Clinical significance of mean platelet volume, platelet distribution width, and neutrophil-lymphocyte ratio in children with familial mediterranean fever
Year 2024,
, 54 - 59, 02.09.2024
Gül Trabzon
,
Müferet Ergüven
,
Didem Kızmaz İşançlı
,
Emine Olcay Yasa
Abstract
Objective: Familial Mediterranean Fever (FMF) is an autosomal recessive disease characterized by recurrent fever and polyserositis. Studies conducted in recent years emphasize the importance of platelet parameters in chronic diseases. This study examined changes in attack and attack-free periods in children with FMF, focusing on Mean Platelet Volume (MPV), an indicator of disease severity.
Method: 150 FMF patients (90 girls, 60 boys) and 50 healthy individuals (29 men, 21 women) were included in the study. Data were analyzed according to colchicine treatment, attack, and attack-free periods. The severity of the disease was classified as mild, moderate, and severe.
Results: MPV levels of patients with FMF were higher than the healthy group. In particular, MPV levels decreased significantly during attacks, with a more pronounced decrease in severe cases.
Conclusion: As a result, MPV measurement is a cost-effective and rapid method that can support the evaluation of disease severity and attack periods in FMF patients.
Ethical Statement
The work was evaluated and approved by the Ethnic Committee of the University of İstanbul Medeniyet. All procedures performed in studies involving human participants were by the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards
Supporting Institution
The study received no financial support or funding from any pharmaceutical company, medical device manufacturer, or other commercial entity that could benefit from this research’s results. All data analysis and interpretations were conducted independently by the authors.
Thanks
All authors listed have made a substantial, direct, and intellectual contribution to the work and approved it for publication. I thank all the authors for their study.
References
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- Arpacı, A, Doğan S, Erdoğan HF, El Ç, & Cura SE. Presentation of a new mutation in FMF and evaluating the frequency of distribution of the MEFV gene mutation in our region with clinical findings. Mol Biol Rep 2021;48:2025-2033. https://doi.org/10.1007/s11033-020-06040-y
- Park YH, Wood G, Kastner DL, Chae JJ. Pyrin Inflammasome Activation and RhoA Signaling in the Autoinflammatory Diseases FMF and HIDS. Nat immunol 2016;17(8):914-921. https://doi.org 10.1038/ni.3457.
- Esmon CT. Inflammation and thrombosis. J Thromb Haemost.2003;1(7):1343-8. ttps://doi.org/10.1046/j.1538-7836.2003.00261.x
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- Caliskan M, Gullu H, Yilmaz S, Erdogan D, Unler GK, Ciftci O, et al. Impaired coronary microvascular function in familial Mediterranean fever. Atherosclerosis 2007;195.2:e161-e167. https://doi.org/10.1016/j.atherosclerosis.2007.06.014
- Patel SR, Hartwig JH, Italiano JE Jr. The biogenesis of platelets from megakaryocyte proplatelets. Journal of Clinical Investigation 2005;115(12):3348–3354. https://doi.org/10.1172/JCI26891.
- Korniluk A, Koper-Lenkiewicz OM, Kamińska J, Kemona H, Dymicka-Piekarska V. Mean platelet volume (MPV): New perspectives for an old marker in the course and prognosis of Inflammatory conditions. Mediators Inflamm 2019;2019:9213074. https://doi.org/10.1155/2019/9213074
- Yorulmaz A, Akbulut H, Taş SA, Tıraş M, Yahya İ, & Peru H. Evaluation of hematological parameters in children with FMF. Clin Rheumatol 2019;38: 701-707. https://doi.org/10.1007/s10067-018-4338-1
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- Uslu AU, Deveci K, Korkmaz S, Aydin B, Senel S, Sancakdar E, et al. Is neutrophil/lymphocyte ratio associated with subclinical inflammation and amyloidosis in patients with familial Mediterranean fever? Biomed Res Int 2013;2013:185317. https://doi.org/10.1155/2013/185317
- Akbas EM, Demirtas L, Ozcicek A, Timuroglu A, Bakirci EM, Hamur H, et al. Association of epicardial adipose tissue, neutrophil-to-lymphocyte ratio and platelet-tolymphocyte ratio with diabetic nephropathy. Int J Clin Exp Med 2014;7(7):1794-801.
