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Mizerska-Wasiak M, Płatos E, Małdyk J, Miklaszewska M, Drożdż D, Firszt-Adamczyk A, Stankiewicz R, Bieniaś B, Sikora P, Rybi-Szumińska A, Wasilewska A, Szczepańska M, Drożynska-Duklas M, Żurowska A, Pukajło-Marczyk A, Zwolińska D, Tkaczyk M, Pańczyk-Tomaszewska M. The Outcome of Childhood Immunoglobulin A Nephropathy with Acute Kidney Injury at the Onset of the Disease-National Study. J Clin Med 2023; 12:6454. [PMID: 37892592 PMCID: PMC10607644 DOI: 10.3390/jcm12206454] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2023] [Revised: 09/25/2023] [Accepted: 09/26/2023] [Indexed: 10/29/2023] Open
Abstract
Introduction: IgA nephropathy (IgAN) is the most common glomerulonephritis worldwide. Decreased glomerular filtration rate is a known risk factor for disease progression. Aim: We aimed to examine factors that may contribute to disease progression in children that present with impaired eGFR at the onset of IgAN. Materials and methods: Of the 175 patients with IgAN from the Polish Registry of Children with IgAN and IgAVN, 54 (31%) patients with IgAN who had an onset of renal function impairment (GFR < 90 mL/min) were eligible for the study. All of them were analyzed for initial symptoms (GFR according to Schwartz formula, creatinine, proteinuria, IgA, C3), renal biopsy result with assessment by Oxford classification, treatment used (R-renoprotection, P-prednisone+R, Aza-azathioprine+P+R, Cyc-cyclophosphamide+P+R, CsA-cyclosporine+P+R, MMF-mycophenolate mofetil+P+R), and distant follow-up. Based on the GFR score obtained at the end, patients were divided into two groups: A-GFR > 90 mL/min and B-GFR < 90 mL/min. Results: In the study group, the mean age of onset was 12.87 ± 3.57 years, GFR was 66.1 ± 17.3 mL/min, and proteinuria was 18.1 (0-967) mg/kg/d. Renal biopsy was performed 0.2 (0-7) years after the onset of the disease, and MESTC score averaged 2.57 ± 1.6. Treatment was R only in 39% of children, P+R in 20%, Aza+P+R in 28%, Cyc+P+R in 9%, CsA+P+R in 7%, and MMF+P+R in 3%. The length of the observation period was 2.16 (0.05-11) years. At the follow-up, Group A had 30 patients (56%) and Group B had 24 patients (44%). There were no significant differences in any of the other biochemical parameters (except creatinine) or proteinuria values between the groups and the frequency of the MESTC score ≥ 2 and <2 was not significantly different between Groups A and B. Patients with normal GFR at the follow-up (Group A) were significantly more likely to have received prednisone and/or immunosuppressive treatment than those in Group B (p < 0.05) Conclusions: In a population of Polish children with IgAN and decreased renal function at the onset of the disease, 56% had normal GFR in remote observation. The use of immunosuppressive/corticosteroids treatment in children with IgAN and impaired glomerular filtration rate at the beginning of the disease may contribute to the normalization of GFR in the outcome, although this requires confirmation in a larger group of pediatric patients.
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Affiliation(s)
- M. Mizerska-Wasiak
- Department of Pediatrics and Nephrology, Medical University of Warsaw, 02-091 Warsaw, Poland;
| | - E. Płatos
- Scientific Group in Department of Pediatrics and Nephrology, Medical University of Warsaw, 02-091 Warsaw, Poland;
| | - J. Małdyk
- Department of Pathology, Medical University of Warsaw, 02-091 Warsaw, Poland;
| | - M. Miklaszewska
- Department of Pediatric Nephrology and Hypertension, Jagiellonian University Medical College, 30-663 Krakow, Poland; (M.M.); (D.D.)
| | - D. Drożdż
- Department of Pediatric Nephrology and Hypertension, Jagiellonian University Medical College, 30-663 Krakow, Poland; (M.M.); (D.D.)
