Pediatrics
doi: 10.25005/2074-0581-2025-27-3-712-722
DEVELOPMENT OF APPROACHES TO TREATMENT OF CHILDREN WITH RARE AUTOIMMUNE DISEASES: A PHILOSOPHICAL PERSPECTIVE REVIEW
1Department of Maxillofacial Surgery and Surgical Dentistry, Pirogov Russian National Research Medical University, Moscow, Russian Federation
2Department of Maxillofacial Surgery, Russian Childrens’ Clinical Hospital, Moscow, Russian Federation
3Dmitry Rogachev National Medical Research Center of Pediatric Hematology and Immunology, Moscow, Russian Federation
4Department of Oral and Maxillofacial Surgery, Peoples' Friendship University of Russia named after Patrice Lumumba, Moscow, Russian Federation
Due to the lack of comprehensive clinical studies, many rare diseases in children remain poorly understood and pose a serious threat to the lives of young patients who suffer from them. For years, philosophers and psychologists have sought ways to alleviate the psychological impact of these illnesses on children. This active search has led to the development of various philosophical approaches that offer solutions to the challenges faced by these children and their families.
It is widely recognized that immune disorders play a significant role in the disease spectrum, and ongoing research aims to enhance the understanding of these conditions. Among the autoimmune diseases that commonly affect children, primary chronic osteomyelitis stands out as a disease of unknown origin. Many countries worldwide are actively engaged in collective initiatives to create national strategies focused on providing medical care to children facing challenges due to rare diseases.
For this literature review, several resources were utilized, including PubMed, Scopus, Web of Science, eLibrary, and Cyberleninka, covering the past decade. The following keywords were used in the search: philosophy, rare diseases, history of immune diseases, children, medical care, and primary chronic osteomyelitis. The search yielded thousands of articles and e-books containing these keywords, from which articles published in peer-reviewed and reputable journals were selected. Sources that were not fully accessible were excluded, either because they were published in closed journals or because only a small portion of the book was available online.
Keywords: Primary chronic osteomyelitis, rare diseases, autoimmune diseases, medical care for children.
References
- Behrman RE. Overview of pediatrics. In: Behrman RE, Kliegman RM, Jenson HB. Nelson textbook of pediatrics, 17th ed. New Delhi: Elsevier; 2004. p. 1-9.
- Singh M. The art, science and philosophy of child care. The Indian Journal of Pediatrics. 2009;76:171-6. https://doi.org/10.1007/s12098-009-0047-8
- Singh M. Communication as a bridge to build a sound doctor-patient/parent relationship. The Indian Journal of Pediatrics. 2016;83(1):33-7. https://doi. org/10.1007/s12098-015-1853-9
- Perrin JM, Perrin EC. Robert J. Haggerty, MD, FAAP: A founder of academic pediatrics. Academic Pediatrics. 2017;17(6):593-4. https://doi.org/10.1016/j. acap.2017.05.007
- Sisk BA, Feudtner C, Bluebond-Langner M, Sourkes B, Hinds PS, Wolfe J. Response to suffering of the seriously ill child: A history of palliative care for children. Pediatrics. 2020;145(1):e20191741. https://doi.org/10.1542/peds.2019-1741
- Hews‐Girard J, Obilar HN, Camargo Plazas P. Objectivity in rare disease research: A philosophical approach. Nursing Inquiry. 2020;27(1):e12323. https://doi. org/10.1111/nin.12323
- Schofield P. Jeremy Bentham on utility and truth. History of European Ideas. 2015;41(8):1125-42. https://doi.org/10.1080/01916599.2015.1077153
- Sisk BA, Bluebond-Langner M, Wiener L, Mack J, Wolfe J. Prognostic disclosures to children: A historical perspective. Pediatrics. 2016;138(3):e20161278. https:// doi.org/10.1542/peds.2016-1278
- Brouwer M. At the boundaries of life: Suffering and decision-making in children with life-threatening conditions (1-12 years). Groningen: University of Groningen; 2021. 190 p. https://doi.org/10.33612/diss.159020586
- Moore B. The fraught notion of a “good death” in pediatrics. The Journal of Medicine and Philosophy: A Forum for Bioethics and Philosophy of Medicine. 2023; 48(1):60-72. https://doi.org/10.1093/jmp/jhac036
- Sobotka SA, Agrawal RK, Msall ME. Prolonged hospital discharge for children with technology dependency: A source of health care disparities. Pediatric An- nals. 2017;46(10):e365-70. https://doi.org/10.3928/19382359-20170919-01
- Schuelke T, Crawford C, Kentor R, Eppelheimer H, Chipriano C, Springmeyer K, Shukraft A, Hill M. Current grief support in pediatric palliative care. Children. 2021;8(4):278-308. https://doi.org/10.3390/children8040278
- Kaufman D. Locke's theory of identity. A Companion to Locke. 2015:236-59. https://doi.org/10.1002/9781118328705.ch12
- Wagner GP. Homology, genes, and evolutionary innovation. Princeton University Press; 2014. 496 p. https://doi.org/10.1515/9781400851461
- Williamson T. The philosophy of philosophy. Wiley-Blackwell; 2021. 688 p.
