Study of the Validity of Neutrophil CD64 and Serum Procalcitonin as Diagnostic Markers to Discriminate Infection from Disease Activity in Patients with Systemic Lupus Erythematosus

作者: Ahmed Ragheb

DOI: 10.11648/J.AJCEM.20150303.17

关键词:

摘要: Introduction: In addition to the complexity of clinical presentation both infections and disease activity in systemic lupus erythematosus (SLE) patients, difficulty making therapeutic decision require investigations that should be diagnostic value. Neutrophil CD64 is up regulated within few hours patients with infection. Similarly, serum procalcitonin (PCT) levels increase rapidly following bacterial Objective: The aim this work study usefulness neutrophil expression PCT as markers discriminate infection from erythematosus. Methods: This was carried on 20 healthy females controls (group I) 55 female SLE. Patients were distributed following; SLE without or II), III), 15 IV). CBC, ANA, Anti-ds DNA, C3 C4 measured all population. Serum by ELFA done flowcytometry. Results: increased significantly compared those activity. We demonstrated significant correlations between infection, while correlated area under ROC curves for detection (AUC; 95% CI) (0.90; 0.79-1.01) (0.99; 0.95-1.01), respectively. Conclusion: Our findings can prove are reliable patients. more accurate than expression.

参考文章(35)
Guggenbuhl P, Sibilia J, Lioté F, Soubrier M, Sordet C, Maillefert Jf, Puéchal X, Saraux A, Coumaros G, Zeisel M, Martinot M, Jaulhac B, Lègre, Diagnostic value of serum and synovial procalcitonin in acute arthritis: a prospective study of 42 patients. Clinical and Experimental Rheumatology. ,vol. 23, pp. 303- 310 ,(2005)
Cesare Perotti, Roberto Caporali, Carlomaurizio Montecucco, Lorenzo Cavagna, Eleonora Bruschi, Carlo Alberto Scirè, Diagnostic value of procalcitonin measurement in febrile patients with systemic autoimmune diseases. Clinical and Experimental Rheumatology. ,vol. 24, pp. 123- 128 ,(2006)
H A Homburger, G L Jacob, J Griffiths, Y D Cahen, Detection of antinuclear antibodies: comparative evaluation of enzyme immunoassay and indirect immunofluorescence methods. Archives of Pathology & Laboratory Medicine. ,vol. 122, pp. 993- 999 ,(1998)
Akio Morinobu, Saori Hatachi, Yoshinori Kogata, Kenichiro Tamaki, Shunichi Kumagai, Takashi Nakazawa, Kunihiro Nishimura, Gohichi Kageyama, Daisuke Sugiyama, Diagnostic accuracy of serum procalcitonin concentrations for detecting systemic bacterial infection in patients with systemic autoimmune diseases. The Journal of Rheumatology. ,vol. 35, pp. 114- 119 ,(2008)
Päivi Jalava-Karvinen, Ulla Hohenthal, Iina Laitinen, Pirkko Kotilainen, Allan Rajamäki, Jukka Nikoskelainen, Esa-Matti Lilius, Jari Nuutila, Simultaneous quantitative analysis of FcγRI (CD64) and CR1 (CD35) on neutrophils in distinguishing between bacterial infections, viral infections, and inflammatory diseases Clinical Immunology. ,vol. 133, pp. 314- 323 ,(2009) , 10.1016/J.CLIM.2009.08.003
Bruce H Davis, Improved diagnostic approaches to infection/sepsis detection Expert Review of Molecular Diagnostics. ,vol. 5, pp. 193- 207 ,(2005) , 10.1586/14737159.5.2.193
V Deneys, L Michaux, P Leveugle, AM Mazzon, E Gillis, A Ferrant, JM Scheiff, M De Bruyère, Atypical lymphocytic leukemia and mantle cell lymphoma immunologically very close: flow cytometric distinction by the use of CD20 and CD54 expression Leukemia. ,vol. 15, pp. 1458- 1465 ,(2001) , 10.1038/SJ.LEU.2402200
N. Suzuki, H. Mizuno, M. Nezu, Y. Takai, T. Misu, H. Kuroda, M. Aoki, I. Nakashima, Y. Itoyama, Procalcitonin might help in discrimination between meningeal neuro-Behçet disease and bacterial meningitis Neurology. ,vol. 72, pp. 762- 763 ,(2009) , 10.1212/01.WNL.0000343046.88848.76
R. Brunkhorst, O. K. Eberhardt, M. Haubitz, F. M. Brunkhorst, Procalcitonin for discrimination between activity of systemic autoimmune disease and systemic bacterial infection Intensive Care Medicine. ,vol. 26, ,(2000) , 10.1007/BF02900738