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首页> 外文期刊>The Egyptian Rheumatologist >Serum ferritin level as a marker of disease activity and renal involvement in Egyptian children with juvenile systemic lupus erythematosus
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Serum ferritin level as a marker of disease activity and renal involvement in Egyptian children with juvenile systemic lupus erythematosus

机译:埃及系统性红斑狼疮儿童血清铁蛋白水平是疾病活动和肾脏受累的标志

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Introduction Ferritin is an acute-phase reactant that is elevated in several autoimmune disorders. Serum ferritin levels have been correlated with disease activity scores of juvenile systemic lupus erythematosus (JSLE). Furthermore, enhanced levels of ferritin have also been described in lupus nephritis (LN). Aim of the work To evaluate serum ferritin as a cheap and available marker of disease activity and renal involvement in Egyptian children with JSLE. Patients and methods Forty-eight JSLE cases recruited from the Pediatric Rheumatology Clinic in Cairo University Specialized Children’s Hospital and 43 matched healthy children were enrolled in the study. SLE disease activity score-2000 (SLEDAI-2K) and renal activity score were assessed. Serum levels of ferritin, was quantified by enzyme-linked immunosorbent assay. Results The mean age of the patients was 12.6?±?3.02?years and disease duration 3.4?±?2.5?years. Serum ferritin significantly higher in patients (416.1?±?1022.9?ng/ml) compared with control (36.1?±?18.2?ng/ml) (p?
机译:简介铁蛋白是一种急性期反应物,在几种自身免疫性疾病中升高。血清铁蛋白水平已与青少年系统性红斑狼疮(JSLE)的疾病活动评分相关。此外,狼疮性肾炎(LN)中铁蛋白的含量也有所增加。该研究的目的是评估血清铁蛋白作为埃及JSLE儿童疾病活动和肾脏受累的廉价且可用的标志物。患者和方法从开罗大学专业儿童医院儿科风湿病诊所招募的48例JSLE病例和43名匹配的健康儿童参加了研究。评估了SLE疾病活动评分-2000(SLEDAI-2K)和肾脏活动评分。通过酶联免疫吸附测定法定量血清铁蛋白。结果患者平均年龄为12.6±3。02年,病程为3.4±2。5年。患者的血清铁蛋白显着高于对照组(36.1±±18.2ng / ml)(416.1±±1022.9ng / ml)(p <0.001)。活动期(n≥20)(890.4±±1474.8ng / ml)的血清铁蛋白显着高于无活动期(n≥28)(77.4±±74.1ng / ml)的患者(p?)。 <0.001)。发现血清铁蛋白与SLEDAI-2K(r?=?0.35,p?=?0.014),肾-SLEDAI-2K(r?=?0.49,p?<?0.001)与肾活性评分之间存在显着相关性( r≤0.38,p≤0.008)。发现血清铁蛋白与抗双链DNA(r 2 = 0.44,p 2 = 0.002)和补体3(r 2 = 0.42,p = 0.003)之间存在显着相关性。结论血清铁蛋白水平可作为监测JSLE和LN患儿疾病和肾脏活动的可靠生物标志物。由于血清铁蛋白是一种可获得的且相对便宜的标志物,因此这可能会改善JSLE患者的管理并因此改善其预后。

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