Lomikovska M. Immunopathogenesis of infectious reactive arthritis in the background of activated obligate infections (Chlamydia trachomatis and Epstein-Barr virus), patient surveillance

The thesis is dedicated to the improvement of the efficiency of treatment and forecasting of the risks of transformation of reactive arthritis (ReA) into rheumatoid arthritis (RA) through the study of the peculiarities of immunopathogenesis in the background of Chlamydia trachomatis (C. trachomatis) and Epstein-Barr virus (EBV). The rate of activity of the inflammatory process under the DAREA index was higher in patients with RеА with combined infection as compared to the group of patients with RеА with C. trachomatis (p<0,05). Molecular and genetic studies have been established: the detection of the DNA of C. trachomatis (in blood serum and in the urinogenital scraping) and Epstein-Barr virus (in blood, saliva, mucous membrane of the posterior pharyngeal wall scraping) as well as specific molecules of immunoglobulin М and immunoglobulin G (IgМ, IgG) to causative antigens. The method of treatment of patients with ReA in the background of combined infection, that presupposes application of immunomodulatory Immodin medication in the background of standard therapy, has been developed.