To study the epidemiological aspects of the trichophytia in Astana Materials: The analysis of reported cases of Trichophytia in Astana from 2007 to 2011. It should be noted that since 2007 (23 cases) to 2010 (267 cases) there was an increasing of more than 10 times, and in 2011 the number of patients has decreased to 151. Analysis of gender showed an absolute predominance among male patients, almost 2 times. For example, in 2007, men were infected trichophytia ‐ 15 and women 8. In 2010: men ‐ 172, women ‐ 95, in 2011 there were 100 male patients, 51 woman. The average age of the patients was ‐ 20 years. 10%(62) of the patients were married. It is should be noted prevalence of sexual infection in 39% (243), 14%(87) were infected when caring for pets and cattle. In 31% (193) the source of infection is not known. 6%(37) were infected through household items from patients trichophytia. Social status of the patients was as follows : 174 ( 28 %) ‐ the unemployed, 124 (20%) employees, about the same workers, and 15% (93)‐ pupils and students, reported cases of Trichophytia among the private entrepreneurs and military ‐ 2 (0.3 %) and 1 (0.16%), respectively. Thus, the current trend towards an increased incidence of Trichophytia preserved. This pathology is most often affects children and young adults . Among the modes of transmission, in recent years, often indicates a sexual way, which requires strengthening health education among young people.
The aim is to study the clinical and medical history, and hormonal characteristics in women with androgenetic alopecia.Since 2007, we observed 12 patients with androgenetic alopecia in age from 20 to 45 years, which the diagnosis was based on medical history and trihoscopy data. The average age of women was 25,3±3,27. On examination, women complained of increased hair loss, changes in their structure, which is more pronounced thinning. Analysis of anamnesis data revealed that most part of women‐66.7% of the 12 linked the onset of the disease with the onset of puberty, 16.7% of pregnancy and childbirth, 2 with nothing connected. As a result of dermatological examination of the predominant number of patients‐57.3% only androgenic alopecia was diagnosed, and in 41.7%, combined with other skin symptoms of androgens. So, for a combined androgenic alopecia seborrhea was observed in 60% patients, and the combination of alopecia with acne‐in 40%. In the study of the menstrual cycle character it was revealed disruption of the menstrual cycle in 33.3% patients, of whom 3‐proceeds as oligomenorrhea, and at 1‐was found infertility.It is established that the finding in this category of the patients other symptoms of hyperandrogenism of skin and gynecological system causes the need for further investigation of of steroid hormones concentration in the blood serum.
Enterprises of the ferroalloy production are characterized by a combination of adverse factors, such as chemical, physical, temperature differences, thermal radiation. The aim of the study was to investigate the frequency and severity of acne definition of the employees at ferroalloy production. We have carried out a preventive medical examination of 2856 workers. From 2856 examined workers, skin pathology is identified at 621 that was 21,7±0,8%, including acne ‐ 53 (18,5±2,3%). In a comparative analysis on groups of units higher incidence of acne was found in group 1 workers coming into contact with more intense dermotropic factors of production cycle 36 (67,9±6,4); Group II ‐ 10 patients (18,9±5,4); in III ‐ 7 people (13,2± 4,6). The severity was assessed by a simple three‐step scale: acne vulgaris I and II severity ‐ 43 (81,1±5,4%), severe degrees of acne ‐ 10 (18,9 ± 4,6%); including acne conglobate ‐ 3 (5,7±3,2%) and nodular ‐ cystic acne ‐ 7 (13,2 ± 4,6%). Severe forms of acne were to the employees I division. Patients with acne related mainly to the age group of 20‐29 years ‐ 34 people (64.1%) and 30‐39 years ‐ 19 people (35.9%). It was characterized by a more frequent development of the disease in up to 5 years ‐ 36 workers (67.9%), respectively. Thus, acne is more prevalent in one group of workers are employed directly in the production of ferroalloys 36 (67,9±6,4).
The aim of our study was to investigate the interdependence of the severity degree of alopecia areata and comorbidity in children under the age of 14 years. We observed 17 children aged 1 to 15 years suffered from alopecia areata. Paraclinical examination included general clinical, clinical and biochemical laboratory tests, ultrasound study of the internal organs. History of disease revealed in 2 children (11.8%) food allergy, 3 (17.6%) children had the bottle‐feeding since a birth day. Various factors played a provocative role in the occurrence of relapses and severity of process. Thus, more than 50% of these were chronic foci of infection (early caries, chronic tonsillitis, dysbiosis), somewhat less deferred protracted psycho‐emotional disorders (stuttering, fear, insomnia, cries at night), mainly between the ages of 1,5 to 5 years and in children of 7–9 years of old. One quarter of the patients had colds and their treatment. They were predisposing factors for development of severe alopecia areata and its recurrence. In assessing the severity of clinical symptoms by counting the percentage of hair loss, we obtained the following data: in 4 (23.5%) patients diagnosed the total form, and in 12 (70.6%) ‐ the various forms of alopecia with a number of local lesions from 1 to 5. Only 1 (5.9%) had a diffuse form of alopecia.
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