Ischemia-Modified Albumin Levels in Patients With Essential Thrombocytosis
Abstract
Objective: The aim of this study was to investigate the levels of ischemia-modified albumin (IMA) in people with essential thrombocytosis (ET).
Methods: A total of 30 patients with ET patient group and 30 volunteers with no known disease control group (C group) were included in this study after the approval of ethics committee and written informed consent was obtained. Patients with a history of major thrombosis were excluded. IMA levels and independent variables were investigated and effects on thrombosis susceptibility were also studied. In addition to that; comorbid disease state, drug use and used drugs group were questioned in patient group and effects of them on IMA levels were studied.
Results: In our study, when ET patient group and C group were compared, the mean serum IMA levels in ET patient group and C group was detected as 0,6726 (0,527-0,776) Absorbans Unite (ABSU) and 0,4342 (0,346-0,612) ABSU respectively and in ET patient group was significantly higher than C group (p<0,001). The glucose, total cholesterol and triglyceride values were significantly higher in ET patient group (p= 0,026, p= 0,058, p= 0,004, respectively). There is a correlation between IMA concentration and age (p= 0,042).
Conclusions: In our study IMA levels were found significantly high in ET patient group, this supports increased risk of thrombosis in ET. The difference of metabolic parameters between the ET patient group and C group can be explained by insulin resistance and atherosclerosis background caused by chronic inflammation.
Keywords
References
- Dahabreh IJ, Zoi K, Giannouli S, et al. Is JAK2 V617F mutation more than a diagnostic index? A meta-analysis of clinical outcomes in essential thrombocythemia. Leuk Res. 2009; 33(1): 67-73.
- Patriarca A, Pompetti F, Malizia R, et al. Is the absence of JAK2 V617F mutation a risk faktor for bleeding in essential thrombocythemia? An analysis of 106 patients. Blood Transfus. 2010; 8(1): 21-7.
- Çetin G. Esansiyel trombositemi. İ.Ü. Cerrahpaşa Tıp Fakültesi Sürekli Tıp Eğitimi Etkinlikleri Sempozyum Dizisi 2005; 277-83.
- Palandri F, Ottaviani E, Salmi F, et al. JAK2 V617F mutation in essential thrombocythemia: correlation with clinical characteristics, response to therapy and long-term outcome in a cohort of 275 patients. Leuk Lymphoma 2009; 50(2): 247-53.
- Tefferi A. Diagnosis and clinical manifestations of essential thrombocytemia. www.uptodate.com (This topic last updated: March 15, 2015).
- Tefferi A. Essential Thrombocythemia and thrombocytosis. John P. Greer, John Foerster, George M. Rodgers, Frixos Paraskevas, Bertil Glader, Daniel A. Arber, Robert T. Means Jr. Wintrobes Clinical Hematology. 12th ed. Lippincott, Williams&Wilkins, 2009;1352-60.
- Gangat N, Wolanskyj AP, McClure RF, et al.Risk stratification for survival and leukemic transformation in essential thrombocythemia: a single instutional study of 605 patients. Leukemia 2007;21:270-6.
- Landolfi R, Marchioli R, Kutti J, et al. Efficacy and safety of low-dose aspirin in polycythemia vera. N Engl J Med. 2004;350(2):114-24.
Details
Primary Language
English
Subjects
Health Care Administration
Journal Section
Research Article
Authors
Ercan Ersoy
This is me
Kırkağaç State Hospital, Clinic of Internal Medicine, Manisa
Türkiye
Utku Erdem Soyaltın
Ege University, Faculty of Medicine, Clinic of Endocrinology, İzmir
Türkiye
Ahmet Peker
*
Health Sciences University, Tepecik Education and Research Hospital, Clinic of Internal Medicine, İzmir
Türkiye
Ayfer Çolak
Health Sciences University, Tepecik Education and Research Hospital, Departman of Biochemistry, İzmir
Türkiye
Cengiz Ceylan
Health Sciences University, Tepecik Education and Research Hospital, Clinic of Hematology, İzmir
Türkiye
Harun Akar
Health Sciences University, Tepecik Education and Research Hospital, Clinic of Internal Medicine, İzmir
Türkiye
Publication Date
October 23, 2018
Submission Date
January 9, 2018
Acceptance Date
June 7, 2018
Published in Issue
Year 2018 Volume: 10 Number: 3