- Awadh N, Gorial F, Hammadi R, Ibrahim M, Majeed S, & Mohammed M. Mean platelet volume to lymphocyte ratio and platelet distribution width to lymphocyte ratio in Iraqi patients diagnosed with Inflammation parameters in children with FMF systemic lupus erythematosus. Reumatologia/Rheumatology 2022;60(3):173-82. https://doi.org/10.5114/reum.2022.117837
- Farias MG, Schunck EG, Dal BóS, de Castro SM. Definition of reference ranges for the platelet distribution width (PDW): a local need. Clin Chem Lab Med 2010;48(2):255-57. https://doi.org/10.1515/cclm.2010.035
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- Bakan A, Oral A, Ecder SA, Kuzgun GŞ, Elçioğlu ÖC, et al. Assessment of mean platelet volume in patients with AA amyloidosis and AA amyloidosis secondary to familial mediterranean fever: A retrospective chart–review study. Med Sci Monit 2019;25:3854-59. https://doi.org/10.12659/MSM.914343
- Coban E, Adanir H. Platelet activation in patients with Familial Mediterranean Fever. Platelets. 2008;19(6):405-8. https://doi.org/10.1080/09537100802187121
- Gasparyan Y, Ayvazyan A, Mikhailidis LP, Kitas GD. Mean platelet volume: a link between thrombosis and inflammation? Curr Pharm Des 2011;17(1):47-58. https://doi.org/10.2174/138161211795049804
- Uluca Ü, Ece A, Şen V, Karabel D, Yel S, Güneş A, et al. Usefulness of mean platelet volume and neutrophil-to-lymphocyte ratio for evaluation of children with Familial Mediterranean fever. Med Sci Monit 2014;20:1578-82. https://doi.org/10.12659/msm.892139
Year 2024,
, 54 - 59, 02.09.2024
Gül Trabzon
,
Müferet Ergüven
,
Didem Kızmaz İşançlı
,
Emine Olcay Yasa
References
- Alghamdi M. Familial Mediterranean Fever, Review of the Literature. Clin Rheumatol 2017;36:1707–1713. https://doi.org 10.1007/s10067-017-3715-5.
- Arpacı, A, Doğan S, Erdoğan HF, El Ç, & Cura SE. Presentation of a new mutation in FMF and evaluating the frequency of distribution of the MEFV gene mutation in our region with clinical findings. Mol Biol Rep 2021;48:2025-2033. https://doi.org/10.1007/s11033-020-06040-y
- Park YH, Wood G, Kastner DL, Chae JJ. Pyrin Inflammasome Activation and RhoA Signaling in the Autoinflammatory Diseases FMF and HIDS. Nat immunol 2016;17(8):914-921. https://doi.org 10.1038/ni.3457.
- Esmon CT. Inflammation and thrombosis. J Thromb Haemost.2003;1(7):1343-8. ttps://doi.org/10.1046/j.1538-7836.2003.00261.x
- Ertenli I, Kiraz S, Öztürk AM, Haznedaroglu IC, Çelik I, Kirazli Ş, et al. Plasma fibronectin-and thrombospondin-adhesive molecules during acute attacks and attack-free periods of familial Mediterranean fever. Rheumatol Int 2001;20:217-20. https://doi.org/10.1007/s002960100107
- Caliskan M, Gullu H, Yilmaz S, Erdogan D, Unler GK, Ciftci O, et al. Impaired coronary microvascular function in familial Mediterranean fever. Atherosclerosis 2007;195.2:e161-e167. https://doi.org/10.1016/j.atherosclerosis.2007.06.014
- Patel SR, Hartwig JH, Italiano JE Jr. The biogenesis of platelets from megakaryocyte proplatelets. Journal of Clinical Investigation 2005;115(12):3348–3354. https://doi.org/10.1172/JCI26891.
