[Cutaneous-visceral interplay in patients with systemic lupus erythematosus].

Systemic lupus erythematosus (SLE) remains a challenging medical problem. The integral approach to the analysis of underlying pathogenetic processes allows identifying main symptom complexes of SLE and establishing relationship between skin lesions and activity of the disease. We examined 84 patients with SLE (84% women), their mean age was 42.3 +/- 2.3 yr duration of SLE 6.5 +/- 1.2 yr. The subacute and chronic SLE variants were diagnosed in 30 (36%) and 54 (64%) patients respectively. Grade 1 and 2-3 inflammatory process occurred in 53 (63%) and 31 (37%) patients respectively. Symptom complexes "systemic inflammation", "butterfly rash", "wrist petechiae", "enanthema of the oral mucous membrane", and other lesions were regarded as the markers of SLE activity. The relationship of lupus-cheilitis and facial erythema with polyserositis and pericarditis ("visceral pathology-cardiovascular lesions") requires instrumental examination of pericardium, pleural and abdominal cavities in the patients with the above skin symptoms for diagnostics of polyserositis. At the same time, the presence of teleangiectasia on the wrists (symptom complex "visceral pathology-renoparenchymatous lesions") requires thorough examination of the renal function. The presence of erythema at the major joints, mesh livedo, and Raynaud's syndrome (symptom complex "musculoskeletal disorders") implies specialized examination of the locomotor apparatus.

[Systemic lupus erythematosus: correlation of cutaneous manifestations with disease activity].

Results of treatment of 84 patients with systemic lupus in specialized units of the Main Military Clinical Hospital n. a. N.N.Burdenko erythematosus are performed. Subacute variant of the disease was diagnosed in 36% of patients, chronic - 64%. Active inflammation grade 1 was observed in 63% of patients, 2-3rd class - 37%. Between changes in the skin and the degree of inflammatory activity, variant of the disease set a definite relationship. The data obtained allowed to propose a diagnostic algorithm in systemic lupus erythematosus in order to optimize the therapeutic effects.

[Evaluation of condition of health and adaptation capabilities of military servicemen].

Was examined the health level of 600 called up military servicemen. Were detected different indexes of health and condition of health in general, adaptation potential and adaptation reactions, was shown their dependence of health level. Was given estimation of anxiety level of military servicemen and was shown relation between anxiety level and type of reaction of vegetative nervous system. Was detected that 53.4% of military servicemen can't be ranked as healthy. It's a risk factor of their disadaptation to the military service.

[Results of the experiment of skin disease reduction in military personnel of Air-Force troops].

The article reflects the results of the experiment of skin disease reduction in the Airborne troops. Some aspects of skin disease in the individual armed services are revealed, the reasons of its increase in comparison with the analogous data in the Armed Forces of the Russian Federation in whole, concrete measures to reduce the number of diseases are offered. The most effective interventions are clothing exchange and bath operations 2 times a week, as well as the use of personal hygiene kits.

[Atopic dermatitis in teenagers as medical and social problem for the Armed Forces].

The analyze of data of official statistics of Department of Health and Social Development speaks for veridical differences in prevalency and morbidity of atopic dermatitis by teen-agers in comparison with children (younger then 14 years old). These indexes are higher in 2-3 times, then these indexes among children. For the first time was effectuated the analyze of health survey. It has been found that in structure of dermatological pathology in general 5/6-3/4 is the group with patients with new-onset diagnosis, and only 1/5-1/4 - is a dispensary group. For children, persons older then 18 and population in general the index of health survey is practically identic and is equal to 0.5. For teen-agers this index is higher - 0.6 and more. The highest abundance and morbidity is: among constituents of the Russian Federation - Privolzhsky Federal district, among it's regions - Ul'yanovsk region.

[Several aspects of using of telemedical technologies in dermatology].

There was effectuated an analyze of introduction of telemedical technologies in Russia and abroad. Was shown that the USA Armed Forces are one of active developers of telemedical technologies and user of them. It was marked that in dermatology, in contrast to other medical sciences, the diagnosis is made by dint of eyes, that's why it's very important to presents photos of evidence of dermatosis and histologic specimen. That's why program Teledermatopatologist is examining already in civil medicine. For television consulting on the forefront stages of medical aid (including military) it's enough to have a notebook, integrated modem and digital camera, and a corresponding soft and data base.