- Gilbert SF, Tauber AI. Rethinking individuality: The dialectics of the holobiont. Biology & Philosophy. 2016;31:839-53. https://doi.org/10.1007/s10539-016- 9541-3
- Guay A, Pradeu T. To be continued. In: Individuals across the sciences. 2016. p. 317-47. https://doi.org/10.1093/acprof:oso/9780199382514.003.0017
- Lenz KM, Nelson LH. Microglia and beyond: Innate immune cells as regulators of brain development and behavioral function. Frontiers in Immunology. 2018;9:698. https://doi.org/10.3389/fimmu.2018.00698
- León-Letelier RA, Bonifaz LC, Fuentes-Pananá EM. OMIC signatures to understand cancer immunosurveillance and immunoediting: Melanoma and immune cells interplay in immunotherapy. J Leuk Biol. 2019;105(5):915-33. https://doi. org/10.1002/JLB.MR0618-241RR
- Meincke AS. Persons as biological processes: A bio-processual way out of the personal identity dilemma. In: Nicholson DJ, Dupré J. Everything flows: Towards of processual philosophy of biology. 2018: p. 357-78.
- Quinn M. Bentham on utility and cultural value. Revue d’études benthamiennes. 2021;18(20). https://doi.org/10.4000/etudesbenthamiennes.9202
- Elizondo ES. Taking metaphysics seriously: Kant on the foundations of ethics. European Journal of Philosophy. 2022;30(2):793-807. https://doi.org/10.1111/ ejop.12706
- Whicher D, Philbin S, Aronson N. An overview of the impact of rare disease characteristics on research methodology. Orphanet Journal of Rare Diseases.2018;13:1-12. https://doi.org/10.1186/s13023-017-0755-5
- Detiček A, Locatelli I, Kos M. Patient access to medicines for rare diseases in European countries. Value in Health. 2018;21(5):553-60. https://doi. org/10.1016/j.jval.2018.01.007
- Reiss J, Sprenger J. (2014). Scientific objectivity. In Stanford encyclopedia of philosophy. Retrieved from: https://plato.stanford.eud/entries/scientific‐objectivity/
- Volgina SYa, Nikolaeva EA, Sokolov AA, Kopishinskaya SV, Gamirova RG, Khalmatova BT. Problemy detey s redkimi boleznyami: eticheskie, sotsial’nye, psikhologicheskie i meditsinskie aspekty [Problems of children with rare diseases: Ethical, social, psychological and medical aspects]. Rossiyskiy vestnik perinatologii i pediatrii. 2019;64(5):149-54. https://doi.org/10.21508/1027– 4065–2019–64–5–149–154
- Ralli M, Angeletti D, Fiore M, D'Aguanno V, Lambiase A, Artico M, et al. Hashimoto's thyroiditis: An update on pathogenic mechanisms, diagnostic protocols, therapeutic strategies, and potential malignant transformation. Autoimmunity Reviews. 2020;19(10):102649. https://doi.org/10.1016/j. autrev.2020.102649
- Cоlаfrancеscо S, Perricоne C, Priоri R, Valesini G, Shоenfeld Y. Sjоgren’s syndrоme: Anоther facet of the autоimmune/ inflammatоry syndrоme induced by adjuvants (ASIA). J Autоimmun. 2014;51:10-6. https://doi.org/10.1016/j. jaut.2014.03.003
- Kharaziha M, Baidya A, Annabi N. Rational design of immunomodulatory hydrogels for chronic wound healing. Advanced Materials. 2021;33(39):2100176. https://doi.org/10.1002/adma.202100176
- Anderson W, Mackay IR. Fashioning the immunological sеlf: the biological individuality of F. Macfarlane Burnet. J Hist Biol. 2014;47(1):147-75. https://doi. org/10.1007/s10739-013-9352-1
