II consisted of patients with complicated pneumonia and concomitant iron-deficiency anemia. In addition, depending on the severity of iron-deficiency anemia Group II was divided into three subgroups: IIa, IIb and IIc - a combination of pneumonia with anemia of mild, moderate and severe degrees, respectively. Serum levels of interleukin-4 and interleukin-8 were determined using enzyme-linked immunosorbent assay by means of standard kit (Vector-Best, Novosibirsk, Russia).Results.  Elevated levels of pro-inflammatory interleukin-8 and anti-inflammatory interleukin-4 were typical for all young children with acute complicated pneumonia (р<0.01). At the same time, in patients with complicated pneumonia secondary to iron-deficiency anemia these parameters were significantly higher compared to those in children with complicated pneumonia without iron-deficiency anemia (р<0.001). In the convalescence period a significant reduction in the levels of interleukin-8 was observed in all groups of children, while the concentration of interleukin-4 increased significantly (р<0.001).Conclusions. Elevated levels of pro-inflammatory interleukin-8 and anti-inflammatory interleukin-4 were typical for all young children in the acute phase of complicated pneumonia. At the same time, in patients with complicated pneumonia secondary to iron-deficiency anemia these parameters were significantly higher compared to those in children with complicated pneumonia without iron-deficiency anemia (р<0.001). In the convalescence period a significant reduction in the levels of interleukin-8 was observed in all groups of children (p<0.01); however, it did not reach the indicators of age norm (p<0.001), while the concentration of interleukin-4 increased significantly (p<0.001). In patients with complicated pneumonia secondary to severe iron-deficiency anemia changes in the concentrations of interleukin-8 and interleukin-4 were more significant compared to patients with complicated pneumonia without iron-deficiency anemia. 
540 |a Copyright (c) 2017 L. I. Haridzhuk 
540 |a https://creativecommons.org/licenses/by-nc/4.0 
546 |a eng 
690 |a children 
690 |a pneumonia 
690 |a anemia 
690 |a interleukins 
655 7 |a info:eu-repo/semantics/article  |2 local 
655 7 |a info:eu-repo/semantics/publishedVersion  |2 local 
786 0 |n Galician Medical Journal; Vol. 23 No. 2 (2016); 133-138 
786 0 |n Galician Medical Journal; Том 23 № 2 (2016); 133-138 
786 0 |n 2414-1518 
787 0 |n https://ifnmujournal.com/gmj/article/view/552/524 
856 4 1 |u https://ifnmujournal.com/gmj/article/view/552/524  |z Get Fulltext