Disease activity and severity in postmenopausal rheumatoid arthritis patients
Atwa, E., omar, H., Elanwer, A., Hammad, M. (2022). Disease activity and severity in postmenopausal rheumatoid arthritis patients. EKB Journal Management System, 28(6.1), 226-231. doi: 10.21608/zumj.2020.26616.1785
Essam Atwa; hesham omar; Asmaa Elanwer; Marwa Hammad. "Disease activity and severity in postmenopausal rheumatoid arthritis patients". EKB Journal Management System, 28, 6.1, 2022, 226-231. doi: 10.21608/zumj.2020.26616.1785
Atwa, E., omar, H., Elanwer, A., Hammad, M. (2022). 'Disease activity and severity in postmenopausal rheumatoid arthritis patients', EKB Journal Management System, 28(6.1), pp. 226-231. doi: 10.21608/zumj.2020.26616.1785
Atwa, E., omar, H., Elanwer, A., Hammad, M. Disease activity and severity in postmenopausal rheumatoid arthritis patients. EKB Journal Management System, 2022; 28(6.1): 226-231. doi: 10.21608/zumj.2020.26616.1785

Disease activity and severity in postmenopausal rheumatoid arthritis patients

Zagazig University Medical Journal
Article 31, Volume 28, Issue 6.1, November 2022, Page 226-231  XML PDF (355.38 K)
Document Type: Original Article
DOI: 10.21608/zumj.2020.26616.1785
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Authors
Essam Atwa1; hesham omar2; Asmaa Elanwer email 3; Marwa Hammadorcid 4
1Rheumatology and Rehabilitation department,Faculty of medicine, Zagazig University, Sharkia, Egypt
2Clinical Pathology department, Faculty of medicine, Zagazig university, Sharkia, Egypt
3Rheumatology and Rehabiltation department, El Helal specialized hospital, Egypt
4Rheumatology and Rehabilitation Faculty of medicine, Zagazig University, sharkia, Egypt
Abstract
Introduction: The fact that the incidence of RA in women reaches its peak during menopause (45-55), highly recommends a strong estrogenic role in disease etiology. Although in some studies postmenopausal women who experienced RA had less joint scores than pre-menopausal patients, the post-menopausal period has been associated with increased disease activity and more severe functional disability.
Aim: The aim of this study was to evaluate the relation of serum estrogen and follicular stimulating hormone in menopause and disease activity and severity in postmenopausal RA patients.
Methods: This is a cross-sectional study that was carried out in Rheumatology and Rehabilitation deparment, Faculty of Medicine, Zagazig University Hospitals on 84 postmenopausal RA patients. Disease activity was assessed using Disease Activity Score 28 (DAS 28). Severity of RA was assessed by the RA severity scale (RASS). Laboratory parameters were recorded including erythrocyte sedimentation rate (ESR), C-reactive protein (CRP). Estrogen (E2) and follicular stimulating hormone (FSH) were measured for all patients.
Results: Our study showed a statistically significant difference between serum estrogen (E2) levels among different stratifications of DAS28 in postmenopausal RA patients. Moreover, there was a significant positive correlation between E2 levels and disease severity RASS score. FSH levels showed no significant correlations with disease parameters.
Conclusion: Although it is well known that menopausal women have very low levels of E2 compared to women of reproductive age, in postmenopausal RA patients, higher disease activity and severity was associated with higher levels of estrogen denoting its prominent pro-inflammatory effect even in the postmenopausal period.
Keywords
rheumatoid arthritis; menopause; disease activity; sex hormones
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