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首页> 外文期刊>Egyptian Journal of Basic and Applied Sciences >Serum substance P level as a marker for subclinical rheumatoid arthritis activity
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Serum substance P level as a marker for subclinical rheumatoid arthritis activity

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ABSTRACT Background Regular assessments of disease activity are essential to prevent the progression of rheumatoid arthritis (RA).Aim of the work This study aimed to assess the utility of serum substance P (SP) level as a marker for RA activity and to establish the value of SP level for the diagnosis of subclinical RA activity.Patients and Methods The study included three groups each 30.subject Group 1 was with minimal or no disease, group 2 had moderate to severe disease activity and group 3 was healthy controls. RA patients were assessed using a Disease Activity Score-28 (DAS28) and power Doppler ultrasonography measurement of the synovitis total score. The serum substance P levels of study groups were assessed using ELISA technique.Results Statistically significant difference in serum SP level was detected in RA patients compared to controls (p ≤ 0.001) and between different disease activity groups (p ≤ 0.001). The best cut off SP value to distinguish patients in subclinical activity active disease patients was 555.5 pg/ml. This had a diagnostic sensitivity, specificity, and accuracy of 96.7, 80 and 88.3 , respectively.Conclusion Serum SP can be used as an indicator of RA disease activity even in those with subclinical activity.

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