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Status of Renal Function in Rheumatoid Arthritis Patients

Received: 20 December 2022    Accepted: 9 January 2023    Published: 17 January 2023
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Abstract

Objective: The aim of the present study was to assess the status of renal function in rheumatoid arthritis patients. Methods: A cross sectional study was conducted in the Department of Biochemistry, Dhaka Medical College, Dhaka from July 2016 to June 2017. According to selection criteria one hundred subjects were selected with the age ranging from 20-60 years and equally divided into two groups. Group-A fifty diagnosed case of rheumatoid arthritis patients attending in the OPD of Arthritis Care and Research Centre and SLE Clinic, Department of Medicine, Dhaka Medical College Hospital and Group-B fifty apparently healthy individuals. The study parameters were serum creatinine, eGFR, serum urea, BMI, RA factor and anti-citrullinated protein antibody (ACPA). The results were compared statistically between two groups. Results: Serum creatinine (mg/dl) (mean ± SD) level was significantly higher (p <0.032) in RA (0.85± 0.17) than normal individuals (0.78± 0.15). Level of eGFR (ml/min/1.73m2) (mean ± SD) level was significantly lower (p <0.042) in RA (84.5 ± 20.3) than normal individuals (92.7± 19.5). Serum urea (mg/dl) (mean ± SD) level was significantly higher (p <0.011) in RA (33.12 ± 9.46) than normal individuals (28.51± 8.28). RA factor (IU/ml) and anti-citrullinated protein antibody (ACPA, U/ml) (mean ± SD) level was significantly higher (p <0.001) in RA (37.4± 13.6 and 23.5± 8.3 respectively) than normal individual (11.7± 3.25 and 7.3± 1.65 respectively). The BMI (kg/m²) (mean ± SD) was significantly higher (p <0.0001) in RA (28.5 ± 4.8) than normal individuals (21.1± 3.7). Conclusion: Serum creatinine is positively correlated to RA factor and ACPA in both groups and eGFR is negatively correlated to RA factor and ACPA in both groups. Routine screening of renal function may be beneficial for rheumatoid arthritis patients to prevent renal complications.

Published in International Journal of Medical Case Reports (Volume 2, Issue 1)
DOI 10.11648/j.ijmcr.20230201.11
Page(s) 1-4
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2023. Published by Science Publishing Group

Keywords

Rheumatoid Arthritis, Renal Function, Anti-Citrullinated Protein Antibody, S. Creatinine

References
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[2] Singh, J. A., Saag, K. G., JR, S. L. B., AKI, E. A., Bannuru, R. R. (2015) 2015 American college of rheumatology guideline for the treatment of rheumatoid arthritis, Arthritis Care & Research, 4 (2), pp. 1-25.
[3] Wasserman, A. M. (2011) Diagnosis and management of rheumatoid arthritis, Am Fam Physician, 84 (11), pp. 1245-1252.
[4] Charpin, C., Arnoux, F., Martin, M., Toussirot, E. and Lambert, N. (2013) New autoantibodies in early rheumatoid arthritis, Arthritis Research and Therapy,15 (4), pp. 1-9.
[5] Anders, H. J. and Vielhauer, V. (2011) Renal co-morbidity in patients with rheumatic diseases, Arthritis Research and Therapy, 13, pp. 222-225.
[6] Pathan, E. and Joshi, V. R. (2004) Rheumatoid arthritis and the kidney, JAPI, 52, pp. 488-494.
[7] Anderson, W. (1996) Kidneys in Anderson’s Pathology diseases, 5th edition (CV Mosby Company), St Louise BatlomorePhiladephia Toronto, pp. 610-621.
[8] Hackenmueller, S. (2013) Laboratory evaluation of kidney function, pp. 53-55. [online]. Available at: https://www.arup.utah.edu> media >051313 kidney [Accessed 8 August, 2016].
[9] Mirpourian, M., Salesi, M., Abdolahi, H., Farajzadegan, Z. and Karimzadeh, H. (2014) The association of body mass index with disease activity and clinical response to combination therapy in patients with rheumatoid arthritis, Journal of Research in Medical Sciences, 19, pp. 509-514.
[10] Ayhan, F. F., Ataman, S., Rezvani, A., Paker, N. and Tastekin, N. (2016) Obesity associated with active, but preserved joints in rheumatoid arthritis: results from our national registry, Arch Rheumatol, 31 (3), pp. 272-280.
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  • APA Style

    Sadia Hassan, Ferdous Towhid, Shamima Sattar, Shahedul Kabir, Kartick Chanda Shaha, et al. (2023). Status of Renal Function in Rheumatoid Arthritis Patients. International Journal of Medical Case Reports, 2(1), 1-4. https://doi.org/10.11648/j.ijmcr.20230201.11

