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[类风湿关节炎中的血清铁蛋白:急性期蛋白还是铁沉积的指标?]

[Serum ferritin in rheumatoid arthritis: an acute phase protein or indication of iron deposits?].

作者信息

Bianucci G F, Palermo C, Maddali Bongi S

出版信息

Minerva Med. 1983 Feb 25;74(7):307-14.

PMID:6828259
Abstract

Serum ferritin was determined in 24 menopausal women who did not have any iron metabolic disorders but were suffering from RA. We furthermore investigated its correlation to various clinical and laboratory indexes of activity. The regression analysis revealed significant coefficients of direct correlation between serum ferritin, ESR, and Ritchie's index as well as an indirect correlation to the hematic haemoglobin and to serum iron. These data would apparently be in agreement with the hypothesis that, during the course of RA, serum ferritin assumes the significance of an acute phase protein; nonetheless, in spite of this, these data would induce one to believe that the serum ferritin levels closely reflect that RES iron deposits, the extent of which is influenced by chronic phlogosis.

摘要

对24名无任何铁代谢紊乱但患有类风湿关节炎(RA)的绝经后女性测定了血清铁蛋白。我们还研究了其与各种临床和实验室活动指标的相关性。回归分析显示血清铁蛋白、红细胞沉降率(ESR)和里奇指数之间存在显著的直接相关系数,与血红蛋白和血清铁存在间接相关。这些数据显然与以下假设一致,即在RA病程中,血清铁蛋白具有急性期蛋白的意义;尽管如此,这些数据仍会让人认为血清铁蛋白水平密切反映了网状内皮系统(RES)的铁沉积情况,其程度受慢性炎症影响。

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