Vliuysky encephalomyelitis: clinical polymorphism, focusing on slowly progredient fatal disease course. Variations of the epidemic process
Abstract
The study of the origin, development, distribution and completion of Vilyusk encephalomyelitis (VEM) epidemics on the territory of Sakha-Yakutia shows the course of a unique epidemic process of completely distinctive neuroinfection, plagues of residents mostly of the one ethnic group.The mechanisms of persistence of still not isolated infectious agent and the features of an immunity of the affected population remain a mystery, but gave rise to the clinical polymorphism and a broad clinical continuum of the disease. These circumstances contributed to the introduction of clinical and epidemiological monitoring of heterogenic risk groups of patients in the foci of disease characterized by different degree of reliability of VEM diagnosis, that allows to express some polar points of view on the nature and pathogenesis of VEM. Consideration of these hypotheses in the key common understanding of the epidemic process VEM should allow to find out the important questions of comorbidity and predispose to disease of the certain immune-genetic disorders.
About the Authors
V. A. VladimirtsevRussian Federation
F. A. Platonov
Russian Federation
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Review
For citations:
Vladimirtsev V.A., Platonov F.A. Vliuysky encephalomyelitis: clinical polymorphism, focusing on slowly progredient fatal disease course. Variations of the epidemic process. Yakut Medical Journal. 2013;(3):33-38.