| | - A. Firszt-Adamczyk
- Department of Pediatrics and Nephrology, Ludwik Rydygier Hospital, 87-100 Toruń, Poland; (A.F.-A.); (R.S.)
| | - R. Stankiewicz
- Department of Pediatrics and Nephrology, Ludwik Rydygier Hospital, 87-100 Toruń, Poland; (A.F.-A.); (R.S.)
| | - B. Bieniaś
- Department of Pediatric Nephrology, Medical University of Lublin, 20-090 Lublin, Poland; (B.B.); (P.S.)
| | - P. Sikora
- Department of Pediatric Nephrology, Medical University of Lublin, 20-090 Lublin, Poland; (B.B.); (P.S.)
| | - A. Rybi-Szumińska
- Department of Pediatrics and Nephrology, Medical University of Bialystok, 15-269 Bialystok, Poland; (A.R.-S.); (A.W.)
| | - A. Wasilewska
- Department of Pediatrics and Nephrology, Medical University of Bialystok, 15-269 Bialystok, Poland; (A.R.-S.); (A.W.)
| | - M. Szczepańska
- Department of Pediatrics, FMS in Zabrze, Silesian Medical University, 40-055 Katowice, Poland;
| | - M. Drożynska-Duklas
- Department of Pediatrics, Nephrology and Hypertension, Medical University of Gdańsk, 80-211 Gdańsk, Poland; (M.D.-D.); (A.Ż.)
| | - A. Żurowska
- Department of Pediatrics, Nephrology and Hypertension, Medical University of Gdańsk, 80-211 Gdańsk, Poland; (M.D.-D.); (A.Ż.)
| | - A. Pukajło-Marczyk
- Department of Pediatric Nephrology, Wroclaw Medical University, 50-556 Wroclaw, Poland; (A.P.-M.); (D.Z.)
| | - D. Zwolińska
- Department of Pediatric Nephrology, Wroclaw Medical University, 50-556 Wroclaw, Poland; (A.P.-M.); (D.Z.)
| | - M. Tkaczyk
- Department of Pediatrics, Immunology and Nephrology, Polish Mothers Memorial Hospital Research Institute, 93-338 Lodz, Poland;
- Department of Pediatrics, Immunology and Nephrology, Medical University of Lodz, 92-215 Lodz, Poland
| | - M. Pańczyk-Tomaszewska
- Department of Pediatrics and Nephrology, Medical University of Warsaw, 02-091 Warsaw, Poland;
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Mizerska-Wasiak M, Małdyk J, Pańczyk-Tomaszewska M, Turczyn A, Cichoń-Kawa K, Rybi-Szumińska A, Wasilewska A, Firszt-Adamczyk A, Stankiewicz R, Bieniaś B, Zajączkowska M, Gadomska-Prokop K, Grenda R, Miklaszewska M, Pietrzyk J, Pukajło-Marczyk, Zwolińska D, Szczepańska M, Demkow U, Roszkowska-Blaim M. Increased Serum IgA in Children with IgA Nephropathy, Severity of Kidney Biopsy Findings and Long-Term Outcomes. Adv Exp Med Biol 2016; 873:79-86. [PMID: 26269025 DOI: 10.1007/5584_2015_160] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/30/2023]
Abstract
The aim of the study was to determine whether an elevated IgA level at the time of the diagnosis of IgA nephropathy has an effect on the severity of kidney biopsy findings and long-term outcomes in children. We retrospectively studied 89 children with IgA nephropathy who were stratified into Group 1- elevated serum IgA and Group 2 - normal serum IgA at baseline. The level of IgA, proteinuria, hematuria, glomerular filtration rate (GFR) and hypertension (HTN) were compared at baseline and after the end of the follow-up period of 4.0 ± 3.1 years. Kidney biopsy findings were evaluated using the Oxford classification. The evaluation of treatment included immunosuppressive therapy and renoprotection with angiotensin converting-enzyme inhibitor (ACEI) or angiotensin II receptor blocker (ARB), or no treatment. The elevated serum IgA was found in 46 (52 %) patients and normal serum IgA level was found in 43 (48 %) patients. No differences were found between the two groups regarding the mean age of patients, proteinuria, and the number of patients with reduced GFR or HTN at baseline. In kidney biopsy, mesangial proliferation and segmental sclerosis were significantly more common in Group 1 compared with Group 2 (p < 0.05). Immunosuppressive therapy was used in 67 % children in Group 1 and 75 % children in Group 2. The Kaplan-Meier survival curves for renal function (with normal GFR) and persistent proteinuria did not differ significantly depending on the serum IgA level at baseline. We conclude that in IgA nephropathy the elevated serum IgA at baseline may be associated with mesangial proliferation and segmental sclerosis contribute to glomerulosclerosis, but has no effect on the presence of proteinuria or on the worsening of kidney function during several years of disease course.
