employee
Nizhniy Novgorod, Russian Federation
Nizhny Novgorod, Nizhny Novgorod, Russian Federation
employee
Nizhny Novgorod, Nizhny Novgorod, Russian Federation
student
Nizhny Novgorod, Nizhny Novgorod, Russian Federation
UDK 616 Патология. Клиническая медицина
Desquamative glossitis is a disease characterized by an unclear etiology, torpidity of the course, recurrence-proneness. The mechanism underlying the disease development is cellular kinetics disorders. The essential micronutrient zinc is an apoptotic inhibitor in various cellular systems, including the epithelium. Methodology. The study involved 33 patients with desquamative glossitis. In all cases, traditional local treatment with keratoplastics was prescribed, supplemented with the appointment of zinc-containing toothpaste (contains zinc lactate) and an oral preparation containing zinc oxide (2 mg in one tablet). The determination of zinc in the oral fluid was carried out using a method of mass spectrometry with an ion source in the form of inductively coupled plasma (ICP-MS). Units of measurement mmol/l. Results. When prescribing zinc preparations of general and/or local action, the concentration of zinc in the oral fluid increases in each group (*p < 0.05,**p < 0.001). The rate of epithelization of lesions with desquamative glossitis is higher when taking zinc preparations orally, while the maximum rate of epithelization is observed with simultaneous local and general use of zinc-containing agents (p < 0.05). Conclusion. Our study demonstrated the clinical effectiveness of zinc-containing drugs in the treatment of desquamative glossitis, which is confirmed by an increase in the rate of epithelialization and a decrease in the area of lesions when they are used with the registration of an increase in the level of zinc in the oral fluid.
desquamative glossitis, zinc, area of lesions, zinc level in the oral fluid, mass spectrometry
1. Legon'kova T.I., Shtykova O.N., Voytenkova O.V., Stepina T.G. Klinicheskoe znachenie cinka: rezul'taty prospektivnogo nablyudeniya za det'mi v techenie 14 let. MS. 2018;11. [T.I. Legonkova, O.N. Shtykova, O.V. Voitenkova, T.G. Stepina. Clinical Significance of Zinc: Results of the 14-year prospective study of children. Medical Souncil. 2018;11. (In Russ.)]. https://cyberleninka.ru/article/n/klinicheskoe-znachenie-tsinka-rezultaty-prospektivnogo-nablyudeniya-za-detmi-v-techenie-14-let
2. Mahsumova S.S, Dosmuhammedov E.H., Hasanov F., Adylova F.A. Profilaktika kariesa: vliyanie cinka i ftora na rezistentnost' emali. Vestnik nauki i obrazovaniya. 2021;13-2:116. [S.S. Makhsumova, E.Kh. Dosmukhammedov, F. Khasanov, F.A. Adylova. Prevention of caries: the effect of Zinc and Fluoride on enamel resistance. Scientific Journal. 2021;13-2:116. (In Russ.)]. https://cyberleninka.ru/article/n/profilaktika-kariesa-vliyanie-tsinka-i-ftora-na-rezistentnost-emali
3. Muhina Yu.G., Klyuchnikov Yu.G., Netrebenko O.K. i dr. Klinicheskoe znachenie narusheniy metabolizma cinka. Avtorskie lekcii po pediatrii. 2005. [Yu.G. Mukhina, S.O. Kliuchnikov, O.K. Netrebenko et al. Clinical significance of zinc metabolism disorders. Author's lectures on pediatrics. Moscow. 2005. (In Russ.)]. http://medvuz.com/med1808/t3/22.php
4. Novikova V.P., Havkin A.I. Deficit cinka i mikrobiota kishechnika. Voprosy prakticheskoy pediatrii. 2021;16(3):92-98. [V.P. Novikova, A.I. Havkin. Zinc deficiency and intestinal microbiota. Clinical Practice in Pediatrics. 2021;16(3):92-98. (In Russ.)]. DOIhttps://doi.org/10.20953/1817-7646-2021-3-92-98
5. Panyukova S.V., Piruzyan A.L., Korsunskaya I.M. Seboreynyy dermatit: kak pomoch' pacientu. Consilium Medicum. 2020;22(7):46-48. [S.V. Paniukova, A.L. Piruzyan, I.M. Korsunskaya. Seborrheic dermatitis: how to help the patient. Consilium Medicum. 2020;22(7):46-48. (In Russ.)]. DOI:https://doi.org/10.26442/20751753.2020.7.200314
6. Studenikin V.M., Tursunhuzhaeva S.Sh., Shelkovskiy V.I. Cink v neyropediatrii i neyrodietologii. Lechaschiy vrach. 2012;1:44-47. [V.M. Studenikin, S.Sch. Tursunkhuzhaeva, V.I. Shelkovsky. Zinc in neuroperdiatrics and neurodietetics. Physician. 2012;1:44-47. (In Russ.)]. https://www.lvrach.ru/2012/01/15435320
