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J Int Med Res. 2015 Dec;43(6):765-73. doi: 10.1177/0300060515591063. Epub 2015 Sep 10.

Association between red blood cell distribution width and disease activity in patients with Behçet's disease.

Author information

1
Department of Biochemistry, Faculty of Medicine, Gaziantep University, Gaziantep, Turkey snuraksoy@yahoo.com.
2
Department of Internal Medicine, Faculty of Medicine, Gaziantep University, Gaziantep, Turkey.
3
Department of Cardiology, Faculty of Medicine, Gaziantep University, Gaziantep, Turkey.
4
Department of Rheumatology, Faculty of Medicine, Gaziantep University, Gaziantep, Turkey.
5
Department of Biostatistics, Faculty of Medicine, Gaziantep University, Gaziantep, Turkey.

Abstract

OBJECTIVES:

To examine associations between red blood cell distribution width (RDW) and organ involvement and disease activity in patients with Behçet's disease.

METHODS:

Haematological and inflammatory parameters including RDW, high-sensitivity C-reactive protein (hsCRP) and erythrocyte sedimentation rate (ESR) were examined in patients with Behçet's disease and in healthy controls. Patients were divided into those with active or inactive disease.

RESULTS:

Data from 236 patients with Behçet's disease (77 with active and 159 with inactive disease) and 72 controls were analysed. RDW, ESR and hsCRP were significantly higher in patients with Behçet's disease than in controls, and in those with active disease compared with inactive disease or controls. In addition, ESR and hsCRP were significantly higher in those with inactive disease than controls. No correlations were found between hsCRP, ESR and RDW. No differences were observed in RDW, ESR or hsCRP between patients with or without ocular or vascular involvement. Multivariate logistic regression analysis revealed that RDW was significantly higher in active disease compared with inactive disease.

CONCLUSIONS:

RDW was increased in active disease compared with inactive disease. No relationships were found between organ involvement and RDW. RDW may be a cost-effective, novel potential parameter to evaluate disease activity in Behçet's disease.

KEYWORDS:

Behçet’s disease; C-reactive protein; Red blood cell distribution width; disease activity; erythrocyte sedimentation rate

PMID:
26359293
DOI:
10.1177/0300060515591063
[Indexed for MEDLINE]

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