Importance of the C-Reactive Protein to Albumin Ratio in the Diagnosis and Prognosis of Mycosis Fungoides.

IF 2.5 4区 医学 Q2 DERMATOLOGY
Gamze Taş-Aygar, Hatice Ataş, Müzeyyen Gönül, Selda Pelin Kartal
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Abstract

Introduction: The C-reactive protein to albumin ratio (CAR) lately has demonstrated as a prognostic factor and an indicator of disease activity, severity and prognosis in solid organ malignancies and inflammatory diseases. However, the effects of CAR have not been investigated in mycosis fungoides (MF) patients yet.

Objectives: This study aimed to determine the potential role of CAR as a diagnostic and a prognostic indicator in MF.

Methods: We retrospectively investigated the electronic medical records of 97 patients with MF admitted to the Dermatology Clinic of Health Sciences University, Diskapi Yildirim Beyazit Training and Research Hospital between January 2014 and December 2020. In total, 60 patients with MF were enrolled in the study. CAR was evaluated, patient and control group. Also, the other clinicopathological factors including age, lactate dehydrogenase, stage of disease, beta-2-microglobulin levels, and sedimentation levels were evaluated.

Results: The median value of CAR was 0.85 (0.10-7.51) in the patient group, whereas it was 0.39 (0.0-1.11) in the control group (P < 0.001). Patients with disease progression (N = 16, 13M, 3 F) had a median value of CAR 0.84 (0.10-7.51) and the median value of CAR (N = 44) was 0.86 (0.12-4.57) in the group of patients with stable disease. The CAR value had no prognostic significance (P > 0.05).

Conclusions: There is no association between the CAR and progression in the stage in MF patients. But the CAR is significantly higher in patients with MF than in the control group. The CAR can be a guide for us in cases where we have difficulty in diagnosing.

C反应蛋白与白蛋白比值在真菌病诊断和预后中的重要性
简介最近,C反应蛋白与白蛋白的比值(CAR)已被证明是实体器官恶性肿瘤和炎症性疾病的预后因素以及疾病活动性、严重程度和预后的指标。然而,CAR对真菌病(MF)患者的影响尚未得到研究:本研究旨在确定 CAR 作为 MF 诊断和预后指标的潜在作用:我们回顾性调查了2014年1月至2020年12月期间在健康科学大学Diskapi Yildirim Beyazit培训与研究医院皮肤科门诊就诊的97名MF患者的电子病历。共有 60 名手足口病患者参与研究。对患者组和对照组进行了 CAR 评估。此外,还评估了其他临床病理因素,包括年龄、乳酸脱氢酶、疾病分期、β-2-微球蛋白水平和血沉水平:患者组 CAR 的中位值为 0.85(0.10-7.51),而对照组为 0.39(0.0-1.11)(P < 0.001)。疾病进展患者(N = 16,13 名男性,3 名女性)的 CAR 中位值为 0.84(0.10-7.51),疾病稳定患者组的 CAR 中位值(N = 44)为 0.86(0.12-4.57)。CAR值对预后没有意义(P > 0.05):结论:CAR值与MF患者的分期进展之间没有关联。结论:骨髓纤维瘤患者的 CAR 值与分期进展没有关联,但骨髓纤维瘤患者的 CAR 值明显高于对照组。在我们诊断有困难的病例中,CAR 可以为我们提供指导。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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CiteScore
1.40
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