Coskun Basak, Saral Yunus, Gödekmerdan Ahmet, Erden Ilker, Coskun Naci
Department of Dermatology, Firat University, Faculty of Medicine, TR 23119 Elazig, Turkey.
Skinmed. 2005 Sep-Oct;4(5):282-6. doi: 10.1111/j.1540-9740.2005.03865.x.
One of the main problems in Behçet's disease is the lack of an original laboratory marker that can reflect clinical activity. In this study, laboratory parameters that could be used as indicators of active disease are investigated.
The study included a total of 40 patients with Behçet's disease, 25 of whom were active and 15 inactive, who applied to Firat University, Firat Medical Center Dermatology, Rheumatology, Physiotherapy, and Ophthalmology outpatient clinics and a control group composed of 30 healthy volunteers. Serum neopterin, C-reactive protein (CRP), and sedimentation rate (ESR) levels were determined in all patients and healthy controls.
Serum neopterin, CRP, and ESR levels in active Behçet's disease patients were significantly higher than those in both the inactive group and healthy controls (p<0.001).
It was contemplated that together with serum CRP and ESR, neopterin could be a useful laboratory parameter in patients in whom disease activation could not be determined.
白塞病的主要问题之一是缺乏能够反映临床活动的特异性实验室指标。本研究对可作为疾病活动指标的实验室参数进行了调查。
该研究共纳入了40例白塞病患者,其中25例为活动期患者,15例为非活动期患者,这些患者来自菲拉特大学菲拉特医学中心皮肤科、风湿病科、物理治疗科和眼科门诊,另外还纳入了由30名健康志愿者组成的对照组。测定了所有患者和健康对照者的血清新蝶呤、C反应蛋白(CRP)和血沉(ESR)水平。
活动期白塞病患者的血清新蝶呤、CRP和ESR水平显著高于非活动期组和健康对照组(p<0.001)。
可以设想,新蝶呤与血清CRP和ESR一起,可能成为无法确定疾病是否活动的患者有用的实验室参数。