[Clinical significance of the determination of total serum IgE in periarteritis nodosa in children]. / Klinicheskoe znachenie opredeleniia urovnia obshchego syvorotochnogo IgE pri uzelkovom periarterite u detei.

The content of IgE was measured over time in 14 children with periarteritis nodosa. No significant relation was established between allergic reactions in the anamnesis and IgE elevation in periarteritis nodosa. A relationship was discovered between the rise of IgE content and disease activity, the intensity of the clinical manifestations, vascular ones in particular. During a remission of periarteritis nodosa, the content of IgE remained within normal in all the children.

[Eosinophilia as a possible heart damaging factor in systemic scleroderma in children]. / Eozinofiliia kak vozmozhnyi kardiopovrezhdaiushchii faktor pri sistemnoi sklerodermii u detei.

Altogether 173 children with systemic scleroderma (SSD) were examined. Of these, 45 were with eosinophilia. It was discovered that associated SSD and eosinophilia ran a course marked by more well-defined exudative reactions, with the heart being injured more frequently and gravely. A correlation was noted between the "sclerodermic" heart and the eosinophil count in the peripheral blood. The relationship between eosinophilia and the content of the total serum IgE in SSD is discussed as is the role of age-associated and constitutional factors in the development of eosinophilia in SSD children.

[Echocardiographic study of the heart in children with mitral valve prolapse and connective tissue dysplasia]. / Sostoianie serdtsa u detei s prolapsom mitral'nogo klapana na fone displazii soedinitel'noi tkani po dannym ékhokardiografii.

Altogether 125 children with connective tissue dysplasia and mitral valve prolapse were subjected to clinical and echographic examinations. Dilation of the aortic root, elevation of pulmonary artery pressure and derangement of myocardial contractility were discovered. These disorders occurred as a result of disseminated connective tissue abnormalities. It is noted that children with connective tissue dysplasia and mitral valve prolapse require prophylactic medical examination because of progressive alterations on the part of the cardiovascular system with age.

[Current methods of research in early diagnosis of cor pulmonale in children with diffuse connective tissue diseases]. / Sovremennye metody issledovaniia v rannei diagnostike "legochnogo serdtsa" pri diffuznykh bolezniakh soedinitel'noi tkani u detei.

Twenty children with systemic lupus erythematosus (SLE) and 13 children with systemic scleroderma were examined by electrocardiography, tetrapolar chest rheography, rheopulmonography and echocardiography. Half of the cases manifested pulmonary hypertension, which was more appreciable in SLE patients. The results of rheopulmonographic and echocardiographic research methods turned out highly comparable.

[Bicuspid and tetracuspid aortic valve]. / Dvukh- i chetyrekhstvorchatyi klapan aorty.

Seven children with bi and 1 with tetracuspid aortal valve were examined. It was discovered that abnormalities of the aortal valves were associated with connective tissue dysplasias, hereditary syndromes and infectious endocarditis. The problem of bicuspid valve inheritance, prevalence and complications prophylaxis are under discussion.

[Neurologic manifestations of Ehlers-Danlos syndrome]. / Nevrologicheskie proiavleniia sindroma Elersa-Danlosa.

Neurologic manifestations were examined in 25 patients with the Ehlers-Danlos syndrome. Injuries to vessels of the brain and spine, arteriovenous malformation, muscular and vertebrogenic lesions, headaches, and vegetative disorders were diagnosed. The clinical and laboratory data are provided whatever the presence or lack of neurologic symptomatology. The problem of the pathogenesis and treatment of neurologic manifestations associated with the Ehlers-Danlos syndrome are discussed.

Main manifestations of carditis in diffuse connective tissue diseases in children.

238 children with diffuse connective tissue diseases were clinically examined with the use of echography. The presence was documented of characteristic morphofunctional changes in the heart in collagen diseases. Characteristic haemodynamic changes (predominantly contraction disturbances in systemic lupus erythematodes and dermatomyositis, and relaxation disturbances in systemic scleroderma) were identified.

[Neurologic manifestations of the Marfan syndrome]. / Nevrologicheskie proiavleniia sindroma Marfana.

Examination of 37 patients with Marfan's syndrome has revealed acute disorders of the cerebral circulation, aneurysms of the spinal vessels, varicose spinal veins, myopathy-like syndrome, atlantal semiluxation, spondylolisthesis, epilepsy and cephalgia. The data of additional examinations conducted in patients with Marfan's syndrome with and without neurological symptomatology are presented. The questions concerning the prevention, pathogenesis and therapy of neurological disturbances associated with Marfan's syndrome are considered.