- Korniluk A, Koper-Lenkiewicz OM, Kamińska J, Kemona H, Dymicka-Piekarska V. Mean platelet volume (MPV): New perspectives for an old marker in the course and prognosis of Inflammatory conditions. Mediators Inflamm 2019;2019:9213074. https://doi.org/10.1155/2019/9213074
- Yorulmaz A, Akbulut H, Taş SA, Tıraş M, Yahya İ, & Peru H. Evaluation of hematological parameters in children with FMF. Clin Rheumatol 2019;38: 701-707. https://doi.org/10.1007/s10067-018-4338-1
- Leader A, Pereg D, Lishner M. Are platelet volume indices of clinical use? A multidisciplinary review. Ann Med 2012;44(8),805-816. https://doi.org/10.3109/07853890.2011.653391
- Vagdatli E, Gounari E, Lazaridou E, Katsibourlia E, Tsikopoulou F, Labrianou I. Platelet distribution width: a simple, practical and specific marker of activation of coagulation. Hippokratia 2010;14:28–32.
- Uslu AU, Deveci K, Korkmaz S, Aydin B, Senel S, Sancakdar E, et al. Is neutrophil/lymphocyte ratio associated with subclinical inflammation and amyloidosis in patients with familial Mediterranean fever? Biomed Res Int 2013;2013:185317. https://doi.org/10.1155/2013/185317
- Akbas EM, Demirtas L, Ozcicek A, Timuroglu A, Bakirci EM, Hamur H, et al. Association of epicardial adipose tissue, neutrophil-to-lymphocyte ratio and platelet-tolymphocyte ratio with diabetic nephropathy. Int J Clin Exp Med 2014;7(7):1794-801.
- Awadh N, Gorial F, Hammadi R, Ibrahim M, Majeed S, & Mohammed M. Mean platelet volume to lymphocyte ratio and platelet distribution width to lymphocyte ratio in Iraqi patients diagnosed with Inflammation parameters in children with FMF systemic lupus erythematosus. Reumatologia/Rheumatology 2022;60(3):173-82. https://doi.org/10.5114/reum.2022.117837
- Farias MG, Schunck EG, Dal BóS, de Castro SM. Definition of reference ranges for the platelet distribution width (PDW): a local need. Clin Chem Lab Med 2010;48(2):255-57. https://doi.org/10.1515/cclm.2010.035
- Caliskan M, Gullu H, Yilmaz S, Erdogan D, Unler GK, Ciftci O, et al. Impaired coronary microvascular function in familial Mediterranean fever. Atherosclerosis 2007,195(2):e161-e167. https://doi.org/10.1016/j.atherosclerosis.2007.06.014
- Bakan A, Oral A, Ecder SA, Kuzgun GŞ, Elçioğlu ÖC, et al. Assessment of mean platelet volume in patients with AA amyloidosis and AA amyloidosis secondary to familial mediterranean fever: A retrospective chart–review study. Med Sci Monit 2019;25:3854-59. https://doi.org/10.12659/MSM.914343
- Coban E, Adanir H. Platelet activation in patients with Familial Mediterranean Fever. Platelets. 2008;19(6):405-8. https://doi.org/10.1080/09537100802187121
- Gasparyan Y, Ayvazyan A, Mikhailidis LP, Kitas GD. Mean platelet volume: a link between thrombosis and inflammation? Curr Pharm Des 2011;17(1):47-58. https://doi.org/10.2174/138161211795049804
- Uluca Ü, Ece A, Şen V, Karabel D, Yel S, Güneş A, et al. Usefulness of mean platelet volume and neutrophil-to-lymphocyte ratio for evaluation of children with Familial Mediterranean fever. Med Sci Monit 2014;20:1578-82. https://doi.org/10.12659/msm.892139