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Affiliation(s)
- M Mizerska-Wasiak
- Department of Pediatrics and Nephrology, Medical University of Warsaw, 24 Marszalkowska Street, 00-576, Warsaw, Poland.
| | - J Małdyk
- Department of Pathology, Medical University of Warsaw, Warsaw, Poland
| | - M Pańczyk-Tomaszewska
- Department of Pediatrics and Nephrology, Medical University of Warsaw, 24 Marszalkowska Street, 00-576, Warsaw, Poland
| | - A Turczyn
- Department of Pediatrics and Nephrology, Medical University of Warsaw, 24 Marszalkowska Street, 00-576, Warsaw, Poland
| | - K Cichoń-Kawa
- Student Research Group at the Department of Pediatrics and Nephrology, Medical University of Warsaw, Warsaw, Poland
| | - A Rybi-Szumińska
- Department of Pediatrics and Nephrology, Medical University of Bialystok, Bialystok, Poland
| | - A Wasilewska
- Department of Pediatrics and Nephrology, Medical University of Bialystok, Bialystok, Poland
| | - A Firszt-Adamczyk
- Department of Pediatrics and Nephrology, Ludwik Rydygier Hospital, Torun, Poland
| | - R Stankiewicz
- Department of Pediatrics and Nephrology, Ludwik Rydygier Hospital, Torun, Poland
| | - B Bieniaś
- Department of Pediatric Nephrology, Medical University of Lublin, Lublin, Poland
| | - M Zajączkowska
- Department of Pediatric Nephrology, Medical University of Lublin, Lublin, Poland
| | - K Gadomska-Prokop
- Department of Nephrology & Kidney Transplantation and Hypertension, Children's Memorial Health Institute, Warsaw, Poland
| | - R Grenda
- Department of Nephrology & Kidney Transplantation and Hypertension, Children's Memorial Health Institute, Warsaw, Poland
| | - M Miklaszewska
- Department of Pediatric Nephrology, Jagiellonian University of Cracow, Cracow, Poland
| | - J Pietrzyk
- Department of Pediatric Nephrology, Jagiellonian University of Cracow, Cracow, Poland
| | - Pukajło-Marczyk
- Department of Pediatric Nephrology, Medical University of Wroclaw, Wroclaw, Poland
| | - D Zwolińska
- Department of Pediatric Nephrology, Medical University of Wroclaw, Wroclaw, Poland
| | - M Szczepańska
- Department and Clinic of Pediatrics, SMDZ in Zabrze, SUM in Katowice, Katowice, Poland
| | - U Demkow
- Department of Laboratory Diagnostics and Clinical Immunology of Developmental Age, Medical University of Warsaw, Warsaw, Poland
| | - M Roszkowska-Blaim
- Department of Pediatrics and Nephrology, Medical University of Warsaw, 24 Marszalkowska Street, 00-576, Warsaw, Poland
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3
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Mizerska-Wasiak M, Małdyk J, Turczyn A, Cichoń-Kawa K, Rybi-Szumińska A, Wasilewska A, Bieniaś B, Zajączkowska M, Miklaszewska M, Pietrzyk J, Demkow U, Roszkowska-Blaim M, Pańczyk-Tomaszewska M. Predictors of Progression in IgA Nephropathy in Childhood. Adv Exp Med Biol 2016; 955:65-73. [PMID: 27718216 DOI: 10.1007/5584_2016_91] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
