Matusiak Łukasz, Bieniek Andrzej, Szepietowski Jacek C
Department of Dermatology, Venereology and Allergology, Medical University, Wrocław, Poland.
Biomarkers. 2009 Sep;14(6):432-7. doi: 10.1080/13547500903075218.
Hidradenitis suppurativa (HS) is a recurrent, debilitating suppurative skin disease. The major challenge is the choice of optimal treatment. Assessment of treatment effectiveness is currently associated with clinical observations of disease activity based on Hurley's or Sartorius' grading system. Detailed examination of patients with HS and evaluation of disease severity is frequently time-consuming and undoubtedly subjective. With regard to these factors, there is a need for laboratory findings that will help resolve the problem. The aim of this study was to determine the usefulness of soluble interleukin-2 receptor (sIL-2R) serum concentration as a marker of HS clinical staging and comparative analysis with the commonly conducted laboratory measurements, including white blood cell count, C-reactive protein and erythrocyte sedimentation rate. The statistical analysis of all these laboratory parameters conducted within a group of 54 individuals with HS revealed that sIL-2R serum level seems to be the most sensitive measurement for evaluation of disease stage. Moreover, the existence of strong dependences between sIL-2R serum concentration and Hurley's HS grading system were demonstrated. In conclusion, we believe that sIL-2R serum level could be used as a valuable marker for disease staging in patients with HS.
化脓性汗腺炎(HS)是一种复发性、使人衰弱的化脓性皮肤病。主要挑战在于选择最佳治疗方法。目前,治疗效果的评估与基于赫尔利(Hurley)或萨托里厄斯(Sartorius)分级系统对疾病活动的临床观察相关。对HS患者进行详细检查和评估疾病严重程度通常很耗时,而且无疑具有主观性。考虑到这些因素,需要有助于解决该问题的实验室检查结果。本研究的目的是确定可溶性白细胞介素-2受体(sIL-2R)血清浓度作为HS临床分期标志物的有用性,并与常用的实验室检测指标(包括白细胞计数、C反应蛋白和红细胞沉降率)进行对比分析。对一组54例HS患者进行的所有这些实验室参数的统计分析表明,sIL-2R血清水平似乎是评估疾病阶段最敏感的指标。此外,还证明了sIL-2R血清浓度与赫尔利HS分级系统之间存在强相关性。总之,我们认为sIL-2R血清水平可作为HS患者疾病分期的有价值标志物。