Yaşar Necdet Fatih, Uylas Mustafa Ufuk, Baspinar Mustafa, Sarsilmaz Hakan, Ates Ersin, Erkasap Serdar, Sahin Adnan
Eskişehir Osmangazi University, Medical School, Eskişehir, Turkey.
Wounds. 2016 Nov;28(11):87-91. Epub 2016 Dec 29.
Recently, it has been shown that hematological parameters may be used as markers of inflammatory response. In this study, the authors aimed to identify the potential roles of the neutrophil-lymphocyte ratio (NLR) and other hematological markers in the evaluation of hidradenitis suppurativa (HS), a chronic, recurrent inflammatory disease.
A total of 35 patients, diagnosed with HS between January 1, 2012 and December 31, 2014, were categorized into 3 groups according to the Hurley staging system. The basic patient demographics, the anatomic regions involved, and the hematological parameters including NLRs were evaluated in the present retrospective chart review.
Hemoglobin, mean corpuscular volume, and mean corpuscular hemoglobin levels were greater in stage I than stage III, while hematocrit, red cell distribution width (RDW), mean platelet volume, mean corpuscular hemoglobin concentration levels, and platelet counts did not differ between the stages. White blood cell and neu- trophil counts were higher in stage III than stage II, while lympho- cyte counts were lower in stage III than stage II. The NLR of stage I was detected as being significantly higher than stage II and lower than stage III.
The present study shows hematological markers, and NLR in particular may be related to the severity of HS. Further studies are required to demonstrate the significance of NLR in the evaluation of HS.
最近的研究表明,血液学参数可用作炎症反应的标志物。在本研究中,作者旨在确定中性粒细胞与淋巴细胞比值(NLR)和其他血液学标志物在评估化脓性汗腺炎(HS)(一种慢性复发性炎症性疾病)中的潜在作用。
共有35例在2012年1月1日至2014年12月31日期间被诊断为HS的患者,根据Hurley分期系统分为3组。在本次回顾性病历审查中,评估了患者的基本人口统计学特征、受累的解剖区域以及包括NLR在内的血液学参数。
I期患者的血红蛋白、平均红细胞体积和平均红细胞血红蛋白水平高于III期,而血细胞比容、红细胞分布宽度(RDW)、平均血小板体积、平均红细胞血红蛋白浓度水平和血小板计数在各期之间无差异。III期患者的白细胞和中性粒细胞计数高于II期,而III期患者的淋巴细胞计数低于II期。检测发现I期的NLR显著高于II期且低于III期。
本研究表明血液学标志物,尤其是NLR可能与HS的严重程度相关。需要进一步研究来证明NLR在评估HS中的意义。