The aim of this retrospective study was to assess the usefulness of potential predictors of poor prognosis in IgA nephropathy in children. The study population consisted of 55 children aged 11 ± 4 years, diagnosed on the basis of the Oxford classification and MEST score of kidney biopsy findings. Proteinuria, glomerular filtration rate (GFR), and the IgA/C3 serum ratio were assessed in all patients twice: at onset and at follow-up. The patients were treated with steroids, immunosuppressive drugs, and/or angiotensin-converting enzyme inhibitors. Follow-up was at 3.9 ± 2.9 (median 2.7) years. The patients were subdivided into two groups: with GFR <90 and ≥90 mL/min at follow-up. ROC AUC curves and logistic regression were used to evaluate the power of prognostic factors. The two groups did not differ regarding the level of proteinuria, MEST score, and the IgA/C3 ratio at onset of disease. There was a significant association between GFR reductions at onset and follow-up (AUC = 0.660; p < 0.05). In patients with nephrotic range proteinuria at onset, proteinuria at follow-up was more frequent compared with other patients (AUC = 0.760; p < 0.05), MEST score ≥3 tended to be associated with reduced GFR (AUC = 0.650; p = 0.07) but not with proteinuria (AUC = 0.608; p = 0.47), and the IgA/C3 ratio was higher (p < 0.05) at follow-up. No significant associations were found between the IgA/C3 ratio at onset and reduced GFR (AUC = 0.565; p = 0.46) or proteinuria at follow-up (AUC = 0.263; p = 0.20). We conclude that predictors of poor outcome in childhood IgAN include the following: GFR reduction, nephrotic range proteinuria at onset of disease, and high MEST score in Oxford classification of kidney biopsy. Despite a higher serum IgA/C3 ratio in children with impaired renal function in long-term follow-up, we failed to demonstrate a significant association between this ratio at onset of disease and reduced GFR or persistent proteinuria at follow-up. Thus, IgA/C3 ratio is not a good foreteller of progression of IgA nephropathy in childhood.
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Affiliation(s)
- M Mizerska-Wasiak
- Department of Pediatrics and Nephrology, Medical University of Warsaw, 63A Zwirki i Wigury St., Warsaw, 02-091, Poland.
| | - J Małdyk
- Department of Pathology, Medical University of Warsaw, Warsaw, Poland
| | - A Turczyn
- Department of Pediatrics and Nephrology, Medical University of Warsaw, 63A Zwirki i Wigury St., Warsaw, 02-091, Poland
| | - K Cichoń-Kawa
- Student Research Group at the Department of Pediatrics and Nephrology, Medical University of Warsaw, Warsaw, Poland
| | - A Rybi-Szumińska
- Department of Pediatrics and Nephrology, Medical University of Bialystok, Bialystok, Poland
| | - A Wasilewska
- Department of Pediatrics and Nephrology, Medical University of Bialystok, Bialystok, Poland
| | - B Bieniaś
- Department of Pediatric Nephrology, Medical University of Lublin, Lublin, Poland
| | - M Zajączkowska
- Department of Pediatric Nephrology, Medical University of Lublin, Lublin, Poland
| | - M Miklaszewska
- Department of Pediatric Nephrology, Jagiellonian University of Cracow, Cracow, Poland
| | - J Pietrzyk