7. Uspenskaya O.A, Shevchenko E.A., Kazarina N.V., Legostaeva M.V. Sostoyanie mikrobiocenoza polosti rta pri deskvamativnom glossite, associirovannom s sindromom izbytochnogo bakterial'nogo rosta v tonkom kishechnike. Parodontologiya. 2019;24;1-24(90):39-43. [O.A. Uspenskaya, E.A. Schevchenko, N.V. Kazarina, M.V. Legostaeva. The oral cavity micro-biocenosis in case of desquamative glossitis associated with small intestinal bacterial overgrowth. Periodontology. 019;24;1-24(90):39-43. (In Russ.)]. https://elibrary.ru/item.asp?id=37096137
8. Uspenskaya O.A., Kazarin F.A., Kazarina N.V., Uspenskiy V.I. Svidetel'stvo Rossiyskoy Federacii o gosudarstvennoy registracii programmy dlya EVM № 2020662169. № 2020661339. zayavl. 02.10.2020. opubl. 09.10.2020. Zayavitel' federal'noe gosudarstvennoe byudzhetnoe obrazovatel'noe uchrezhdenie vysshego obrazovaniya «Privolzhskiy issledovatel'skiy medicinskiy universitet» Ministerstva zdravoohraneniya Rossiyskoy Federacii. [O.A.Uspenskaya, F.A. Kazarin, N.V.Kazarina, V.I. Uspensky. Certificate Russian Federation of state registration of the computer program № 2020662169. № 2020661339. appl. 02.10.2020. publ. 09.10.2020. applicant - Privolzhsky Research Medical University (approved by Ministry of Health, Russian Federation). https://elibrary.ru/vgilwf
9. Uspenskaya O.A., Kazarina N.V., Kazarin A.S. i dr. Parodontopatogennaya mikroflora pri vospalitel'nyh zabolevaniyah parodonta i sindrome izbytochnogo bakterial'nogo rosta v tonkom kishechnike. Dental Forum. 2019;3(74):14-19. [O.A. Uspenskaya, N.V. Kazarina, A.S. Kazarin, et. al. Pathogenic periodontal microflora in patients with inflammatory periodontal diseases and small intestinal bacterial overgrowth. Dental Forum. 2019;3(74):14-19. (In Russ.)]. https://elibrary.ru/item.asp?id=39144608
10. Chuykin S.V., Akmalova G.M., Ron' G.I., Chernysheva N.D., Honina T.G. Obosnovanie primeneniya cinksoderzhaschih preparatov v kompleksnom lechenii bol'nyh krasnym ploskim lishaem slizistoy obolochki polosti rta. Problemy stomatologii. 2016;12(3):40-45. [S.V. Chujkin, G.M. Akmalova, G.I. Ron, N.D. Chernysheva, T.G Khonina. The rationale for the use of zinc-containing drugs treating patients with lichen planus of the oral mucosa. Actual problems in dentistry. 2016;12(3):40-45. (In Russ.)]. https://cyberleninka.ru/article/n/obosnovanie-primeneniya-tsinksoderzhaschih-preparatov-v-kompleksnom-lechenii-bolnyh-krasnym-ploskim-lishaem-slizistoy-obolochki-rta
11. Chuykin S.V., Akmalova G.M. Uroven' soderzhaniya cinka v syvorotke krovi i rotovoy zhidkosti u pacientov s krasnym ploskim lishaem. Sovremennye problemy nauki i obrazovaniya. 2015;6. [S.V. Chujkin, G.M. Akmalova. The concentration of Zinc in serum and oral fluid in patients with lichen planus. Modern problems of science and education. 2015;6. (In Russ.)]. https://science-education.ru/ru/article/view?id=23932
12. Scheplyagina L.A., Legon'kova T.I., Moiseeva T.Yu. Klinicheskoe znachenie deficita cinka dlya zdorov'ya detey: novye vozmozhnosti lecheniya i profilaktiki. RMZh. 2002;16:730. [L.A. Scheplyagina, T.I. Legonkova, T. Y. Moiseeva. Clinical Significance of Zinc deficiency for children’s health: new opportunities of treatment and prevention. Russian Medical Journal. 2002;16:730. (In Russ.)]. https://www.rmj.ru/articles/pediatriya/Klinicheskoe_znachenie_deficita_cinka_dlya_zdorovyya_detey_novye_vozmoghnosti_lecheniya_i_profilaktiki/
13. Afseth J., Helgeland K., Bonesvoll P. Retention of Cu and Zn in the oral cavity following rinsing with aqueous solutions of copper and zinc salts // Scand J Dent Res. - 1983;91(1):42-45. doi:https://doi.org/10.1111/j.1600-0722.1983.tb00773.x.
14. Creeth J.E., Abraham P.J., Barlow J.A., Cummins D. Oral delivery and clearance of antiplaque agents from Triclosan-containing dentifrices // Int Dent J. - 1993;43;4(1):387-397. PMID: 8282421.
15. Gilbert R.J., Ingram G.S. The oral disposition of zinc following the use of an anticalculus toothpaste containing 0.5% zinc citrate // J Pharm Pharmacol. - 1988;40(6):399-402. doi:https://doi.org/10.1111/j.2042-7158.1988.tb06303.x.
16. Hewlings S, Kalman D. A Review of Zinc-L-Carnosine and Its Positive Effects on Oral Mucositis, Taste Disorders, and Gastrointestinal Disorders // Nutrients. - 2020;12:665. https://doi.org/10.3390/nu12030665