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    ACS Style

    Sadia Hassan; Ferdous Towhid; Shamima Sattar; Shahedul Kabir; Kartick Chanda Shaha, et al. Status of Renal Function in Rheumatoid Arthritis Patients. Int. J. Med. Case Rep. 2023, 2(1), 1-4. doi: 10.11648/j.ijmcr.20230201.11

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    AMA Style

    Sadia Hassan, Ferdous Towhid, Shamima Sattar, Shahedul Kabir, Kartick Chanda Shaha, et al. Status of Renal Function in Rheumatoid Arthritis Patients. Int J Med Case Rep. 2023;2(1):1-4. doi: 10.11648/j.ijmcr.20230201.11

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  • @article{10.11648/j.ijmcr.20230201.11,
      author = {Sadia Hassan and Ferdous Towhid and Shamima Sattar and Shahedul Kabir and Kartick Chanda Shaha and Nazma Akther},
      title = {Status of Renal Function in Rheumatoid Arthritis Patients},
      journal = {International Journal of Medical Case Reports},
      volume = {2},
      number = {1},
      pages = {1-4},
      doi = {10.11648/j.ijmcr.20230201.11},
      url = {https://doi.org/10.11648/j.ijmcr.20230201.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijmcr.20230201.11},
      abstract = {Objective: The aim of the present study was to assess the status of renal function in rheumatoid arthritis patients. Methods: A cross sectional study was conducted in the Department of Biochemistry, Dhaka Medical College, Dhaka from July 2016 to June 2017. According to selection criteria one hundred subjects were selected with the age ranging from 20-60 years and equally divided into two groups. Group-A fifty diagnosed case of rheumatoid arthritis patients attending in the OPD of Arthritis Care and Research Centre and SLE Clinic, Department of Medicine, Dhaka Medical College Hospital and Group-B fifty apparently healthy individuals. The study parameters were serum creatinine, eGFR, serum urea, BMI, RA factor and anti-citrullinated protein antibody (ACPA). The results were compared statistically between two groups. Results: Serum creatinine (mg/dl) (mean ± SD) level was significantly higher (p Conclusion: Serum creatinine is positively correlated to RA factor and ACPA in both groups and eGFR is negatively correlated to RA factor and ACPA in both groups. Routine screening of renal function may be beneficial for rheumatoid arthritis patients to prevent renal complications.},
     year = {2023}
    }
    

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  • TY  - JOUR
    T1  - Status of Renal Function in Rheumatoid Arthritis Patients
    AU  - Sadia Hassan
    AU  - Ferdous Towhid
    AU  - Shamima Sattar
    AU  - Shahedul Kabir
    AU  - Kartick Chanda Shaha
    AU  - Nazma Akther
    Y1  - 2023/01/17
    PY  - 2023
    N1  - https://doi.org/10.11648/j.ijmcr.20230201.11
    DO  - 10.11648/j.ijmcr.20230201.11
    T2  - International Journal of Medical Case Reports
    JF  - International Journal of Medical Case Reports
    JO  - International Journal of Medical Case Reports
    SP  - 1
    EP  - 4
    PB  - Science Publishing Group
    SN  - 2994-7049
    UR  - https://doi.org/10.11648/j.ijmcr.20230201.11
    AB  - Objective: The aim of the present study was to assess the status of renal function in rheumatoid arthritis patients. Methods: A cross sectional study was conducted in the Department of Biochemistry, Dhaka Medical College, Dhaka from July 2016 to June 2017. According to selection criteria one hundred subjects were selected with the age ranging from 20-60 years and equally divided into two groups. Group-A fifty diagnosed case of rheumatoid arthritis patients attending in the OPD of Arthritis Care and Research Centre and SLE Clinic, Department of Medicine, Dhaka Medical College Hospital and Group-B fifty apparently healthy individuals. The study parameters were serum creatinine, eGFR, serum urea, BMI, RA factor and anti-citrullinated protein antibody (ACPA). The results were compared statistically between two groups. Results: Serum creatinine (mg/dl) (mean ± SD) level was significantly higher (p Conclusion: Serum creatinine is positively correlated to RA factor and ACPA in both groups and eGFR is negatively correlated to RA factor and ACPA in both groups. Routine screening of renal function may be beneficial for rheumatoid arthritis patients to prevent renal complications.
    VL  - 2
    IS  - 1
    ER  - 

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Author Information
  • Department of Biochemistry, Mainamoti Medical College, Cumilla, Bangladesh

  • Department of Biochemistry, Dhaka National Medical College, Dhaka, Bangladesh

  • Department of Pharmacology, Community Based Medical College, Mymensingh, Bangladesh

  • Department of Cardiology, Cumilla Medical College, Cumilla, Bangladesh

  • Department of Pharmacology, Dhaka National Medical College, Dhaka, Bangladesh

  • Department of Biochemistry, East west Medical College, Dhaka, Bangladesh

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