全部 标题 作者
关键词 摘要

OALib Journal期刊
ISSN: 2333-9721
费用:99美元

查看量下载量

相关文章

更多...

Serum Immunoglobulin Concentrations in Juvenile Idiopathic Arthritis Cases during Active and Inactive Disease States

DOI: 10.4236/ojra.2024.142006, PP. 49-59

Keywords: JIA, Oligoarticular JIA, Polyarticular JIA, Immunoglobulins, Acitive Disease, Inactive Disease

Full-Text   Cite this paper   Add to My Lib

Abstract:

Background: Juvenile idiopathic arthritis (JIA) is the most common rheumatic disease in children. Both the humoral and cell mediated immunities are involved in the pathogenesis of JIA. It is reported that overall immunoglobulin levels in JIA patients are significantly higher than their control during the active state of disease. Methodology: This prospective observational study was conducted over a period of 18 months All the newly diagnosed oligo-articular and poly-articular JIA patients having active disease were included by purposive sampling. Data were collected by a semi-structured predesigned questionnaire. Result: Most of the study subjects (57.6%) belonged to age group > 3 - 9 years. Oligo JIA was diagnosed in 66.7% and poly JIA in 33.3% of JIA children. The difference in mean (±SD) ESR (33.52 ± 21.29 and 15.09 ± 7.71 mm in 1st hour) at active and inactive states was highly significant. Mean (±SD) difference of IgG, IgM and IgA in active and inactive states of disease were highly significant. Conclusion: Higher and abnormal levels of immunoglobulin (IgG, IgM, and IgA) were present among JIA patients in active

