Are Hematological Parameters Useful In The Evaluation Of Behçet’s Disease?

Yıl 2019, Cilt: 52 Sayı: 3, 245 - 250, 21.12.2019

Sevinç Can Sandıkçı , Ahmet Omma

Öz

Objective:
Behçet's disease (BD)
is an autoinflammatory disease. Hematological indices have been
investigated in many diseases as a marker of inflammation. The aim of this study was to
evaluate hemogram parameters [neutrophil–lymphocyte
ratio (NLR), platelet–lymphocyte ratio (PLR), mean platelet volume (MPV), red
blood cell distribution width (RDW), and platelet distribution width (PDW)] in patients with BD as a marker of disease activity and to
determine associations with different clinical manifestations.

Material
and Methods: This single-centre, cross-sectional study
included 141 (80 male, 61 female) Behcet’s disease (BD)
patients and 96 (51 male, 45 female) healthy subjects.
Hematological and inflammatory parameters including C-reactive protein (CRP),
and erythrocyte sedimentation rate (ESR) were examined in the BD and healthy
control groups. Disease activity in the BD patients was assessed using the
Behçet’s Disease Current Activity Form (BDCAF). 

Results:
The NLR
and RDW levels were found to be statistically significantly higher in the BD
group compared to the healthy control group. MPV levels were lower in the BD
group than in the control group. The level of hemogram parameters were similar
in active and inactive disease. NLR and PDW values were found to be
statistically higher in the BD group with major organ involvement group
compared to the mucocutaneous BD group.

Conclusions: The
present study results demonstrated that inflammatory
indicators may not provide enough information about disease activity in
patients with BD. NLR and PDW both showed
good association with major organ involvement in BD. NLR was found to be much
more suitable to follow up patients with uveitis, MPV for those with erythema
nodosum and PDW for neuro-Behcet and oral ulcers.

Anahtar Kelimeler

Behçet's disease (BD), Hematological parameters, Disease activity

HEMATOLOJİK PARAMETRELER, BEHÇET HASTALIĞININ DEĞERLENDİRİLMESİNDE KULLANIŞLI MIDIR?

Öz

Giriş: Behçet
hastalığı (BH) otoinflamatuar bir hastalıktır. Hematolojik parametreler birçok
hastalıkta inflamasyon belirteci olarak araştırılmıştır. Bu çalışmanın amacı,
Behçet hastalarında hemogram parametrelerini (nötrofil-lenfosit oranı,
platelet-lenfosit oranı, ortalama trombosit hacmi, kırmızı kan hücresi dağılım
genişliği ve trombosit dağılım genişliği) hastalık aktivitesinin bir belirteci
olarak değerlendirmek ve farklı klinik bulgular ile ilişkisini tespit etmektir.

Yöntem: Bu tek
merkezli, kesitsel çalışmaya 141 (80 erkek, 61 kadın) Behçet hastası ve 96 (51
erkek, 45 kadın) sağlıklı kontrol grubu dahil edildi. Behçet hastası ve
sağlıklı kontrol gruplarında C-reaktif protein (CRP) ve eritrosit sedimentasyon
hızı (ESR) dahil olmak üzere hematolojik ve enflamatuar parametreler incelendi.
Behçet hastalarındaki hastalık aktivitesi, Behçet Hastalığı Anlık Aktivite
Formu (BDCAF) kullanılarak değerlendirildi.

Bulgular: Nötrofil-lenfosit
oranı ve kırmızı kan hücresi dağılım genişliği değerleri BH grubunda sağlıklı
kontrol gruplarına göre istatistiksel olarak daha yüksek bulundu. Ortalama
trombosit hacmi düzeyleri BH grubunda sağlıklı kontrol gruplarına göre düşüktü.
Bakılan hemogram parametreleri aktif ve inaktif hastalıkta benzerdi. Major
organ tutulumu olan behçet hastalarında Nötrofil-lenfosit oranı ve trombosit
dağılım genişliği mukokutanöz gruba kıyasla istatistiksel olarak daha yüksek
bulundu.

Sonuçlar:
Bu
çalışma, inflamatuar göstergelerin Behçet hastalarında hastalık aktivitesi
hakkında yeterli bilgi sağlayamayacağını göstermiştir. Nötrofil-lenfosit oranı
ve trombosit dağılım genişliğinin ikisi de BH'da major organ tutulumu ile iyi
ilişki göstermiştir. Nötrofil-lenfosit oranı üveiti olanlarda, ortalama
trombosit hacmi eritema nodozumu olanlarda 
ve trombosit dağılım genişliği nörobehcet ve oral ülseri olan hastaları
takip etmek için kullanılabilir.

Anahtar Kelimeler

Behçet hastalığı (BD), Hematolojik parametreler, Hastalık aktivitesi

Kaynakça

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