探索免疫球蛋白 A 血管炎患者胃肠道受累的预测因素。

Betül Öksel, Nihal Şahin, Hafize Emine Sönmez
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引用次数: 0

摘要

背景:免疫球蛋白A型血管炎(IgAV)是儿童中最常见的全身性血管炎,约半数病例通常伴有胃肠道(GI)症状。本研究旨在分析 IgAV 患者胃肠道受累的临床和实验室结果:我们比较了确诊为 IgAV 患者的消化道受累数据:结果:在210名患者(60.5%为女性,39.5%为男性)中,101名患者的消化道受累,腹痛是主要症状(98人)。消化道受累患者的白细胞、中性粒细胞、单核细胞和血小板计数、C 反应蛋白、中性粒细胞与淋巴细胞比值(NLR)、血小板与淋巴细胞比值(PLR)、单核细胞与淋巴细胞比值(MLR)、全身免疫炎症指数(SII)和全身炎症反应指数(SIRI)显著升高(p1035.通过测定 SIRI(>1.65)、NLR(>2.73)和 MLR(>0.28),结果显示敏感性分别为 46%、59%、47% 和 53%,特异性分别为 83.1%、69.1%、81.3% 和 71.9%。相应的曲线下面积分别为 0.658、0.668、0.649 和 0.634(均为 p):尽管 IgAV 是一种自限性疾病,但消化道受累可导致严重后果。SII和SIRI等全身炎症指数可能对鉴别消化道受累患者有指示作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Exploring the predictive factors in the gastrointestinal involvement of patients with immunoglobulin A vasculitis.

Background: Immunoglobulin A vasculitis (IgAV), the most common systemic vasculitis in children, typically presents with gastrointestinal (GI) symptoms in about half of cases. This study aimed to analyze the clinical and laboratory findings of patients with IgAV regarding GI involvement.

Methods: We compared the GI involvement data of the patients diagnosed with IgAV.

Results: Of the 210 patients (60.5% female and 39.5% male), 101 had GI involvement, with abdominal pain being the predominant symptom (n=98). White blood cell, neutrophil, monocyte, and platelet counts, C-reactive protein, neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), monocyte-to-lymphocyte ratio (MLR), systemic immune-inflammation index (SII), and systemic inflammation response index (SIRI) were significantly elevated in patients with GI involvement (p<0.001, p<0.001, p=0.01, p=0.005, p=0.002, p<0.001, p=0.03, p=0.001, p<0.001, p<0.001, respectively). The cutoff values for SII (>1035.7), SIRI (>1.65), NLR (>2.73), and MLR (>0.28) were determined, yielding respective sensitivities of 46%, 59%, 47%, and 53%, specificities of 83.1%, 69.1%, 81.3%, and 71.9%. Corresponding areas under the curve were 0.658, 0.668, 0.649, and 0.634, respectively (all p<0.001).

Conclusion: Although IgAV is a self-limiting disease, GI involvement can lead to serious consequences. Systemic inflammatory indices such as SII and SIRI may be indicative in identifying patients with GI involvement.

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