Ankilozan Spondilitli Hastalarda Leptin Seviyesi ve Hastalık Aktivitesi ile İlişkisi

Year 2015, Volume: 2 Issue: 1, 6 - 11, 01.01.2015

Ayşe Tuba Kurt Yasemin Kaya

Abstract

Keywords

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Ankilozan Spondilitli Hastalarda Leptin Seviyesi ve Hastalık Aktivitesi ile İlişkisi

Abstract

Amaç: Ankilozan spondilit (AS)'li hastalarda serum leptin seviyeleri ile hastalık aktivite göstergeleri olan Bath AS Hastalık Aktivite indeksi (BASDAI), Eritrosit sedimentasyon hızı (ESH), C-reaktif protein (CRP) düzeyleri arasındaki ilişkinin saptanması. Gereç: 23'ü erkek, 7'si kadın 30 AS'li hasta çalışm aya alındı. Kontrol grubu hastalarla benzer yaş, cinsiyet, beden kitle indeksi (BMI) özelliklerine sahip 16'sı erkek, 5'i kadın, 21 sağlıklı kişiden oluşturuldu. Hastalığı modifiye edici antiromatizmal ilaç (DMARD) tedavisi alan 9'u erkek, 3'ü kadın 12 has ta ve DMARD tedavisi almayan 14'ü erkek, 4'ü kadın 18 hastada, leptin düzeylerinin hastalık aktivitesinin klinik ve laboratuar göstergeleri ile olan ilişkisi araştırıldı. Klinik aktivite göstergesi olarak BASDAI hesaplandı ve laboratuar aktivite göstergesi olarak ESH ve CRP değerleri ölçüldü. Bulgular: Hastaların leptin değerleri kontrol grubundan anlamlı yüksekti. Bu yükseklik DMARD tedavisi almayan grupta daha belirgindi. Leptin düzeylerindeki yükseklik BASDAI, ESH ve CRP seviyeleri ile pozitif korelasyon gösterdi. Sonuç: AS'li hastalarda leptin seviyeleri kontrol grubuna göre daha yüksek bulunmuştur. Bu fark DMARD tedavisi almayan hasta grubunda daha belirgindir Hastalardaki yüksek leptin seviyeleri hastalığın klinik ve laboratuvar aktivite kriterleri ile pozitif korelasyon göstermektedir

Keywords

Ankilozan spondilit, leptin, hastalık aktivitesi

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