A STUDY OF SERUM HEPCIDIN LEVEL IN RELATION TO CLINICAL ACTIVITY INDICES AND COMPLETE BLOOD PICTURE PARAMETERS IN RHEUMATOID ARTHRITIS PATIENTS | ||||
Ain Shams Medical Journal | ||||
Volume 75, Issue 2, June 2024, Page 575-585 PDF (426.26 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/asmj.2024.268217.1220 | ||||
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Authors | ||||
Sherihan M Salama ![]() ![]() | ||||
1Physical medicine, rheumatology and rehabilitation, faculty of medicine, Ain Shams university, Cairo, Egypt | ||||
2Physical Medicine, Rheumatology and Rehabilitation. Faculty of Medicine, Ain Shams University. Khalifa El-Maamon st, Abbasiya sq. Cairo, Egypt | ||||
3Internal medicine and Rheumatology. Faculty of Medicine, Ain Shams University. Khalifa El-Maamon st, Abbasiya sq. Cairo, Egypt. | ||||
4Clinical pathology. Faculty of Medicine, Ain Shams University. Khalifa El-Maamon st, Abbasiya sq. Cairo, Egypt. | ||||
Abstract | ||||
Background: Rheumatoid arthritis (RA) is a chronic auto-immune-mediated inflammatory arthritis that affects around one percent of the human population. One of the common comorbidities encountered in rheumatoid patients is anemia. Hepcidin being one of the acute-phase reactant proteins, it acts as a homeostatic regulator of iron metabolism and as an inflammatory mediator as well. Aim of The Work: This study aims to evaluate the value of measuring serum hepcidin levels in patients with rheumatoid arthritis and its relationship with clinical disease activity and blood parameters. Methods: fifty RA patients underwent full medical assessment with the evaluation of DAS-28 score, laboratory tests including CBC, ESR, rheumatoid factor and anti-CCP, serum ferritin and serum iron, and serum hepcidin level. Results: Our results showed that there was a statistically significant correlation between inflammatory markers and serum hepcidin level, as well as a positive correlation between the degree of disease activity measured by DAS 28 score with serum hepcidin level. Conclusion: We concluded from our study that serum hepcidin can be used to assess the disease activity in rheumatoid arthritis patients and rheumatoid-related anemias as well. | ||||
Keywords | ||||
Rheumatoid arthritis; hemoglobin; anemia; hepcidin; anemia of chronic disease | ||||
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