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Neutrophil-lymphocyte ratio in patients with ankylosing spondylitis

Ankilozan spondilit hastalarında nötrofil-lenfosit oranı

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Abstract (2. Language): 
Objective: The purpose of the present study is to determine the association between neutrophil-lymphocyte ratio (NLR) and inflammation in ankylosing spondylitis (AS). Method: Forty patients with ankylosing spondylitis and 30 healthy volunteers were included in the study. All data were obtained from patient registry database from in-patient and out-patient clinics. Detailed physical examination, and Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) were recorded. Complete blood count (CBC), CRP and ESR were performed recorded as laboratory tests in all participants. Lymphocyte and neutrophil counts were measured as part of the automated CBC. Results: The CRP, which is an acute-phase reactant, and ESR were significantly higher in the patient group than those in the control group (p0.05). Conclusion: We observed that NLR levels weren’t significantly higher in AS patients compared to healthy individuals. NLR hasn’t seem a reasonable measure to detect systemic inflam-mation in AS patients. We believe that our preliminary results need to be complemented with further studies.
Abstract (Original Language): 
Amaç: Bu çalışmanın amacı, ankilozan spondilit (AS) hasta-larındaki inflamasyon ile nötrofil-lenfosit oranı (NLO) arasındaki ilişkiyi belirlemektir. Yöntem: Ankilozan spondilit tanılı 40 hasta ve 30 sağlıklı gönüllü çalışmaya dahil edildi. Tüm veriler yatan ve polik-linik hasta kayıt veritabanından elde edildi. Tüm olguların Bath Ankilozan Spondilit Hastalık Aktivite İndeksi (BAS-DAI), tam kan sayımı (TKS), CRP ve ESH’ı da kapsıyan ayrın-tılı fizik muayene ve laboratuvar bulguları kaydedildi. Lenfosit ve nötrofil sayısı otomatik TKS’nin bir parçası olarak ölçüldü. Bulgular: Akut-faz reaktanı olan CRP ve ESH kontrol gru-buna göre hasta grubunda anlamlı olarak daha yüksekti (p 0.05). Sonuç: Bu çalışmada NLO düzeylerinin AS hastalarında sağlıklı bireylere göre anlamlı olarak yüksek olmadığı görüldü. Bu sonuç NLO’nun AS hastalarında sistemik inf-lamasyonu değerlendirmede uygun bir ölçü birimi olmadı-ğını götermektedir. Bizim elde ettiğimiz bu ön sonuçların daha ileri çalışmalarla tamamlanması gerektiğine inanıyo-ruz.
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REFERENCES

References: 

