Abstract

Consideration of the aspect of adaptation, in particular morphological, is expedient with obligatory comparison of morphometric indicators in healthy and sick patients and between groups of patients with different degrees of severity of dermatosis. The aim of the study was to investigate the differences between longitudinal and transverse body sizes between healthy and/or patients with eczema men depending on the severity of the 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, compared with patients, higher values were found for: the height of the pubic anthropometric point by 3.5-5.7% and the height of the acetabular anthropometric point by 4.9-7.5% compared with sick men with idiopathic mild and severe eczema and mild and severe microbial eczema and lower values for: height of the suprathoracic anthropometric point by 1.7-2.6% for idiopathic eczema of mild, severe course and microbial eczema of mild course; height of the acromial anthropometric point by 1.6-2.3% compared with men with idiopathic eczema of mild and severe course; height of the finger anthropometric point by 3.0-5.9% compared with men with idiopathic eczema of mild and severe course and microbial eczema of mild and severe course. In healthy men, compared with patients, higher values were found: mid-thoracic diameter – by 3.1-11.1%, 5.5-14.4%, transverse lower thoracic diameter – by 8.6-14.1% and anterior-posterior mid-thoracic diameter – by 10.2-16.6% and smaller values: width of shoulders by 15.3-21.1% compared with men with idiopathic eczema of mild and severe course and microbial eczema of mild and severe course. In healthy individuals, the width of the distal epiphysis of the forearm is greater by 3.14% compared with patients with idiopathic severe eczema and the width of the distal epiphysis of the crus by 3.1% compared with patients with microbial eczema of mild course; smaller - the width of the distal epiphysis of the shoulder by 3.0% compared with patients with idiopathic eczema of severe course and the width of the distal epiphysis of the thigh by 5.2-7.6% compared with patients with idiopathic eczema of mild and severe course and microbial eczema of mild course. In healthy individuals, the values of the size of the pelvis are lower: interspinous distance – by 8.3-11.6%, intercristal distance – by 8.7-12.5% and intertrochanteric distance – by 7.7-10.5% compared with sick men with idiopathic mild and severe eczema and microbial eczema of the mild and severe course. Differences in longitudinal body size in patients with different forms and severity of eczema. When comparing anthropometric indicators between sick men, the following were found: the height of pubic and acetabular anthropometric points in sick men with idiopathic eczema of mild course is higher by 1.8% and 1.7%, respectively, compared with sick men with microbial eczema of similar severity; shoulder width in patients with idiopathic eczema of mild course is 4.8% less than in patients with idiopathic eczema of severe course. Thus, men with eczema have a subpathological constitutional type, which is characterized by an elongated “cylindrical” torso, shortened lower extremities, as well as more massive distal and less massive proximal epiphyses of the upper and lower extremities.

Highlights

  • Eczema is a dermatosis that is often registered in the clinical practice of a dermatovenereologist

  • The aim of the study was to examine the differences between longitudinal and transverse body sizes between healthy and/or patients with eczema men depending on the severity of the dermatosis

  • Shoulder width in patients with idiopathic eczema of mild course (34.69±2.15) is less compared with patients with idiopathic eczema of severe course (36.44±2.06; p

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Summary

Introduction

Eczema is a dermatosis that is often registered in the clinical practice of a dermatovenereologist. The disease is characterized by a chronic course with frequent, prolonged relapses, the difficulty of choosing effective treatment measures. Despite the significant amount of work on the study of this disease, eczema remains an urgent medical and social problem, as it is often the cause of disability, reducing the quality of life of patients [1, 6, 23]. Many researchers [2, 14] consider eczema as a disease of multifactorial nature, the morphological manifestations of which are characterized by increased intercellular spaces, and the formation of increased permeability of the epidermal barrier to microorganisms, their toxins, development and maintenance of chronic inflammation. In clinical medicine, the average approach to the patient is still widely used without taking into account his constitutional affiliation, which significantly reduces the effectiveness of implemented treatment and prevention programs

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