- Berglund C, Ekströmer K, Abtahi J. Primary chrоnic оsteоmyelitis of the jaws in children: An update on pathophysiоlоgy, radiоlоgical findings, treatment strategies, and prоspective analysis оf twо cases. Case Rep Dent. 2015:2015:152717. https://doi.org/10.1155/2015/152717
- Robertsson C, Sävendahl L, Cardemil C. Primary chrоnic оsteоmyelitis оf the jaw: Rapid improvement after hоrmоnal suppression in a girl with precocious puberty. Bone Reports. 2021;14.e101089. https://doi.org/10.1016/j.bonr.2021.101089
- Kraus R, Laxer RM. Characteristics, treatment options, and outcomes of chronic non-bacterial osteomyelitis in children. Current Treatment Options in Rheuma- tology. 2020;6:205-22. https://doi.org/10.1007/s40674-020-00149-8
Authors' information:
Kugushev Aleksandr Yurievich,
Doctor of Medical Sciences, Lecturer at the Department of Maxillofacial Surgery and Surgical Dentistry, Pirogov Russian National Research Medical University; Maxillofacial Surgeon at the Department of Oral and Maxillofacial Surgery, Russian Children's Clinical Hospital
ORCID ID: 0000-0002-6881-7709
E-mail: drkuguzhev@gmail.com
Lopatin Andrey Vyacheslavovich,
Doctor of Medical Sciences, Full Professor, Maxillofacial Surgeon at Dmitry Rogachev National Medical Research Center of Pediatric Hematology and Immunology; Lecturer at the Department of Oral and Maxillofacial Surgery, Peoples' Friendship University of Russia named after Patrice Lumumba
ORCID ID: 0000-0003-0043-9059
E-mail: and-lopatin@yandex.ru
Dagher Suzan,
Postgraduate Student, Department of Oral and Maxillofacial Surgery, Peoples' Friendship University of Russia named after Patrice Lumumba
ORCID ID: 0009-0004-1950-4011
E-mail: suzandager@yandex.com
Information about support in the form of grants, equipment, medications
The authors did not receive financial support from manufacturers of medicines and medical equipment
Conflicts of interest: No conflict
Address for correspondence:
Dagher Suzan
Postgraduate Student, Department of Oral and Maxillofacial Surgery, Peoples' Friendship University of Russia named after Patrice Lumumba
117198, Russian Federation, Moscow, Miklukho-Maklaya str., 10
Tel.: +7 (991) 6114298
E-mail: suzandager@yandex.com
This work is licensed under a Creative Commons Attribution 4.0 International License.
Materials on the topic:
- MICROVASCULAR BED CHARACTERISTICS IN A CHILD WITH SEVERE UNCONTROLLED BRONCHIAL ASTHMA: A CASE REPORT AND LITERATURE REVIEW
- ANTIOXIDANT STATUS AND LIPID PEROXIDATION IN HEREDITARY HEMOLYTIC ANEMIA IN CHILDREN
- ACUTE RHEUMATIC FEVER IN CHILDREN
- MORBIDITY AMONG CHILDREN AGED 1 TO 14 YEARS IN THE REGIONS OF THE REPUBLIC OF TAJIKISTAN WITH HIGH BACKGROUND IONIZING RADIATION
- PROGRESSIVE FAMILIAL INTRAHEPATIC CHOLESTASIS IN CHILDREN
- THE QUALITY OF LIFE OF PARENTS OF CHILDREN WITH BRONCHIAL ASTHMA
- CASE REPORT: FAMILIAL WISKOTT-ALDRICH SYNDROME
- EXTERNAL RESPIRATION AND BLOOD GAS COMPOSITION IN CHILDREN WITH HEREDITARY HEMOLYTIC ANEMIA
- IMPACT OF THE COVID-19 PANDEMIC ON VITAMIN D LEVELS IN CHILDREN OF RYAZAN
- EPIDEMIOLOGICAL ASPECTS OF CONTEMPORARY PHYSICAL DEVELOPMENT IN CHILDREN