1. Khan MA. Update on spondyloarthropathies. Ann Intern Med 2002; 136: 896-907.
2. Elewaut D, Matucci-Cerinic M. Treatment of ankylosing spondylitis and extra-articular mani-festations in everyday rheumatology practice. Rheumatology (Oxford) 2009; 48: 1029-35.
3. Calin A, Brophy S, Blake D. Impact of sex on inheritance of ankylosing spondylitis: a cohort study. Lancet 1999; 354: 1687-90.
4. Ozgocmen S, Godekmerdan A, Ozkurt-Zengin F. Acute-phase response, clinical measures and disease activity in ankylosing spondylitis. Joint Bone Spine 2007; 74: 249-53.
5. Zahorec R. Ratio of neutrophil to lymphocyte counts--rapid and simple parameter of syste-mic inflammation and stress in critically ill. Bratisl Lek Listy 2001; 102: 5-14.
6. Tasoglu I, Sert D, Colak N, Uzun A, Songur M, Ecevit A. Neutrophil-Lymphocyte Ratio and the Platelet-Lymphocyte Ratio Predict the Limb Survival in Critical Limb Ischemia. Clin Appl Thromb Hemost 2013 Feb 6. [Epub ahead of print]
7. Biyik M, Ucar R, Solak Y, Gungor G, Polat I, Gaipov A, Cakir OO, Ataseven H, Demir A, Turk S, Polat H. Blood neutrophil-to-lymphocyte ratio independently predicts survival in pati-ents with liver cirrhosis. Eur J Gastroenterol Hepatol 2013; 25: 435-41.
Özşahin M ve ark.
Abant Med J 2014;3(1):16-20 19
8. Uslu AU, Deveci K, Korkmaz S, Aydin B, Senel S, Sancakdar E, Sencan M. Is neutrop-hil/lymphocyte ratio associated with subclinical inflammation and amyloidosis in patients with familial Mediterranean fever? Biomed Res Int 2013; 2013: 185317. Epub 2013 Jun 20.
9. Ahsen A, Ulu MS, Yuksel S, Demir K, Uysal M, Erdogan M, Acarturk G. As a New Inflammatory Marker for Familial Mediterranean Fever: Ne-utrophil-to-Lymphocyte Ratio. Inflammation 2013 Jun 21. [Epub ahead of print]
10. van der Linden S, Valkenburg HA, Cats A. Evaluation of diagnostic criteria for ankylosing spondylitis. A proposal for modification of the New York criteria. Arthritis Rheum 1984; 27: 361-8.
11. Gibson PH, Cuthbertson BH, Croal BL, Rae D, El-Shafei H, Gibson G, Jeffrey RR, Buchan KG, Hillis GS. Usefulness of neutrophil/lymphocyte ratio as predictor of new-onset atrial fibrilla-tion after coronary artery bypass grafting. Am J Cardiol 2010; 105: 186-91.
12. Bhat T, Teli S, Rijal J, Bhat H, Raza M, Kho-ueiry G, Meghani M, Akhtar M, Costantino T. Neutrophil to lymphocyte ratio and cardiovas-cular diseases: a review. Expert Rev Cardiovasc Ther 2013; 11: 55-9.
13. Oztürk S, Erdem A, Ozlü MF, Ayhan S, Er-dem K, Ozyaşar M, Aslantaş Y, Yazıcı M. As-sessment of the neutrophil to lymphocyte ratio in young patients with acute coronary syndro-mes. Turk Kardiyol Dern Ars 2013; 41: 284-9.
14. Gazi E, Bayram B, Gazi S, Temiz A, Kirilmaz B, Altun B, Barutcu A. Prognostic Value of the Neutrophil-Lymphocyte Ratio in Patients With ST-Elevated Acute Myocardial Infarction. Clin Appl Thromb Hemost 2013 Jun 9. [Epub ahead of print]
15. Ayhan SS, Oztürk S, Erdem A, Ozlü MF, Oz-yaşar M, Erdem K, Yazıcı M. Relation of neut-rophil/lymphocyte ratio with the presence and severity of coronary artery ectasia. Turk Kardi-yol Dern Ars 2013; 41: 185-90.
16. Shibutani M, Maeda K, Nagahara H, Noda E, Ohtani H, Nishiguchi Y, Hirakawa K. A high pre-operative neutrophil-to-lymphocyte ratio is associated with poor survival in patients with colorectal cancer. Anticancer Res 2013; 33: 3291-4.
17. de Martino M, Pantuck AJ, Hofbauer S, Waldert M, Shariat SF, Belldegrun AS, Klatte T. Prognostic Impact of Preoperative Neutrophil-To-Lymphocyte Ratio in Localized Nonclear Cell Renal Cell Carcinoma. J Urol 2013 Jul 2. [Epub ahead of print]
18. Stotz M, Gerger A, Eisner F, Szkandera J, Loibner H, L Ress A, Kornprat P, A Zoughbi W, Seggewies FS, Lackner C, Stojakovic T, Samo-nigg H, Hoefler G, Pichler M. Increased neut-rophil-lymphocyte ratio is a poor prognostic factor in patients with primary operable and inoperable pancreatic cancer. Br J Cancer 2013; 109: 416-21. Epub 2013 Jun 25.
19. Dhillon V, Woo P, Isenberg D. Amyloidosis in the rheumatic diseases. Ann Rheum Dis 1989; 48: 696-701.
20. Lachmann HJ, Sengül B, Yavuzşen TU, Booth DR, Booth SE, Bybee A, Gallimore JR, Soytürk M, Akar S, Tunca M, Hawkins PN. Clinical and subclinical inflammation in patients with fami-lial Mediterranean fever and in heterozygous carriers of MEFV mutations. Rheumatology (Oxford) 2006; 45: 746-50.
21. Her M, Kavanaugh A. Treatment of spondy-loarthropathy: the potential for agents other than TNF inhibitors. Curr Opin Rheumatol 2013; 25: 455-9.
22. Imtiaz F, Shafique K, Mirza SS, Ayoob Z, Vart P, Rao S. Neutrophil lymphocyte ratio as a measure of systemic inflammation in prevalent chronic diseases in Asian population. Int Arch Med 2012; 5: 2.
23. Celikbilek M, Dogan S, Ozbakır O, Zararsız G, Kücük H, Gürsoy S, Yurci A, Güven K, Yüce-soy M. Neutrophil-lymphocyte ratio as a pre-dictor of disease severity in ulcerative colitis. J Clin Lab Anal 2013; 27: 72-6.
24. Mielants H, De Keyser F, Baeten D, Van den Bosch F. Gut inflammation in the spondyloarth-ropathies. Curr Rheumatol Rep 2005; 7: 188-94.

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