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评估斑秃患者的全血细胞和炎症参数:它们与疾病严重程度的关系。

Evaluation of complete blood cell and inflammatory parameters in patients with alopecia areata: Their association with disease severity.

机构信息

Department of Dermatology, Faculty of Medicine, Selcuk University, Konya, Turkey.

Konya Numune Hospital, Department of Dermatology, Konya, Turkey.

出版信息

J Cosmet Dermatol. 2020 May;19(5):1239-1245. doi: 10.1111/jocd.13131. Epub 2019 Sep 10.

Abstract

BACKGROUND

Alopecia areata (AA) is a chronic inflammatory disease characterized by non-cicatricial hair loss. The cause of the disease is still unknown. It can appear at any age and occurs in 0.2% of the general population. Red cell distribution width (RDW), mean platelet volume (MPV), plateletcrit (PCT), the ratio of neutrophils to lymphocytes (NLR), and the ratio of platelets to lymphocytes (PLR) have all been reported as inflammatory markers in recent studies. However, these parameters have not been investigated in AA patients.

AIM

We investigated the haematological and inflammatory parameters of AA and considered their association with disease severity.

PATIENTS/METHODS: One hundred and five patients with AA and 108 healthy controls were enrolled in the study. RDW, MPV, PCT, NLR, PLR, erythrocyte sedimentation rate (ESR), and C-reactive protein (CRP) were studied retrospectively. Disease severity was evaluated by using the Severity of Alopecia Tool (SALT) score.

RESULTS

There were no statistically significant differences between RDW, MPV, PCT, NLR, and PLR levels in AA patients and in healthy controls. Only the CRP values were significantly higher in the AA group.

CONCLUSION

Complete blood count (CBC) parameters are low-cost tests that can be used to define inflammation levels in inflammatory diseases. Our study shows that CRP can be used as a marker in diagnosing AA.

摘要

背景

斑秃(AA)是一种慢性炎症性疾病,其特征为非瘢痕性脱发。该疾病的病因仍不清楚。它可以在任何年龄出现,在普通人群中的发病率为 0.2%。红细胞分布宽度(RDW)、平均血小板体积(MPV)、血小板压积(PCT)、中性粒细胞与淋巴细胞比值(NLR)和血小板与淋巴细胞比值(PLR)在最近的研究中均被报道为炎症标志物。然而,这些参数在 AA 患者中尚未得到研究。

目的

我们研究了 AA 患者的血液学和炎症参数,并考虑了它们与疾病严重程度的关系。

患者/方法:本研究纳入了 105 例 AA 患者和 108 名健康对照者。回顾性研究了 RDW、MPV、PCT、NLR、PLR、红细胞沉降率(ESR)和 C 反应蛋白(CRP)。采用脱发严重程度工具(SALT)评分评估疾病严重程度。

结果

AA 患者与健康对照组之间的 RDW、MPV、PCT、NLR 和 PLR 水平无统计学差异。仅 AA 组的 CRP 值显著升高。

结论

全血细胞计数(CBC)参数是一种低成本的检测方法,可用于定义炎症性疾病中的炎症水平。我们的研究表明,CRP 可作为诊断 AA 的标志物。

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