Hidradenitis Suppurativalı Hastalarda İnflamatuar Belirteçlerin Değerlerdirilmesi: Tek Merkezli Vaka-Kontrol Çalışması

Amaç: Hidradenitis suppurativa (HS), kronik inflamatuar bir deri hastalığıdır. Bu çalışmada hidradenitis suppurativada yeni inflamatuar belirteçlerden olan monosit:HDL oranı (monosit:HDL ratio=MHR), nötrofil:lenfosit oranı (nötrofil:lenfosit ratio=NLR), monosit:lenfosit oranının (monosit:lenfosit ratio=MLR) değerlendirilmesi amaçlanmaktadır. Gereç ve Yöntemler: Ocak 2012- Şubat 2023 tarihleri arasında HS tanısıyla takip edilen ve yaş-cinsiyet açısından eşleşmiş sağlıklı kontrol grubu sosyodemografik bulgular (yaş, cinsiyet) ve laboratuvar bulguları [yüksek yoğunluklu lipoprotein (high density lipoprotein=HDL), nötrofil sayısı, monosit sayısı, eritrosit sedimantasyon hızı (ESH), C-reaktif protein (CRP), MHR, NLR, MLR] açısından retrospektif olarak değerlendirildi. Elde edilen veriler hasta ve kontrol grubu arasında, ayrıca hasta grubunda hastalık şiddeti açısından (Hurley evre 1, 2 ve 3) ve metabolik sendrom varlığına göre karşılaştırıldı. Ayrıca hasta grubunda inflamatuar belirteçlerle korele olan bulgular değerlendirildi. Bulgular: Çalışmaya 53 HS hastası (kadın:erkek oranı=0,6:1, yaş ort=33.32±11.37 ) ve 50 sağlıklı kontrol (kadın:erkek oranı=0,47:1, yaş ort=36.74±11.95) dahil edildi. Hasta grubunda ortalama HDL değeri istatistiksel olarak daha düşük saptanırken; ESH, nötrofil ve monosit sayıları, MHR ve NLR değerleri daha yüksekti (p<0.05). Hastalar Hurley evrelemesi açısından karşılaştırıldığında; CRP, ESH nötrofil ve monosit sayıları, MHR, NLR ve MLR değerleri evre ilerledikçe artmaktaydı, ancak bu artış sadece ESH’nda istatistiksel olarak anlamlıydı (p=0.022). Anatomik lokalizasyon tutulum sayısı; nötrofil sayısı, monosit sayısı, ESH, MHR, NLR, MLR ve Hurley evresiyle pozitif koreleydi. Hastalık süresi ise MHR ile korelasyon göstermekteydi. Hastaların 11’inde (%20,8) metabolik sendrom mevcuttu. Metabolik sendromu olan hastalarda MLR değeri daha düşük saptanırken, diğer parametrelerde istatistiksel olarak anlamlı fark saptanmadı. Sonuç: HS’te MHR, NLR ve MLR gibi maliyeti düşük ve kullanımı kolay olan yeni inflamatuar belirteçler inflamatuar yükü yansıtması açısından günlük pratikte kullanılabilecek parametrelerdir.

Anahtar Kelimeler:

Hidradenitis suppurativa, inflamasyon, metabolik sendrom, monosit:HDL oranı, monosit:lenfosit oranı, nötrofil:lenfosit oranı

Evaluation of Inflammatory Markers in Patients with Hidraadenitis Suppurativa: A Single Center Case-Control Study

Aim: In this study, it is aimed to evaluate monocyte: HDL ratio (MHR), neutrophil: lymphocyte ratio (NLR), monocyte: lymphocyte ratio (MLR), which are new inflammatory markers, in HS. Material and Methods: Patients followed up with the diagnosis of HS between January 2012 and February 2023 and age-sex-matched healthy control group will be evaluated retrospectively in terms of sociodemographic findings (age, gender), and laboratory findings [high-density lipoprotein (HDL),neutrophil count, monocyte count, erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), MHR, NLR, MLR]. The obtained data will be compared between the patient and control group. In addition, patients will be compared in terms of Hurley stage and the presence of metabolic syndrome. Results: 53 HS patients (female: male ratio=0.6:1, age mean=33.32±11.37) and 50 healthy controls (female: male ratio=0.47:1, age mean=36.74±11.95) were included in the study. While the mean HDL value was statistically lower in the patient group; ESR, neutrophil and monocyte counts, MHR, and NLR values were higher (p<0.05). When the patients were compared in terms of Hurley staging; neutrophil count, CRP, ESR, MHR, NLR ve MLR values, increased as the stage progressed, but this increase was statistically significant only at ESR (p=0.022). The number of anatomical localization involvement was positively correlated with the neutrophil count, monocyte count, ESR, MHR, NLR, MLR, and Hurley stage. Disease duration was correlated with MHR. Metabolic syndrome was present in 11 (20.8 %) patients. While the MLR value was found to be lower in patients with metabolic syndrome, no statistical difference was found in other parameters. Conclusion: New inflammatory parameters such as MHR, NLR, and MLR can be used in daily practice in terms of reflecting the inflammatory burden in HS patients.

Keywords:

Hidradenitis suppurative, inflammation, metabolic syndrome, monocyte: HDL ratio, monocyte: lymphocyte ratio, neutrophil: lymphocyte ratio,

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