- Department of Pediatric Nephrology, Jagiellonian University of Cracow, Cracow, Poland
| | - U Demkow
- Department of Laboratory Diagnostics and Clinical Immunology of Developmental Age, Medical University of Warsaw, Warsaw, Poland
| | - M Roszkowska-Blaim
- Department of Pediatrics and Nephrology, Medical University of Warsaw, 63A Zwirki i Wigury St., Warsaw, 02-091, Poland
| | - M Pańczyk-Tomaszewska
- Department of Pediatrics and Nephrology, Medical University of Warsaw, 63A Zwirki i Wigury St., Warsaw, 02-091, Poland
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4
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Mizerska-Wasiak M, Turczyn A, Such A, Cichoń-Kawa K, Małdyk J, Miklaszewska M, Pietrzyk J, Rybi-Szumińska A, Wasilewska A, Firszt-Adamczyk A, Stankiewicz R, Szczepańska M, Bieniaś B, Zajączkowska M, Pukajło-Marczyk A, Zwolińska D, Siniewicz-Luzeńczyk K, Tkaczyk M, Gadomska-Prokop K, Grenda R, Demkow U, Pańczyk-Tomaszewska M. IgA Nephropathy in Children: A Multicenter Study in Poland. Adv Exp Med Biol 2016; 952:75-84. [PMID: 27573641 DOI: 10.1007/5584_2016_65] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
IgA nephropathy (IgAN) is the most common form of glomerulonephritis in pediatric population. The clinical presentation of the disease in children ranges from microscopic hematuria to end-stage kidney disease. The aim of the study was to retrospectively assess clinical and kidney biopsy features in children with IgAN. We assessed a cohort of 140 children, 88 boys, 52 girls with the diagnosis of IgAN in the period of 2000-2015, entered into the national Polish pediatric IgAN registry. The assessment included the following: proteinuria, hematuria, glomerular filtration rate (GFR), arterial blood pressure, and the renal pathological changes according to the Oxford classification and crescents formation, as modifiable and unmodifiable risk factors. The incidence of IgAN in Poland was set at 9.3 new cases per year. The mean age at onset of IgAN was 11.9 ± 4.3 years, and the most common presentation of the disease was the nephritic syndrome, recognized in 52 % of patients. Kidney biopsy was performed, on average, 1.3 ± 2.0 years after onset of disease. Based on the ROC analysis, a cut-off age at onset of disease for GFR <90 mL/min/1.73 m2 (risk factor of progression) was calculated as 13.9 years. Unmodifiable lesions: segmental sclerosis, tubular atrophy/interstitial fibrosis (S1, T1-2) in the Oxford classification and crescents in kidney biopsy were significantly more common in Gr 1 (>13.9 years) compared with Gr 2 (<13.9 years), despite a significantly shorter time to kidney biopsy in the former. We conclude that IgAN in children may be an insidious disease. A regular urine analysis, especially after respiratory tract infections, seems the best way for an early detection of the disease.
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Affiliation(s)
- M Mizerska-Wasiak
- Department of Pediatrics and Nephrology, Medical University of Warsaw, 63A Zwirki i Wigury Street, 02-091, Warsaw, Poland.
