Serum inflammatory cytokine levels correlate with hand-foot-mouth disease severity: a nested serial case-control study

Hand-food-mouth disease (HFMD) cases can be fatal. These cases develop rapidly, and it is important to predict the severity of HFMD from mild to fatal and to identify risk factors for mild HFMD. The objective of this study was to correlate the levels of serum inflammatory cytokines with HFMD severit...

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Veröffentlicht in:PloS one 2014-11, Vol.9 (11), p.e112676-e112676
Hauptverfasser: Duan, Guangcai, Yang, Haiyan, Shi, Lubin, Sun, Wumei, Sui, Meili, Zhang, Rongguang, Wang, Xinhong, Wang, Fang, Zhang, Weidong, Xi, Yuanlin, Fan, Qingtang
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container_title PloS one
container_volume 9
creator Duan, Guangcai
Yang, Haiyan
Shi, Lubin
Sun, Wumei
Sui, Meili
Zhang, Rongguang
Wang, Xinhong
Wang, Fang
Zhang, Weidong
Xi, Yuanlin
Fan, Qingtang
description Hand-food-mouth disease (HFMD) cases can be fatal. These cases develop rapidly, and it is important to predict the severity of HFMD from mild to fatal and to identify risk factors for mild HFMD. The objective of this study was to correlate the levels of serum inflammatory cytokines with HFMD severity. This study was designed as a nested serial case-control study. The data collected included general information, clinical symptoms and signs, laboratory findings and serum cytokine levels. The levels of IL-4, IL-6, IL-10, TNF-α and IFN-γ in patients with severe HFMD were significantly higher than in mild patients during the 2nd to 5th day after disease onset. The levels of IL-4, IL-6, IL-10 and IFN-γ increased from the 2nd day to the 4th day and later decreased. The levels of TNF-α were high on the first two days and subsequently decreased. The changes of IL-10, TNF-α and IFN-γ in the controls were similar for all cases. The levels of IL-4, IL-6 and IL-17 in the controls were not significantly different with the progression of HFMD. Our findings indicate that the IL-4, IL-6, IL-10, TNF-α and IFN-γ levels correlate with HFMD severity.
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P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Serum inflammatory cytokine levels correlate with hand-foot-mouth disease severity: a nested serial case-control study</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2014-11-12</date><risdate>2014</risdate><volume>9</volume><issue>11</issue><spage>e112676</spage><epage>e112676</epage><pages>e112676-e112676</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Hand-food-mouth disease (HFMD) cases can be fatal. These cases develop rapidly, and it is important to predict the severity of HFMD from mild to fatal and to identify risk factors for mild HFMD. The objective of this study was to correlate the levels of serum inflammatory cytokines with HFMD severity. This study was designed as a nested serial case-control study. The data collected included general information, clinical symptoms and signs, laboratory findings and serum cytokine levels. The levels of IL-4, IL-6, IL-10, TNF-α and IFN-γ in patients with severe HFMD were significantly higher than in mild patients during the 2nd to 5th day after disease onset. The levels of IL-4, IL-6, IL-10 and IFN-γ increased from the 2nd day to the 4th day and later decreased. The levels of TNF-α were high on the first two days and subsequently decreased. The changes of IL-10, TNF-α and IFN-γ in the controls were similar for all cases. The levels of IL-4, IL-6 and IL-17 in the controls were not significantly different with the progression of HFMD. Our findings indicate that the IL-4, IL-6, IL-10, TNF-α and IFN-γ levels correlate with HFMD severity.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>25391156</pmid><doi>10.1371/journal.pone.0112676</doi><oa>free_for_read</oa></addata></record>
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subjects Antigens
Biology and Life Sciences
Biomarkers - blood
Case-Control Studies
Child, Preschool
Children & youth
Correlation analysis
Coxsackievirus infections
Cytokines
Cytokines - blood
Disease control
Edema
Encephalitis
Epidemiology
Female
Hand, Foot and Mouth Disease - blood
Hand, Foot and Mouth Disease - diagnosis
Hospitals
Humans
Infant
Inflammation
Interferon
Interleukin 10
Interleukin 17
Interleukin 4
Interleukin 6
Laboratories
Male
Medical research
Medicine and health sciences
Meningitis
Nervous system
Patients
Prognosis
Public health
Risk analysis
Risk factors
Severity of Illness Index
Tumor necrosis factor
Tumor necrosis factor-TNF
Tumor necrosis factor-α
γ-Interferon
title Serum inflammatory cytokine levels correlate with hand-foot-mouth disease severity: a nested serial case-control study
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