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Evaluation of fecal myeloperoxidase as a biomarker of disease activity and severity in ulcerative colitis.

机译:评估粪便髓过氧化物酶作为溃疡性结肠炎疾病活动性和严重性的生物标志物。

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Subclinical inflammation in ulcerative colitis (UC) can predispose to relapses and biomarkers can detect mucosal inflammation.To study the role of fecal myeloperoxidase (FMPO) in assessing disease activity and response to therapy in UC.Patients with UC attending our hospital from July 2005 to September 2006 were studied. All patients underwent clinical, endoscopic, and histological assessment for disease extent and severity. Estimation of FMPO levels at baseline and on follow-up was carried out. Age-matched healthy controls were studied for FMPO levels.A total of 55 patients of UC (30 males, 25 females, mean age 38.6?±?12?years) and 54 age-matched controls (mean age 37.6?±?13.6 years) were studied. Cases had higher median MPO levels than controls (0.42 [IQR 0.84] vs. 0.06 [IQR 0.12]); (p?
机译:溃疡性结肠炎(UC)的亚临床炎症易复发,生物标志物可检测粘膜炎症。研究粪便髓过氧化物酶(FMPO)在评估UC中疾病活动性和对治疗的反应中的作用.2005年7月至2005年间来我院就诊的UC患者研究了2006年9月。所有患者均经过临床,内镜和组织学评估,以评估疾病的程度和严重性。在基线和随访时进行了FMPO水平的估计。研究了年龄匹配的健康对照者的FMPO水平。共55例UC患者(男30例,女25例,平均年龄38.6±12岁)和54例年龄相同的对照(平均年龄37.6±13.6岁) )进行了研究。病例的中位MPO水平高于对照组(0.42 [IQR 0.84] vs. 0.06 [IQR 0.12]); (p≤0.001)。内镜更严重疾病(Gr III和IV; n?=?18)的患者的FMPO中位数比轻度疾病(Gr II,n?=?37)的患者高,[0.075(IQR 1.315)对0.315( IQR 0.813); p≥= 0.02]。 27位患者的MPO中位值在报告时为0.58 [IQR 0.89]单位/毫升,在随访时显着下降至0.18 [IQR 0.42]单位/毫升(p值0.002)。然而,FMPO与内镜范围,活动性和慢性的组织学评分之间无显着相关性。粪便MPO是评估溃疡性结肠炎患者疾病活动性和对治疗反应的有效生物标志物。

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