Psoriatik artritli hastalarda anti-CCP düzeyi ile klinik aktivite ve yaşam kalitesi arasındaki ilişki

Amaç: Psoriatik artrit (PsA); psoriasis ile ilişkili bir kronik inflamatuar eklem hastalığıdır. Bu çalışmada PsA’lı hastalarda Anti-siklik sitrülenmiş protein (anti-CCP) düzeyi ile klinik aktivite ve yaşam kalitesi arasındaki ilişkinin araştırılması amaçlanmıştır. Gereç ve yöntem: Çalışmaya 42 PsA hastası çalışma grubu ve 38 sağlıklı birey kontrol grubu olarak alındı. Demografik ve klinik özellikler; yaş, cinsiyet, hastalık süresi, Eritrosit sedimantasyon hızı (ESH), C-reaktif protein (CRP), anti-CCP antikorları, RF ve vizual ağrı skalası (VAS) ile periferik eklem ağrısı değerlendirildi. Nottingham Sağlık Profili (NHP) ve Short Form-36 (SF-36) her iki grupta yaşam kalitesini değerlendirmek için kullanıldı. Bulgular: Gruplar arasındaki demografik özellikler farklı değildi. Anti-CCP antikor düzeyleri PsA hastalarında (56.3±73.0 Ünite) kontrol grubuyla (0.9±0.5 Ünite) karşılaştırıldığında anlamlı yüksek bulundu (p=0.01). Anti-CCP antikoru pozitif birey sayısı PsA’li hasta grubunda kontrol grubuna göre anlamlı olarak yüksekti (%33.3 hastaya karşılık %0) (p

The relationship between level of anti-CCP, clinical activity and quality of life in patients with psoriatic arthritis

Objectives: Psoriatic arthritis (PsA) is an inflammatory joint disease. The aim of this study was to investigate the titers of Anti-syclic citrullinated protein (anti-CCP antibodies) in PsA and assess their associations with clinical characteristics and quality of life. Materials and methods: Fourty two patients with PsA and 38 healthy control subjects were included. Demographic data and clinical characteristics including age, gender, disease duration, and erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), anti-CCP antibodies and rheumatoid factor were assessed. Visual analog scale (VAS), Nottingham Health Profile (NHP) and short form- 36 (SF-36) were used to evaluate QOL in both groups. Results: The demographic data of the subjects were not different between the groups. Patients with PsA had higher anti-CCP levels compared to healthy controls (56.3±73.0 U vs. 0.9±0.5 U, respectively, p=0.01) Thirteen (33.3%) patients with PsA had positive anti-CCP, while no anti-CCP positivity was found in the control group (p

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  • 1.Salaffi F, Carotti M, Gasparini S, Intorcia M, Grassi W. The health-related quality of life in rheumatoid arthritis, ankylosing spondylitis, and psoriatic arthritis: a comparison with a selected sample of healthy people. Health Qual Life Outcomes 2009;7(1):25-9.
  • 2. Schellekens GA, Visser H, de Jong BA, et al. The diagnostic properties of rheumatoid arthritis antibodies recognizing a cyclic citrullinated peptide. Arthritis Rheum 2000;43(1):155-63.
  • 3. Bogliolo L, Alpini C, Caporali R, Scire CA, Moratti R, Montecucco C. Antibodies to cyclic citrullinated peptides in psoriatic arthritis. J Rheumatol 2005;32(3):511-5.
  • 4. Taylor W, Gladman D, Helliwell P, Marchesoni A, Mease P, Mielants H. Classification criteria for psoriatic arthritis: development of new criteria from a large international study. Arthritis Rheum 2006;54(8):2665-73.
  • 5. Goldbach-Mansky R, Lee J, McCoy A, Hoxworth J, Yarboro C, Smolen JS, et al. Rheumatoid arthritis associated autoantibodies in patients with synovitis of recent onset. Arthritis Res 2000;2(3):236-43.
  • 6. Korendowych E, Owen P, Ravindran J, Carmichael C, McHugh N. The clinical and genetic associations of anticyclic citrullinated peptide antibodies in psoriatic arthritis. Rheumatology (Oxford) 2005;44(8):1056-60.
  • 7. Torre Alonso JC, Rodriguez Perez A, Arribas Castrillo JM, Ballina Garcia J, Riestra Noriega JL, Lopez Larrea C. Psoriatic arthritis (PA): a clinical, immunological and radiological study of 180 patients. Br J Rheumatol 1991;30(4):245-50.
  • 8. Abdel Fattah NS, Hassan HE, Galal ZA, El Okda el SE. Assessment of anti-cyclic citrullinated peptide in psoriatic arthritis. BMC Res Notes 2009;2(1):44-5.
  • 9. Alenius GM, Jidell E, Nordmark L, Rantapaa Dahlqvist S. Disease manifestations and HLA antigens in psoriatic arthritis in northern Sweden. Clin Rheumatol 2002;21(5):357-62.
  • 10. Zink A, Thiele K, Huscher D, et al. Healthcare and burden of disease in psoriatic arthritis. A comparison with rheumatoid arthritis and ankylosing spondylitis. J Rheumatol 2006;33(1):86-90.
  • 11. Sokoll KB, Helliwell PS. Comparison of disability and quality of life in rheumatoid and psoriatic arthritis. J Rheumatol 2001;28(8):1842-6.
  • 12. Borman P, Toy GG, Babaoglu S, Bodur H, Ciliz D, Alli N. A comparative evaluation of quality of life and life satisfaction in patients with psoriatic and rheumatoid arthritis. Clin Rheumatol 2007;26(3):330-4.
  • 13. Husted JA, Gladman DD, Farewell VT, Cook RJ. Healthrelated quality of life of patients with psoriatic arthritis: a comparison with patients with rheumatoid arthritis. Arthritis Rheum 2001;45(2):151-8.
  • 14. Husted JA, Tom BD, Schentag CT, Farewell VT, Gladman DD. Occurrence and correlates of fatigue in psoriatic arthritis. Ann Rheum Dis 2009;68(10):1553-8.
  • 15. Gladman DD, Mease PJ, Krueger G, van der Heidje DM, Antoni C, Helliwell PS, et al. Outcome measures in psoriatic arthritis. J Rheumatol 2005;32(11):2262-9.
  • 16. Alenius GM, Berglin E, Rantapaa Dahlqvist S. Antibodies against cyclic citrullinated peptide (CCP) in psoriatic patients with or without joint inflammation. Ann Rheum Dis 2006;65(3):398-400.
  • 17. Candia L, Marquez J, Gonzalez C, et al. Low frequency of anticyclic citrullinated peptide antibodies in psoriatic arthritis but not in cutaneous psoriasis. J Clin Rheumatol 2006;12(5):226-9.
  • 18. Inanc N, Dalkilic E, Kamali S, et al. Anti-CCP antibodies in rheumatoid arthritis and psoriatic arthritis. Clin Rheumatol 2007;26(1):17-23.
  • 19. Setty AR, Curhan G, Choi HK. Smoking and the risk of psoriasis in women: Nurses’ Health Study II. Am J Med 2007;120(11):953-9.
  • 20. Vander Cruyssen B, Hoffman IE, Zmierczak H, Van den Berghe M, Kruithof E, De Rycke L, et al. Anti-citrullinated peptide antibodies may occur in patients with psoriatic arthritis. Ann Rheum Dis 2005;64(8):1145-9.
Journal of Clinical and Experimental Investigations-Cover
  • Başlangıç: 2010
  • Yayıncı: Sağlık Araştırmaları Derneği
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