Background. Changes in oxidative stress and thiol / disulfide balance are thought to play a role in the pathogenesis of idiopathic thrombocytopenic purpura (ITP). Our study investigates total oxidant level (TOS), total antioxidant level (TAS), oxidative stress index (OSI) levels and thiol / disulfide balance in pediatric patients with acute and chronic ITP. Methods. Thirty four patients with acute ITP, eighteen patients with chronic ITP and thirty three healthy children (control) were included. TOS, TAS, OSI, thiol / disulfide balance were analyzed. Results. In acute ITP, TAS levels were lower than chronic ITP and control, TOS and OSI levels were higher than control, and native thiol level was lower than chronic ITP (p
___
1. Petrovic D, Benzon B, Batinic M, Culic S, Roganovic J, Markic J. Hypovitaminosis D influences the clinical presentation of immune thrombocytopenia in children with newly diagnosed disease. J Clin Med 2019; 8: 1861. https://doi.org/10.3390/jcm8111861
2. Lee AC. Isolated thrombocytopenia in childhood: what if it is not immune thrombocytopenia? Singapore Med J 2018; 59: 390-393. https://doi. org/10.11622/smedj.2018089
3. Singh G, Bansal D, Wright NAM. Immune thrombocytopenia in children: consensus and controversies. Indian J Pediatr 2020; 87: 150-157. https://doi.org/10.1007/s12098-019-03155-4
4. Elalfy MS, Elhenawy YI, Deifalla S, Hegazy M, Sabra A, Abdelaziz Y. Oxidant/antioxidant status in children and adolescents with immune thrombocytopenia (ITP) and the role of an adjuvant antioxidant therapy. Pediatr Blood Cancer 2015; 62: 830-837. https://doi.org/10.1002/pbc.25434
5. Semple JW, Provean D. The immunopathogenesis of immune thrombocytopenia: T cells still take center- stage. Curr Opin Hematol 2012; 19: 357-362. https:// doi.org/10.1097/MOH.0b013e3283567541
6. Zhang B, Zehnder JL. Oxidative stress and immune thrombocytopenia. Semin Hematol 2013; 50: e1-e4. https://doi.org/10.1053/j.seminhematol.2013.06.011
7. Cura M, Koç A, Aksoy N, Özdemir ZC. Effect of short-term, high-dose methylprednisolone on oxidative stress in children with acute immune thrombocytopenia. Blood Res 2016; 51: 261-267. https://doi.org/10.5045/br.2016.51.4.261
8. Akbayram S, Doğan M, Akgün C, et al. The association of oxidant status and antioxidant capacity in children with acute and chronic ITP. J Pediatr Hematol Oncol 2010; 32: 277-281. https://doi. org/10.1097/MPH.0b013e3181d6421f
9. Erel O, Neselioglu S. A novel and automated assay for thiol/disulphide homeostasis. Clin Biochem 2014; 47: 326-332. https://doi.org/10.1016/j. clinbiochem.2014.09.026
10. Yıkılmaz AŞ, Bakanay ŞM, Akinci S, Alisik M, Erel Ö, Dilek İ. Thiol-disulphide homeostasis in essential thrombocythemia patients. J Med Biochem 2019; 38: 475-480. https://doi.org/10.2478/jomb-2018-0045
11. Erel O. A novel automated direct measurement method for total antioxidant capacity using a new generation, more stable ABTS radical cation. Clin Biochem 2004; 37: 277-285. https://doi.org/10.1016/j. clinbiochem.2003.11.015
12. Erel O. A new automated colorimetric method for measuring total oxidant status. Clin Biochem 2005; 38: 1103-1111. https://doi.org/10.1016/j. clinbiochem.2005.08.008
13. Yumru M, Savas HA, Kalenderoglu A, Bulut M, Celik H, Erel O. Oxidative imbalance in bipolar disorder subtypes: a comparative study. Prog Neuropsychopharmacol Biol Psychiatry 2009; 33: 1070-1074. https://doi.org/10.1016/j. pnpbp.2009.06.005
14. Kosecik M, Erel O, Sevinc E, Selek S. Increased oxidative stress in children exposed to passive smoking. Int J Cardiol 2005; 100: 61-64. https://doi. org/10.1016/j.ijcard.2004.05.069
15. Harma M, Harma M, Erel O. Increased oxidative stress in patients with hydatidiform mole. Swiss Med Wkly 2003; 133: 563-566.
16. Jin CQ, Dong HX, Cheng PP, Zhou JW, Zheng BY, Liu F. Antioxidant status and oxidative stress in patients with chronic ITP. Scand J Immunol 2013; 77: 482-487. https://doi.org/10.1111/sji.12048
17. Kühne T. Diagnosis and management of immmune thrombocytopenia in childhood. Hamostaseologie 2017; 37: 36-44. https://doi.org/10.5482/HAMO-16- 06-0017
18. Beyazit H, Demiryürek AT, Temel MT, Pekpak E, Demiryürek S, Akbayram S. Investigation of dynamic thiol/disulfide homeostasis in children with acute immune thrombocytopenia. J Pediatr Hematol Oncol 2019; 41: 463-467. https://doi.org/10.1097/ MPH.0000000000001494
19. Elsalakawy WA, Ali MA, Hegazy MG, Farweez BA. Value of vanin-1 assessment in adult patients with primary immune thrombocytopenia. Platelets 2014; 25: 86-92. https://doi.org/10.3109/09537104.2013.7824 84
20. Gul F, Muderris T, Yalciner G, et al. A novel method for evaluation of oxidative stress in children with OSA. Int J Pediatr Otorhinolaryngol 2016; 89: 76-80. https://doi.org/10.1016/j.ijporl.2016.07.035