SYSTEMIC EFFECTS OF INFLAMMATION IN ACUTE AND CHRONIC ABDOMINAL DISEASES
V.M. Akimova, L.E. Lapovets
Danylo Halytsky Lviv National Medical University, Lviv, Ukraine
DOI: https://doi.org/10.15407/fz64.02.047
Abstract
The serum content of interleukines (IL) IL1β, IL6, IL8, tumor
necrosis factor (TNF-α), soluble form of TNF-α receptor R1
(sTNF-α-R1), C-reactive protein (CRP), prokalcitonin in patients
with acute and chronic inflammation in the abdomen was
investigated. Established that in acute mesadenitis the level of
TNF-α, IL1β, IL6, IL8 level increased within 5-20 pg/ml. In
acute phlegmonous appendicitis IL1β increased at 20 times,
IL8 – in 24 times, prokalcitonin – 40 times CRP – 11 times
relative to control. Gangrenous form of acute appendicitis is
characterized by increased level of TNF-α 7 times, IL8 – in
20 times, СRP – 19 times, prokalcitonin – 374 times higher
then control. In abdominal tuberculosis the level of TNF-α
increased 3 times, IL1β in 5 times, IL8 – 8 times relative to
control. The integrated determining of cytokine profile in patients
with chronic and acute diseases of the abdominal cavity
is promising to improve differential diagnosis.
Keywords:
cytokines; acute inflammation; abdominal tuberculosis; C-reactive protein; proсalcitonin
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