| | - A Turczyn
- Department of Pediatrics and Nephrology, Medical University of Warsaw, 63A Zwirki i Wigury Street, 02-091, Warsaw, Poland
| | - A Such
- Department of Pediatrics and Nephrology, Medical University of Warsaw, 63A Zwirki i Wigury Street, 02-091, Warsaw, Poland
| | - K Cichoń-Kawa
- Department of Pediatrics and Nephrology, Medical University of Warsaw, 63A Zwirki i Wigury Street, 02-091, Warsaw, Poland
| | - J Małdyk
- Department of Pathology, Medical University of Warsaw, Warsaw, Poland
| | - M Miklaszewska
- Department of Pediatric Nephrology, Jagiellonian University, Cracow, Poland
| | - J Pietrzyk
- Department of Pediatric Nephrology, Jagiellonian University, Cracow, Poland
| | - A Rybi-Szumińska
- Department of Pediatrics and Nephrology, Medical University of Bialystok, Bialystok, Poland
| | - A Wasilewska
- Department of Pediatrics and Nephrology, Medical University of Bialystok, Bialystok, Poland
| | - A Firszt-Adamczyk
- Department of Pediatrics and Nephrology, Ludwik Rydygier Hospital, Torun, Poland
| | - R Stankiewicz
- Department of Pediatrics and Nephrology, Ludwik Rydygier Hospital, Torun, Poland
| | - M Szczepańska
- Department of Pediatrics, SMDZ in Zabrze, Silesian Medical University, Katowice, Poland
| | - B Bieniaś
- Department of Pediatric Nephrology, Medical University of Lublin, Lublin, Poland
| | - M Zajączkowska
- Department of Pediatric Nephrology, Medical University of Lublin, Lublin, Poland
| | - A Pukajło-Marczyk
- Department of Pediatric Nephrology, Wroclaw Medical University, Wroclaw, Poland
| | - D Zwolińska
- Department of Pediatric Nephrology, Wroclaw Medical University, Wroclaw, Poland
| | - K Siniewicz-Luzeńczyk
- Department of Pediatrics, Immunology and Nephrology, Polish Mothers Memorial Hospital Research Institute, Lodz, Poland
| | - M Tkaczyk
- Department of Pediatrics, Immunology and Nephrology, Polish Mothers Memorial Hospital Research Institute, Lodz, Poland
| | - K Gadomska-Prokop
- Department of Nephrology, Kidney Transplantation and Hypertension, Children's Memorial Health Institute, Warsaw, Poland
| | - R Grenda
- Department of Nephrology, Kidney Transplantation and Hypertension, Children's Memorial Health Institute, Warsaw, Poland
| | - U Demkow
- Department of Laboratory Diagnostics and Clinical Immunology of Developmental Age, Medical University of Warsaw, Warsaw, Poland
| | - M Pańczyk-Tomaszewska
- Department of Pediatrics and Nephrology, Medical University of Warsaw, 63A Zwirki i Wigury Street, 02-091, Warsaw, Poland
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5
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Miklaszewska M. [Lymphocytic necrotizing vasculitis in a child with decreased nonspecific resistance to Staphylococcus aureus infection]. Przegl Dermatol 1990; 77:47-50. [PMID: 2382016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Affiliation(s)
- M Miklaszewska
- Katedry i Kliniki Chorób Skórnych i Wenerycznych AM we Wrocławiu
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6
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Miklaszewska M, Kobierzyńska-Gołab Z, Wasik F, Szybejko-Machaj G. [Activity of pyruvate kinase and glucose-6-phosphate dehydrogenase in polymorphonuclear granulocytes of patients with atopic dermatitis in the active stage and in remission]. Przegl Dermatol 1989; 76:381-5. [PMID: 2641806] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
The activity of granulocyte pyruvate kinase and glucose-6-phospho dehydrogenase in 12 patients with severe atopic dermatitis in active stage of disease and in remission was investigated. It was found that in active stage the activity of both enzymes was not significantly different than in healthy individuals. In remission pyruvate kinase activity was significantly decreased and glucose-6-phospho dehydrogenase activity was found to be non significantly decreased.
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7
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Melezyńska-Matej M, Miklaszewska M. [Activity of the phagocytic process in patients with atopic dermatitis]. Przegl Dermatol 1989; 76:15-22. [PMID: 2813814] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
The phagocytic activity was determined in 18 patients with atopic dermatitis who were treated in the Dermatology Department, Medical Academy in Wrocław. Reduced phagocytic activity was found in 12 patients. In 3 cases this was caused by a defect in phagocytic cells, in the remaining 9 cases this was due to disturbances of the opsonizing properties of the serum. The serum of these patients caused mainly a fall of the bactericidal activity of the leucocytes, and this was caused more frequently by a deficit of the opsonizing factors than by the presence of inhibitor. In the sera attenuating the engulfing and intracellular killing of bacteria presence of immune complexes was demonstrated. The disappearance of immune complexes during treatment restored normal function of the serum during the process of phagocytosis.
