Switch to
Predicate | Object |
---|---|
rdf:type | |
lifeskim:mentions | |
pubmed:dateCreated |
1993-7-9
|
pubmed:abstractText |
Studies on the relationship between acute-phase protein (APP) production, clinical disease activity and progression of radiological damage in RA have been hampered by three factors: patients are studied at different stages of the disease; APP levels are taken incidentally rather than serially; and inter-individual differences in the relationship between the extent of the acute-phase reaction and the progression of radiological damage are not accounted for. A group of 110 newly diagnosed (complaints < 1 year) patients with RA were analysed for a follow-up period of at least three years. Damage was assessed radiologically according to the modified method of Sharp. As radiological progression is a cumulative event, APP production was also calculated by plotting serial CRP levels over time. Overall, a highly significant correlation was found between CRP production and radiological progression; however, a wide variation was observed due to inter-individual differences. The greatest variation was found in the lower range of CRP values, where inter-individual variation could not be accounted for by HLA-DR4, positive RF, sex or age. In conclusion, the prognostic use of serial measurement of APPs for the assessment of radiological progression is limited due to inter-individual variation. Knowledge of the factors underlying these inter-individual differences will increase the applicability of CRP in the prediction of joint damage for individual patients.
|
pubmed:language |
eng
|
pubmed:journal | |
pubmed:citationSubset |
AIM
|
pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Adrenal Cortex Hormones,
http://linkedlifedata.com/resource/pubmed/chemical/Anti-Inflammatory Agents,
http://linkedlifedata.com/resource/pubmed/chemical/Anti-Inflammatory Agents...,
http://linkedlifedata.com/resource/pubmed/chemical/C-Reactive Protein
|
pubmed:status |
MEDLINE
|
pubmed:month |
Jun
|
pubmed:issn |
0263-7103
|
pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
32 Suppl 3
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
9-13
|
pubmed:dateRevised |
2006-11-15
|
pubmed:meshHeading |
pubmed-meshheading:8508266-Acute-Phase Reaction,
pubmed-meshheading:8508266-Adolescent,
pubmed-meshheading:8508266-Adrenal Cortex Hormones,
pubmed-meshheading:8508266-Adult,
pubmed-meshheading:8508266-Aged,
pubmed-meshheading:8508266-Anti-Inflammatory Agents,
pubmed-meshheading:8508266-Anti-Inflammatory Agents, Non-Steroidal,
pubmed-meshheading:8508266-Arthritis, Rheumatoid,
pubmed-meshheading:8508266-C-Reactive Protein,
pubmed-meshheading:8508266-Female,
pubmed-meshheading:8508266-Humans,
pubmed-meshheading:8508266-Longitudinal Studies,
pubmed-meshheading:8508266-Male,
pubmed-meshheading:8508266-Middle Aged,
pubmed-meshheading:8508266-Prospective Studies
|
pubmed:year |
1993
|
pubmed:articleTitle |
The acute-phase response in relation to radiographic progression in early rheumatoid arthritis: a prospective study during the first three years of the disease.
|
pubmed:affiliation |
Department of Rheumatology, University Hospital, Groningen, The Netherlands.
|
pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
|