References

[1]  Thierry, S., Fautrel, B., Lemelle, I. and Guillemin, F. (2014) Prevalence and Incidence of Juvenile Idiopathic Arthritis: A Systematic Review. Joint Bone Spine, 81, 112-117.
https://doi.org/10.1016/j.jbspin.2013.09.003
[2]  Costello, R., McDonagh, J., Hyrich, K.L. and Humphreys, J.H. (2022) Incidence and Prevalence of Juvenile Idiopathic Arthritis in the United Kingdom, 2000-2018: Results from the Clinical Practice Research Datalink. Rheumatology, 61, 2548-2554.
https://doi.org/10.1093/rheumatology/keab714
[3]  Azam, S., Dipti, T. and Rahman, S. (2012) Prevalence and Clinical Pattern of Juvenile Idiopathic Arthritis in a Semi-Urban Area of Bangladesh. International Journal of Rheumatic Diseases, 15, 116-120.
https://doi.org/10.1111/j.1756-185X.2012.01703.x
[4]  Eveline, Y.W., Bryan, A.R. and Rabinovich, C.E. (2016) Juvenile Idiopathic Arthritis. In: Kliegman, R.M., Stanton, B.F., Schor, N.F., Geme, J.W.S. and Behrman, R.E., Eds., Nelson Textbook of Paediatrics, 20th Edition, Saunders, Philadelphia, 1160-1173.
[5]  Moradinejad, M., Rafati, A., Ardalan, M., Rabiei, M., Farghadan, M., Ashtiani, M.T., Pourpak, Z. and Moin, M. (2011) Prevalence of IgA Deficiency in Children with Juvenile Rheumatoid Arthritis. Iran Journal of Allergy, Asthma and Immunology, 10, 35-40.
[6]  Badcock, J., Clarke, S., Jones, P., Dawes, P. and Mattey, D. (2003) Abnormal IgA Levels in Patients with Rheumatoid Arthritis. Annals of Rheumatic Diseases, 62, 83-84.
https://doi.org/10.1136/ard.62.1.83
[7]  De Silvestri, A., Capittini, C., Poddighe, D., Marseglia, G.L., Mascaretti, L., Bevilacqua, E., et al. (2017) HLA-DRB1 Alleles and Juvenile Idiopathic Arthritis: Diagnostic Clues Emerging from a Meta-Analysis. Autoimmunity Reviews, 16, 1230-1236.
https://doi.org/10.1016/j.autrev.2017.10.007
[8]  Nistala, K., Moncrieffe, H., Newton, K.R., Varsani, H., Hunter, P. and Wedderburn, L.R. (2008) Interleukin-17-Producing T Cells Are Enriched in the Joints of Children with Arthritis, but Have a Reciprocal Relationship to Regulatory T Cell Numbers. Arthritis & Rheumatology, 58, 875-887.
https://doi.org/10.1002/art.23291
[9]  Mellins, E.D., Macaubas, C. and Grom, A.A. (2011) Pathogenesis of Systemic Juvenile Idiopathic Arthritis: Some Answers, More Questions. Nature Reviews Rheumatology, 7, 416-426.
https://doi.org/10.1038/nrrheum.2011.68
[10]  Vander, S.M., Linden, H.A., Valkenburg, B.M. and DeJongh, A.C. (1984) The Risk of Developing Ankylosing Spondylitis in HLA-B27 Positive Individuals. A Comparison of Relatives of Spondylitis Patients with the General Population. Arthritis & Rheumatology, 27, 241-249.
https://doi.org/10.1002/art.1780270301
[11]  Veys, E.M. and Claessens, H.E. (1968) Serum Levels of IgG, IgM, and IgA in Rheumatoid Arthritis. Annals of Rheumatological Diseases, 27, 431-440.
https://doi.org/10.1136/ard.27.5.431
[12]  Wallace, C., Ruperto, N. and Giannini, E. (2004) Preliminary Criteria for Clinical Remission for Select Categories of Juvenile Idiopathic Arthritis. The Journal of Rheumatology, 31, 2290-2294.
[13]  Jolliff, C.R., et al. (1982) Reference Values for Serum IgG, IgA, IgM, C3, and C4 as Determined by Rate Nephelometry. Clinical Chemistry, 28, 126-128.
https://doi.org/10.1093/clinchem/28.1.126
[14]  Harrold, L.R., Salman, C., Shoor, S., Curtis, J.R., Asgari, M.M., Gelfand, J.M., et al. (2013) Incidence and Prevalence of Juvenile Idiopathic Arthritis among Children in a Managed Care Population, 1996-2009. The Journal of Rheumatology, 40, 1218-1225.
https://doi.org/10.3899/jrheum.120661
[15]  Moura, R.A. and Fonseca, J.E. (2022) B Cells on the Stage of Inflammation in Juvenile Idiopathic Arthritis: Leading or Supporting Actors in Disease Pathogenesis? Frontiers in Medicine (Lausanne), 9, Article ID: 851532.
[16]  Gilliam, B.E., Chauhan, A.K. and Low, J.M. (2008) Measurement of Biomarkers in Juvenile Idiopathic Arthritis Patients and Their Significant Association with Disease Severity: A Comparative Study. Clinical and Experimental Rheumatology, 6, 492-497.
[17]  Vakili, M., Ziaee, V., Moradinejad, M.H., Raeeskarami, S.R., Kompani, F. and Rahamooz, T. (2016) Changes of Platelet Indices in Juvenile Idiopathic Arthritis in Acute Phase and after Two Months Treatment. Iranian Journal of Pediatrics, 26, E5006.
https://doi.org/10.5812/ijp.5006
[18]  Kim, K.H. and Dong, S.K. (2010) Juvenile Idiopathic Arthritis: Diagnosis and Differential Diagnosis. Korean Journal of Pediatrics, 53, 931-935.
https://doi.org/10.3345/kjp.2010.53.11.931
[19]  Sonia, S., Ferdous, E., Islam, M. and Rahman, S. (2023) Neutrophil Count, Platelet Indices, CRP and Their Association with Disease Activity of Juvenile Idiopathic Arthritis (JIA): A Study from Bangladesh. Open Journal of Rheumatology and Autoimmune Diseases, 13, 41-49.
https://doi.org/10.4236/ojra.2023.131004
[20]  Albaker, A.R. (2020) Current Review of Systemic Juvenile Idiopathic Arthritis: What Do Paediatricians Need to Know? Open Journal of Pediatrics, 10, 769-801.
https://doi.org/10.4236/ojped.2020.104078
[21]  Rajapaksa, G.K., Puvimanasinghe, J.P. and Padmasiri, E.A. (1995) Some Risk Factors of Rheumatoid Arthritis: A Case-Control Study. Master’s Thesis, University of Colombo, Sri Lanka.
[22]  Calabro, J.J. and Marchesano, J.M. (1968) The Early Natural History of Juvenile Rheumatoid Arthritis. Medical Clinics of North America, 52, 567-591.
https://doi.org/10.1016/S0025-7125(16)32898-X
[23]  Rackham, O.J., Sills, J.A. and Davidson, J.E. (2002) Immunoglobulin Levels in Methotrexate Treated Paediatric Rheumatology Patients. Archives of Disease in Childhood, 87, 147-148.
https://doi.org/10.1136/adc.87.2.147
[24]  Torre, I.D., Edwards, J. and Cambridge, G. (2012) Baseline Serum Immunoglobulin Levels in Patients with Rheumatoid Arthritis: Relationships with Clinical Parameters. Clinical and Experimental Rheumatology, 3, 1-12.
[25]  Davise, K., Stiehm, E.R., Woo, P. and Murray, K.J. (2001) Juvenile Idiopathic Polyarticular Arthritis and IgA Deficiency in the 22q11 Deletion Syndrome. The Journal of Rheumatology, 28, 2326-2334.
[26]  James, T., Cassidy, J.T., Petty, R.E. and Sullivan, D.B. (1973) Abnormalities in the Distribution of Serum Immunoglobulin Concentrations in Juvenile Rheumatoid Arthritis. Journal of Clinical Investigation, 52, 1931-1936.
https://doi.org/10.1172/JCI107377

Full-Text

comments powered by Disqus

Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133

WeChat 1538708413