The use of an Alpine climate in the treatment of immune thrombocytopenic purpura (ITP) in children of the Kyrgyz Republic

Mamatov Sagynali Murzaevich; Esengeldi Kyzy Aizhamal; Vityala Yethindra; Tugolbai Tagaev Jumabekovich; Arstanbekova Mira Arstanbekovna; Imanalieva Farida Eldiyarovna; Nartaeva Aida Kanatbekovna; Kanat Kyzy Bazira

Mamatov Sagynali Murzaevich ⁽¹⁾ , Esengeldi Kyzy Aizhamal ⁽²⁾ , Vityala Yethindra ⁽³⁾ , Tugolbai Tagaev Jumabekovich ⁽⁴⁾ , Arstanbekova Mira Arstanbekovna ⁽⁵⁾ , Imanalieva Farida Eldiyarovna ⁽⁶⁾ , Nartaeva Aida Kanatbekovna ⁽⁷⁾ , Kanat Kyzy Bazira ⁽⁸⁾

(1) Department of Hospital Internal Medicine, Occupational Pathology with a Course of Hematology, I.K. Akhunbaev Kyrgyz State Medical Academy, 92, Akhunbaev street, Bishkek-720020, Kyrgyzstan, Kyrgyzstan ,

(2) Department of Hospital Internal Medicine, Occupational Pathology with a Course of Hematology, I.K. Akhunbaev Kyrgyz State Medical Academy, 92, Akhunbaev street, Bishkek-720020, Kyrgyzstan, Kyrgyzstan ,

(3) International School of Medicine, International University of Kyrgyzstan, 1F, Intergelpo street, Bishkek- 720054, Kyrgyzstan, Kyrgyzstan ,

(4) Department of Hospital Internal Medicine, Occupational Pathology with a Course of Hematology, I.K. Akhunbaev Kyrgyz State Medical Academy, 92, Akhunbaev street, Bishkek-720020, Kyrgyzstan, Kyrgyzstan ,

(5) Department of Hospital Internal Medicine, Occupational Pathology with a Course of Hematology, I.K. Akhunbaev Kyrgyz State Medical Academy, 92, Akhunbaev street, Bishkek-720020, Kyrgyzstan, Kyrgyzstan ,

(6) Department of Hospital Internal Medicine, Occupational Pathology with a Course of Hematology, I.K. Akhunbaev Kyrgyz State Medical Academy, 92, Akhunbaev street, Bishkek-720020, Kyrgyzstan, Kyrgyzstan ,

(7) Department of Fundamental and Clinical Physiology, I.K. Akhunbaev Kyrgyz State Medical Academy, 92, Akhunbaev Street, Bishkek-720020, Kyrgyzstan, Kyrgyzstan ,

(8) Department of Hospital Internal Medicine, Occupational Pathology with a Course of Hematology, I.K. Akhunbaev Kyrgyz State Medical Academy, 92, Akhunbaev street, Bishkek-720020, Kyrgyzstan, Kyrgyzstan

Issue
Vol. 11 No. 2 (2020): Volume 11 Issue 2

Keywords:

Alpine climatotherapy, Hemorrhagic syndrome, Immune thrombocytopenia (ITP), Kyrgyz Republic, Platelet count, Prednisone, Remission, Splenectomy

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Abstract

The objective of the study is to evaluate the effectiveness of the use of alpine (high-altitude) climatotherapy in the chronic form of immune thrombocytopenia in children. The article presents the results of the treatment of immune thrombocytopenia in children during high altitude climatotherapy. For this type of treatment, the alpine climate of the Tuya-Ashu pass (3200 meters above sea level) in the Kyrgyz Republic used. A 40-day stay in the highlands contributes to the relief of hemorrhagic syndrome and a significant increase in platelet count. Evaluation of the treatment results showed that out of 32 children who received alpine (high-altitude) climatotherapy once, 2 achieved complete and 14 had partial remission. In 11 children, the improvement of clinical and hematological parameters was temporary, and the absence of effect recorded in 5 patients. 50% of children with chronic immune thrombocytopenia (ITP) responded positively to a single course of treatment. Repeated courses of treatment led only to an improvement in clinical and haematological parameters. In our study, we have a case of a complete recovery of a child with immune thrombocytopenia (ITP) after 5 treatments in high altitude conditions.