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194718

DATING DRY BURN INJURY IN HUMAN PATIENTS BY FLOW CYTOMETRY OF CD4+ AND CD8+ T-CELLS IN THE BLOOD

Article

Last updated: 22 Jan 2023

Subjects

-

Tags

• Forensic Medicine

Abstract

Introduction: Dating burn injury in humans remains a challenging issue in forensic medicine. T-lymphocytes have a fundamental role in the healing process of burn injury. The study aimed to characterize time-dependent changes in T-Helper lymphocytes (CD4+) and T-Cytotoxic lymphocytes (CD8+) in human blood following thermal injury and to elucidate their accuracy in dating dry burn injury. Patients and Methods: This cross-sectional study included adult patients, admitted with second and /or third-degree dry burn with a total body surface area ranged from 10% to 50%. Ten eligible patients were recruited independently at the 1st, 3rd, 7th, and 15th days following burn injury. Additionally, ten matched healthy subjects served as a control group. Besides the patient's information, blood samples were withdrawn from each participant for flow cytometric analysis of CD4+ and CD8+ T-cells. Results: Percentages of CD4+ and CD8+ cells, and CD4+/CD8+ ratio exhibited a significant reduction in burnt patients compared to the control group throughout the first-week after-burn. Additionally, there was a significant time-dependent decline between the 1st, 3rd, and 7th days, following the burn. Receiver operating characteristic (ROC) analysis for these markers revealed a significant-excellent power of discrimination of burns aged less than 3 days (area under the curves were ≥0.9). Conclusion: It could be concluded that CD4+ and CD8+ T-cells in the human blood exhibited time-dependent changes after dry burns. They could help in dating acute dry burns in living humans with great accuracy, whatever the extent of burn injury.

DOI

10.21608/ejfsat.2020.38023.1162

Keywords

Dating, Age, burns, human, CD+4 and CD+8, Flow cytometry

Authors

First Name

Fatma

Last Name

Elgazzar

MiddleName

-

Affiliation

Forensic Medicine and Clinical Toxicology Department, Faculty of Medicine, Tanta University, Tanta, Egypt.

Email

fatma.elgazar@med.tanta.edu.eg

City

-

Orcid

0000-0002-2353-9223

First Name

Kareem

Last Name

Alsharkawy

MiddleName

-

Affiliation

Plastic and Reconstructive Surgery Department, Faculty of Medicine, Tanta University, Tanta, Egypt.

Email

kareem.alsharkawy@med.tanta.edu.eg

City

-

Orcid

0000-0003-0215-2326

First Name

Rasha

Last Name

Elkholy

MiddleName

-

Affiliation

Clinical Pathology Department, Faculty of Medicine, Tanta University, Tanta, Egypt.

Email

rasha.elkhouly@med.tanta.edu.eg

City

-

Orcid

-

First Name

Heba

Last Name

Lashin

MiddleName

-

Affiliation

Forensic medicine and Clinical toxicology department, Faculty of medicine, Tanta University, Egypt

Email

heba.lashen@med.tanta.edu.eg

City

Tanta

Orcid

0000-0001-9223-9008

Volume

21

Article Issue

3

Related Issue

27484

Issue Date

2021-09-01

Receive Date

2020-08-26

Publish Date

2021-09-01

Page Start

61

Page End

73

Print ISSN

1687-0875

Online ISSN

2535-1915

Link

https://ejfsat.journals.ekb.eg/article_194718.html

Detail API

https://ejfsat.journals.ekb.eg/service?article_code=194718

Order

6

Type

Original Article

Type Code

429

Publication Type

Journal

Publication Title

The Egyptian Journal of Forensic Sciences and Applied Toxicology

Publication Link

https://ejfsat.journals.ekb.eg/

MainTitle

-

Details

Type

Article

Created At

22 Jan 2023