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8
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Baran E, Miklaszewska M, Wasik F, Walów B, Jedrzejak J. [Evaluation of NADH oxidase activity in spontaneous and stimulated tests in patients with atopic dermatitis]. Przegl Dermatol 1987; 74:201-5. [PMID: 3423277] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
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9
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Plamieniak Z, Głebowska-Halawa H, Miklaszewska M, Zareba-Bogdał E. [A case of mixed connective tissue disease with involvement of the nervous system]. Pol Tyg Lek 1987; 42:229-31. [PMID: 3601783] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
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10
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Abstract
The activity of granulocyte pyruvate kinase in 46 patients with psoriasis vulgaris and eight patients with psoriasis arthropathica was investigated. It was found that in both groups of patients the activity of pyruvate kinase was significantly higher than in healthy individuals. This suggests that the rate of glycolysis in granulocytes of patients with psoriasis is markedly increased. The activity of granulocyte pyruvate kinase in 11 psoriatic patients with actively spreading lesions was compared with the activity of this enzyme when the patients were in remission. The activity of the enzyme was significantly increased during the active stage of the disease and returned to normal during remission.
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11
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Miklaszewska M. [Phagocytic capacity of neutrophils (PMN) in various connective tissue diseases]. Przegl Dermatol 1985; 72:502-6. [PMID: 3832158] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
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12
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Wasik F, Jedrzejak J, Miklaszewska M. [Pyruvate kinase activity in the granulocytes of patients with psoriasis]. Przegl Dermatol 1985; 72:413-6. [PMID: 3835586] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
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13
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Wasik F, Miklaszewska M, Blizanowska A, Sierawska M. Inhibition of leucocyte migration by the Clausen agarose method (LMAT) in chromium eczema. Mater Med Pol 1985; 17:107-10. [PMID: 4079467] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
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14
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Gabryś K, Medraś E, Wołowiec D, Miklaszewska M. [Skin changes and symptoms in Hodgkin's disease]. Wiad Lek 1983; 36:2019-23. [PMID: 6675313] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
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15
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Wasik F, Miklaszewska M, Dabrowska-Widera J. [Chemotactic activity of polymorphonuclear granulocytes in patients with psoriasis]. Przegl Dermatol 1983; 70:493-6. [PMID: 6669719] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
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16
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Miklaszewska M. [Evaluation of the phagocytic activity of neutrophils in connective tissue and bullous diseases of autoimmune etiology]. Pol Tyg Lek 1983; 38:535-8. [PMID: 6356088] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
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17
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Dabrowska-Widera J, Miklaszewska M. [Syndromes associated with disorders of neutrophil chemotaxis]. Pol Tyg Lek 1982; 37:1029-31. [PMID: 6219349] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
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18
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Miklaszewska M, Dabrowska-Widera J. [Linear IgA bullous dermatosis in a child]. Przegl Dermatol 1982; 69:287-90. [PMID: 6764008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
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19
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Dabrowska-Widera J, Miklaszewska M, Wasik F. [Phagocytic and bactericidal activities of the neutrophils in psoriasis]. Przegl Dermatol 1982; 69:249-52. [PMID: 7184053] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
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20
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Dabrowska-Widera J, Miklaszewska M, Barancewicz-Losek M. [Herpetiform pemphigoid]. Przegl Dermatol 1982; 69:291-4. [PMID: 7184058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
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21
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Miklaszewska M, Wasik F. [Neutrophil NADH oxidase and myeloperoxidase activity in psoriasis]. Przegl Dermatol 1981; 68:441-5. [PMID: 6276927] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
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22
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Miklaszewska M, Dabrowska-Widera J. [Pemphigoid in a 4-year-old child]. Przegl Dermatol 1981; 68:217-21. [PMID: 7029659] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
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23
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Miklaszewska M, Kibler-Nockowska M, Sierawska M. [Effect of the state of the palatine tonsils on the course of psoriasis]. Przegl Dermatol 1978; 65:257-62. [PMID: 704938] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
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24
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Miklaszewska M. Influence of autologous sera in some dermatoses on spontaneous migration of leukocytes and macrophages taken from mouse spleens. Mater Med Pol 1978; 10:101-6. [PMID: 359946] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
