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季节性过敏性结膜炎患儿红细胞分布宽度水平升高。

Increased red cell distribution width levels in children with seasonal allergic conjunctivitis.

作者信息

Kurtul Bengi Ece, Kabatas Emrah Utku, Boybeyi Songul Deniz, Caglar Ayla Akca, Ozer Pinar Altiaylik

机构信息

Department of Ophthalmology, Dr. Sami Ulus Maternity and Children's Health and Diseases Training and Research Hospital, Ankara, Turkey.

Department of Pediatrics, Dr. Sami Ulus Maternity and Children's Health and Diseases Training and Research Hospital, Ankara, Turkey.

出版信息

Int Ophthalmol. 2018 Jun;38(3):1079-1084. doi: 10.1007/s10792-017-0563-x. Epub 2017 May 18.

Abstract

PURPOSE

Seasonal allergic conjunctivitis (SAC) is an inflammatory disease of the conjunctiva. Red cell distribution width (RDW) is a widely accepted inflammatory marker. We aimed to investigate whether RDW level is associated with the development of SAC in pediatric population.

METHODS

The present study consisted of 90 subjects (45 children with SAC and 45 age- and sex-matched healthy children). The demographic findings, complete blood count parameters including RDW and laboratory parameters, were evaluated.

RESULTS

The mean RDW levels were significantly higher in children with SAC compared to the control group (14.02 ± 0.82 vs. 13.26 ± 0.64%, respectively, p < 0.001). In receiver operating characteristic analysis, the area under the curve for RDW for predicting SAC was 0.786, and a RDW value of 13.45 or higher predicted SAC with a sensitivity of 75.6% and specificity of 65%.

CONCLUSION

Our study suggests that elevated RDW levels are significantly associated with SAC in pediatric population, which may imply a possible role of increased inflammatory status and oxidative stress in the pathogenesis of SAC.

摘要

目的

季节性变应性结膜炎(SAC)是一种结膜炎症性疾病。红细胞分布宽度(RDW)是一种广泛认可的炎症标志物。我们旨在研究RDW水平是否与儿童人群中SAC的发生有关。

方法

本研究包括90名受试者(45名患有SAC的儿童和45名年龄及性别匹配的健康儿童)。评估了人口统计学结果、包括RDW在内的全血细胞计数参数以及实验室参数。

结果

与对照组相比,SAC患儿的平均RDW水平显著更高(分别为14.02±0.82%和13.26±0.64%,p<0.001)。在受试者工作特征分析中,RDW预测SAC的曲线下面积为0.786,RDW值为13.45或更高时预测SAC的敏感性为75.6%,特异性为65%。

结论

我们的研究表明,儿童人群中RDW水平升高与SAC显著相关,这可能意味着炎症状态增加和氧化应激在SAC发病机制中可能发挥作用。

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