Acarias is overriding problem of clinical medicine (Message II)

Autor: R.D.Zhaxylykova

Source: Journal «Valeology», 2007, № 2

Person’s acarias is primary chronic infectious (parasitic) associative disease of all human’s body which is caused by mites (Demodex, Dermatophagoides, Sarcoptes scabiei and others) in association with fungi, bacteria, viruses and others microorganismes. Acarias always starts from derma (acarodermatitis) and (or) mucous membrane, which is connected to external environment. In the absence of appropriate medical and preventive treatment measures mites gradually affect internal tissue and organs, acarias progresses and it detected under different clinical masks /2/.

People suffer from acarias science ancient time. Demodex and Dermatophagoides are always associated with itch mites. In spite of the fact that the itch is considered as liquidated, sporadic cases and even small epidemics of this disease are continuously registered. Postscabies itch of skin interpreted as acarophobia and healthy carrier state of itch mite – are generally recognized facts in dermatology /3/. But our observations certify that healthy carrier state of itch mites do not exist, and postscabies itch of skin are caused by Dermatophagoides which are not eliminated during the treatment of scabies. After the conducted etiotropic treatment 48 persons fully recovered from postscabies itch of skin. 37 carriers of itch mites turned over to be sick by subclinical version of itch. Purposeful interrogation allowed discovering the presence of feebly marked subjective symptoms. On our evidence they had clinical presentations of scabies as well.

In 1973-1979 we have studied acarias demodecosus among 12875 persons, have tracked the ways of infection of their relatives, close people and people who communicate with them, have cured 2823 patients in six groups commensurable in scientific aspect. In 1980 we have started to recheck received results by reproduction of the disease in clinic and experiment, purposeful etiotropic treatment of 49 patients who suffer from demodecoses. By that time we could neatly define acarias demodecosus or scabies by sight. Exactly in this period we have developed the ways of demodecoses diagnostics, and convenient device to fulfill one of our developed ways of diagnostics as well. Since acarias always starts from derma and connected to external environment mucous membrane, clinical diagnostics of it is not difficult. We have conducted mass prophylactic examination with the object to define people affected by acarias in public places on state of their skin and mucous membrane of open parts of the bodies. Among 2 million of clinically examined people there were citizens of Moscow, St. Petersburg, Almaty, Kazan, Sochi, Pskov, Riga, Vilnius, Shymkent, Kentau, Tashkent, Bishkek, Ashkhabad, Dushanbe and other cities. The results of researches certified rapid distribution of acarias among people. So, in January 1981, among 180702 inspected people the skin of 27% was clear from mite invasion. The quantity of people with healthy skin of open parts of body had reduced every month. In August 1981 only 0,2% of 231756 inspected had healthy skin.

By recommendation of B.A.Atchabarov and M.E.Zeltcer academicians in the period of 1980-1982 purposeful recheck of clinical scientific aspects has been conducted on the basis of many institutions of Almaty city. With this purpose the researches were conducted in hospitals and medical scientific research institutes; out-patients clinic: city, regional, scientific institutions; dermatovenerologic dispensary of municipal and republican significance, school and preschool institutions, colleges, universities and others. Doctors of abovementioned institutions were engaged in team-work: dermatologists, pediatricians, oculists, physicians, laboratory assistants, and also doctors and candidates of medical sciences, research assistants of Republican Allergic Center, scientific research institutes of Ophthalmology, Dermatovenerologic dispensary, Endemic Medicine, Microbiology and Epidemiology. The results of conducted researches and following conclusions were announced henceforth verbally and in writing to ministers of health care of republican and national standing, heads of academic medicine councils of Kazakhstan and Soviet Union, top-management of the Republican and Central Dermatovenerologic Institutes, Parasitology Institute named after Martcinovskiy, Rheumatology Institute and others; during medical conferences, congresses and symposiums of republican, national and international standing, which were held in Almaty; meetings of dermatologists and allergologists of Almaty and Kentau cities, congress of acarologists in Bishkek city and other. Acarological aspects of work were conducted with participation of V.N.Kusov - acarologist, doctor of biological sciences. In 2000 for the first time we have placed the website with the description of all aspects of this scientific discovery in the sphere of clinical medicine. In subsequent this information was received by e-mail by number of representative offices of World Health Organization, institutes of dermatologists, allergologists and acarologists of many countries in the world. As the result doctors all over the world have been rapidly interested in mite-borne human pathology. At present time in the aspect of our data think many researches in different regions of planet, our works are quoted. State and private hospitals conduct diagnostics, treatment and preventive treatment of mite pathology of people. Antimite facilities and goods are produced by pharmacological industry and multi-level marketing. Industry produces cosmetics, vacuum cleaners, mattresses, bedding and many other things, which are intended to reduce and liquidate mites in human’s biotope. All these make us happy. Nevertheless the rate of efforts with the diseases, in origin and development of which mites are responsible, remains extremely low. This is fraught with appearance of incredible complications of acarias, which is in evidence already at present time. For this purpose we do not stop to inform world medical community with clinic, modern diagnostics and acarias treatment which are pandemic widespread to the beginning of III millennium.

In the period since 1981 till present time the research of acarias dermatophagoidesusclinic is proceeded, and it, as a rule, accompanies acarias demodecosus. Almost every patient has mixed invasion by Demodex and Dermatophagoides, and sometimes by Sarcoptes scabiei as well.

Among the patients of health locality No 2 of hospital No 4 of Almaty city in 1983-1985 there were no persons unaffected with mites. Among the patients of “Zdorovie” sanatorium-preventorium, manifestations and complications of acarias among 78% were the main reasons of their residence in the hospital. Out of 18700 patients, who were inspected in the office of functional diagnostics of the same hospital in 1986-1988, 40% have early case, 52% have developed case, 8% have complicated case of acarias. All 619 dispensary patients of rheumatology office had suffered from one or other complications of acarias. Among those 82% acarias was leading disease. In the period of 1991-2006 specific weight of patients with early case of acarias, who visited allergo-dermatologist, has reduced from 91 to 12%. Therefore the percent of patients with different complications of acarias has increased. In 2006-2007 it is noted the growth in number of people who applied with extremely severe and incredible complication of acarias /1/. Almost in all countries nowadays the growth of disease incidence of people

by allergic, skin, cardiovascular, neurological, rheumatic, oncological and

other diseases is still increasing. Patients of polyclinics and hospitals,

where the abovementioned researches were conducted, had suffered from those

diseases.

Consequently, at present time acarias is pandemic widespread on the planet. Due to the absence of timely conducted diagnostic, medical and preventive treatment measures acarias is progressed. Acarias complications are registered under mask of chronic uninfectious diseases which are popular in medicine. The absence of antiacarias measures is one of the main reasons of continuous people incidence rate by chronic uninfectious diseases.

LITERATURE

1. Zhaxylykova R.D. Everybody has acarias, but it is possible and necessary to cope with it. – Science and high school of Kazakhstan, 2002, 24 (46), p. 5.

2. Zhaxylykova R.D.. About the reason of growth of disease in XX century. Mite itch or secondary allergy or Zhaxylykova’s disease. – Alma-Ata, 1983, 14pp.

3. Sokolova T.V. Itch. New in etiology, epidemiology, clinic, diagnostic, treatment and preventive treatment (lecture). - Russian magazine of skin and venereal diseases, 2001, 1, p. 27-39.