Prediction of the occurrence of eczema and the development of its severe forms is possible by identifying its morphological markers in patients with various forms and severity of dermatosis and their comparison with healthy subjects. The aim of the study was to examine the differences in body girth sizes between healthy and/or eczema patients depending on the severity of dermatosis. Patients with idiopathic (n=34) and microbial (n=38) eczema men of the first mature age underwent an anthropometric examination according to Bunak. The diagnosis of eczema was made according to the nomenclature of ICD-10. As a control from the data bank of the research center of National Pirogov Memorial Medical University, Vinnytsya anthropometric data of 82 practically healthy men of the same age group were selected. Statistical data processing was performed in the license package “Statistica 5.5” using non-parametric methods of evaluation of the obtained results. In healthy men, the following values of the following envelope sizes were found: shoulder girth in a tense state by 4.9 % compared with patients with severe eczema; unstressed shoulder girth by 7.3 % and 11.8 % compared with patients with idiopathic eczema of mild and severe course and by 10.0 % and 11.3% compared with patients with microbial eczema of mild and severe course; forearm girth in the upper part by 5.4 % compared with patients with idiopathic eczema of severe course; thigh girth by 5.1 % and 8.0 % compared with patients with idiopathic eczema of mild and severe course and by 7.1 % and 11.3 % compared with patients with microbial eczema of mild and severe course; thigh girth by 4.16 % and 4.5 % compared with patients with idiopathic severe eczema and mild microbial eczema; upper crus girth by 5.3 %, 7.5 % and 7.1 % compared with patients with idiopathic eczema of mild and severe course and microbial eczema of mild course; lower crus girth by 6.0 % compared with patients with mild microbial eczema; neck girth by 7.5 % and 6.8 % compared with patients with idiopathic severe eczema and mild microbial eczema; waist girth by 8.6 % and 15.6 % compared with patients with idiopathic eczema of mild and severe course and by 13.9 % and 16.7 % compared with patients with microbial eczema of mild and severe course; chest girth on inhalation, exhalation, at rest by 6.9 %, 9.5 % and 9.1 % compared with patients with idiopathic eczema of severe course. Only the girth of the foot in healthy men is 3.1 % higher than in sick men with mild microbial eczema. In men with idiopathic eczema, the neck girth was 5.4 % lower than in men with severe eczema. The obtained data can be used for a personalized approach in the creation of appropriate prevention and treatment and diagnostic programs.
Eczema is a skin disease with a multifaceted clinical picture, numerous forms of manifestation and course and, last but not least, a life-modifying pathology that often requires lifestyle changes and reduces its quality. Identifying prognostic signs to predict the occurrence and severity of this disease is a priority for modern science. The purpose of the study is to build and analyze discriminant models of the possibility of occurrence and features of course of different forms of eczema in Ukrainian men of the first mature age depending on the characteristics of anthropometric parameters of the body. For men aged 22 to 35 years with true (n=34, including 16 mild and 18 severe) and microbial (n=38, including 28 mild and 10 severe) eczema, anthropometric examination according to the scheme of Bunak V.V. performed. Diagnosis of eczema was performed according to the nomenclature of ICD-10. The control group according to anthropometric data consisted of 82 practically healthy men of the same age, who were selected from the database of the research center of National Pirogov Memorial Medical University, Vinnytsya. Construction of discriminant models of the possibility of occurrence and features of the course of different forms of eczema depending on the anthropometric parameters of the body was carried out in the license package “Statistica 5.5”. It was found that the distribution of sick men on the truth of mild and severe eczema and microbial eczema of mild and severe course is possible only reliable interpretation of the obtained classification indicators between healthy and groups of patients (correct function in 76.0 % of cases, statistics Wilks’ Lambda = 0.074); when dividing sick men only into truth and microbial eczema – a reliable interpretation of the obtained classification indicators both between healthy and sick, and between sick truth and microbial eczema is possible (function is correct in 87.7 % of cases, Wilks’ Lambda statistics = 0.088); in the distribution of sick men only for mild or severe eczema – possible reliable interpretation of the obtained classification indicators between healthy and sick men, and between patients with mild or severe eczema only a slight tendency to interpret the obtained classification indicators (correct function in 84.4 % of cases, statistics Wilks’ Lambda = 0.088). In all cases, the constructed discriminant equations most often include the thickness of skin and fat folds (62.5 %, 57.1 % and 71.4 %, respectively) and body diameters (37.5 %, 42.9 % and 28.6 %, respectively). The obtained results confirm the prospects of using anthropometric research methods to predict the possibilities and features of eczema course and occurrence.
Annotation. The purpose of this work is to determine the features of indicators of severity and features of accentuated personality traits in men with various forms of eczema. On the basis of the Military Medical Clinical Center of the Central Region and the Department of Dermatology and Venereal Diseases with a postgraduate course in National Pirogov Memorial Medical University, Vinnytsya, a survey of men of the first adult age (22-35 years) with true (n=34, including 16 with mild and 18 with severe course) and microbial (n=38, including 28 with mild and 10 with severe course) eczema was conducted. The diagnosis of eczema was performed according to the nomenclature of ICD-10. All men with the help of personality questionnaires were assessed by the severity and features of accentuated personality traits by Shmishek. Statistical data processing was performed in the license package “Statistica 5.5” using non-parametric methods of evaluation of the obtained results. The control group of subjects revealed the following percentage distribution of types of accentuation: hyperthymic – in 37.80 %; stuck – in 1.22 %; emotional – in 1.22 %; pedantic – in 3.66 %; anxious – in 1.22 %; cyclothymic – in 10.98 %; demonstrative – in 3.66 %; excitable – in 7.32 %; dysthymic – in 0 %; exalted type – in 14.63 %. In patients with true eczema of mild course: hyperthymic – in 43.75 %; stuck – in 0 %; emotional – in 0 %; meticulous – in 0 %; anxious – in 0 %; cyclothymic – in 0 %; demonstrative – in 6.25 %; excitable – in 0 %; dysthymic – in 6.25 %; exalted type – 6.25 %. In patients with true eczema of severe course: hyperthymic – in 83.33 %; stuck – in 0 %; emotional – in 0 %; meticulous – 5.56 %; anxious – in 0 %; cyclothymic – in 0 %; demonstrative – in 5.56 %; excitable – in 0 %; dysthymic – in 0 %; exalted type – in 11.11 %. In patients with mild microbial eczema: hyperthymic – in 53.57 %; stuck – in 0 %; emotional – in 0 %; meticulous – in 7.14 %; anxious – in 0 %; cyclothymic – in 3.57 %; demonstrative – in 0 %; excitable – in 7.14 %; dysthymic – in 0 %; exalted type – in 7.14 %. In patients with severe microbial eczema: hyperthymic – in 40.00 %; stuck – in 0 %; emotional – in 0 %; meticulous – 10.00 %; anxious – in 0 %; cyclothymic – in 0 %; demonstrative – in 0 %; excitable – in 0 %; dysthymic – in 0 %; exalted type – 10.00 %. Thus, the active use in everyday practice of interviewing and psychological testing of character accentuation are the most important components of adequate assessment of psycho-emotional status of patients with various forms and severity of eczema, which opens prospects for psychoprophylaxis and finding the right ways of correction. Thus, in patients with different forms and severity of eczema, the predominance of accentuation of the nature of the hyperthymic type was established. This allows us to consider this type of accentuation as one of the important criteria for assessing the patient's motivation to see a dermatologist and adherence to treatment, to identify weaknesses in his character, to predict factors that can cause decompensation or psychogenic reactions accompanied by maladaptation.
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