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25
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Kubicz J, Nowak A, Miklaszewska M, Nockowska M, Sierawska M. [Clinical studies on the therapeutical usefulness of fluocinolone acetonide T-butylacetate-- a new topically active corticosteroid]. Przegl Dermatol 1975; 62:539-43. [PMID: 1099623] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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26
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Kubicz J, Miklaszewska M, Jacyk W, Cislo M, Blizanowska A, Sierawska M. [Clinical studies on the therapeutic usefulness of flumecort--a new corticosteroid ointment]. Przegl Dermatol 1975; 62:545-9. [PMID: 1162103] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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27
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Nowak A, Miklaszewska M. [Epidermal and hair atrophy cused by Synalar in a patient with psoriasis]. Przegl Dermatol 1975; 62:261-4. [PMID: 1144792] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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28
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Wasik F, Miklaszewska M, Nockowska M. [Treatment of some skin diseases with immunosuppressive drugs]. Przegl Dermatol 1975; 62:103-8. [PMID: 1111024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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29
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Nowak A, Miklaszewska M, Jacyk W, Nockowska M. [Criteria for an objective clinical appraisal of steroid preparations for topical administration]. Przegl Dermatol 1975; 62:73-8. [PMID: 1111034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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30
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Checińska Z, Galazka A, Szklarz E, Stepień-Dobrowolska M, Miklaszewska M. [Results of long-term treatment of visceral lupus erythematosus with corticosteroids]. Wiad Lek 1974; 27:1953-8. [PMID: 4439907] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
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31
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Wasik F, Miklaszewska M, Litwiński T, Witek R. [Fibroxanthoma resembling hemangioma of the group of solitary blue rubber bleb nevus]. Dermatol Monatsschr 1974; 160:35-9. [PMID: 4839814] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
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32
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Miklaszewska M, Checińska Z. Electrophoretic and quantitative studies on serum proteins in thyroid diseases. Mater Med Pol 1973; 5:250-4. [PMID: 4133321] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
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33
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Abstract
A patient with numerous macular pigmentations of the axillae and the groins is reported. Attention is called to the particular rarity of the presented melanotic abnormality.
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34
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Nowak A, Miklaszewska M. [Relationship between skin surface lipids and blood betalipoprotein levels, sex and age in man]. Przegl Dermatol 1972; 59:475-8. [PMID: 5070458] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
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35
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Miklaszewska M, Zatoński W, Smolik R, Lange A. [Fabry's disease]. Pol Arch Med Wewn 1971; 46:755-9. [PMID: 5570942] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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36
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Mierzecki H, Miklaszewska M. [Occurrence of white lines on finger tips in some dermatoses]. Przegl Dermatol 1968; 55:673-5. [PMID: 5726628] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
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37
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Mierzecki H, Miklaszewska M. [Skin morphology on finger tips]. Przegl Dermatol 1968; 55:489-95. [PMID: 5699169] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
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38
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Miklaszewska M. [Comparative studies on free amino acids of the eccrine sweat and plasm]. Przegl Dermatol 1968; 55:343-7. [PMID: 5658800] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
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39
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Miklaszewska M. Comparative studies of free amino acids of eccrine sweat and plasma. Pol Med J 1968; 7:1313-1318. [PMID: 5719280] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
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40
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Miklaszewska M. [Free amino acids in eccrine sweat. Methods]. Przegl Dermatol 1968; 55:15-20. [PMID: 5639396] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
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41
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Miklaszewska M, Kierśnicka-Itman I. [On certain properties and behavior of the so-called syphilitic reagins (the problem of seroresistance)]. Pol Tyg Lek 1967; 22:1867-9. [PMID: 4867528] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
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42
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Miklaszewska M, Nowak A. [Cholesterol content in the lipid mantle of the skin and its comparison to cholesterol level in blood serum]. Przegl Dermatol 1965; 52:257-63. [PMID: 5830800] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
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