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Impact of biological and non-biological treatment on hematological indices in patients with ankylosing spondylitis and psoriatic arthritis
Background Blood dyscrasias are common in patients with rheumatic diseases, as bone marrow and blood cells can be targets for autoimmune processes. This in addition to the potentially adverse effect of the disease-modifying anti-rheumatic drugs used for the treatment of inflammatory arthritis as in...
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Published in: | Egyptian Rheumatology and Rehabilitation 2023-03, Vol.50 (1), p.14-9, Article 14 |
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description | Background
Blood dyscrasias are common in patients with rheumatic diseases, as bone marrow and blood cells can be targets for autoimmune processes. This in addition to the potentially adverse effect of the disease-modifying anti-rheumatic drugs used for the treatment of inflammatory arthritis as in psoriatic arthritis (PsA) and ankylosing spondylitis (AS) on blood counts.
Aim of this study
The aim of this study is to analyze the effect of biologic therapy on complete blood cell parameters, derived ratios, and cell volume indices in Egyptian patients with ankylosing spondylitis and psoriatic arthritis.
Results
One hundred and twenty Egyptian patients had been included, 60 have ankylosing spondylitis (AS) and 60 have psoriatic arthritis (PSA). On comparing the blood indices between the biologics and non-biologics groups of PSA patients, there was a statistically highly significant reduction in red cell distribution width (RDW%) at the biologics group than non-biologics (
p
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doi_str_mv | 10.1186/s43166-023-00174-0 |
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fullrecord | <record><control><sourceid>proquest_doaj_</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_6d742bd2ef624211b629d1bf967e001e</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><doaj_id>oai_doaj_org_article_6d742bd2ef624211b629d1bf967e001e</doaj_id><sourcerecordid>2780614746</sourcerecordid><originalsourceid>FETCH-LOGICAL-c484t-c3c7a22219c6598690f2e749abcce8816094cdad8aca588f7fed4971cf70b5383</originalsourceid><addsrcrecordid>eNp9kstu1DAUhiMEElXbF2BliXXAt_iyQUIVl5EqsSlry_El4yGxg-0BzSvw1LiTqrQbVsc65_8_-1h_171B8B1Cgr0vlCDGeohJDyHitIcvugsMJewJJsPLJ-fX3XUpB9hUA4MCkovuz25ZtakgeTCGNKcpGD0DHS2IKfZPWjU7XRcXmzSCvVt0fRyFaINxpVWw6hqapoDfoe4b5sdpTiXECZQ1RXuaQw3lTF9LyqGJDdC57vN9_6p75fVc3PVDvey-f_50d_O1v_32ZXfz8bY3VNDaG2K4xhgjadggBZPQY8ep1KMxTgjEoKTGaiu00YMQnntnqeTIeA7HgQhy2e02rk36oNYcFp1PKumgzo2UJ9XeFMzsFLOc4tFi5xmmGKGRYWnR6CXjrn2ia6wPG2s9jouzpu2e9fwM-nwSw15N6ZeSklMiaQO8fQDk9PPoSlWHdMyx7a8wF5AhyilrKrypTE6lZOcfb0BQ3WdAbRlQLQPqnAEFm4lsptLEcXL5H_o_rr-_77iz</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2780614746</pqid></control><display><type>article</type><title>Impact of biological and non-biological treatment on hematological indices in patients with ankylosing spondylitis and psoriatic arthritis</title><source>Publicly Available Content Database</source><source>Coronavirus Research Database</source><source>Springer Nature - Springer Nature Link Journals - Fully Open Access</source><creator>Aboud, Fatma Mohammed ; Galal, Salwa ; Elwafa, Menna Allah Zakaria Abou ; Farouk, ALshymaa Mohammed</creator><creatorcontrib>Aboud, Fatma Mohammed ; Galal, Salwa ; Elwafa, Menna Allah Zakaria Abou ; Farouk, ALshymaa Mohammed</creatorcontrib><description>Background
Blood dyscrasias are common in patients with rheumatic diseases, as bone marrow and blood cells can be targets for autoimmune processes. This in addition to the potentially adverse effect of the disease-modifying anti-rheumatic drugs used for the treatment of inflammatory arthritis as in psoriatic arthritis (PsA) and ankylosing spondylitis (AS) on blood counts.
Aim of this study
The aim of this study is to analyze the effect of biologic therapy on complete blood cell parameters, derived ratios, and cell volume indices in Egyptian patients with ankylosing spondylitis and psoriatic arthritis.
Results
One hundred and twenty Egyptian patients had been included, 60 have ankylosing spondylitis (AS) and 60 have psoriatic arthritis (PSA). On comparing the blood indices between the biologics and non-biologics groups of PSA patients, there was a statistically highly significant reduction in red cell distribution width (RDW%) at the biologics group than non-biologics (
p
< 0.006), where there was a statistically highly significant increase in Hb (hemoglobin)/RDW ratio and Hb/platelets ratio at the biologics group than non-biologics (
p
< 0.005).
Conclusion
As a result, biologic drugs used in rheumatology practice may have some effects on hematological parameters. In our study, no major negative effects on hematological parameters were observed in patients with AS and PsA who received Secukinumab, Adalimumab-atto, or Golimumab biologic therapy. However, the changes in the hematological indices correlates with their potent anti-inflammatory action in rheumatic patients.</description><identifier>ISSN: 2090-3235</identifier><identifier>ISSN: 1110-161X</identifier><identifier>EISSN: 2090-3235</identifier><identifier>DOI: 10.1186/s43166-023-00174-0</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Autoimmune diseases ; Biological products ; Blood ; Blood diseases ; Blood platelets ; Cytokines ; Females ; Hematology ; Hemoglobin ; Lymphocytes ; Males ; Medicine ; Medicine & Public Health ; Neutropenia ; Neutrophils ; Psoriatic arthritis ; Rehabilitation ; Rheumatic diseases ; Tumor necrosis factor-TNF</subject><ispartof>Egyptian Rheumatology and Rehabilitation, 2023-03, Vol.50 (1), p.14-9, Article 14</ispartof><rights>The Author(s) 2023</rights><rights>The Author(s) 2023. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c484t-c3c7a22219c6598690f2e749abcce8816094cdad8aca588f7fed4971cf70b5383</citedby><cites>FETCH-LOGICAL-c484t-c3c7a22219c6598690f2e749abcce8816094cdad8aca588f7fed4971cf70b5383</cites><orcidid>0000-0002-5010-2959</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2780614746?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2780614746?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml></links><search><creatorcontrib>Aboud, Fatma Mohammed</creatorcontrib><creatorcontrib>Galal, Salwa</creatorcontrib><creatorcontrib>Elwafa, Menna Allah Zakaria Abou</creatorcontrib><creatorcontrib>Farouk, ALshymaa Mohammed</creatorcontrib><title>Impact of biological and non-biological treatment on hematological indices in patients with ankylosing spondylitis and psoriatic arthritis</title><title>Egyptian Rheumatology and Rehabilitation</title><addtitle>Egypt Rheumatol Rehabil</addtitle><description>Background
Blood dyscrasias are common in patients with rheumatic diseases, as bone marrow and blood cells can be targets for autoimmune processes. This in addition to the potentially adverse effect of the disease-modifying anti-rheumatic drugs used for the treatment of inflammatory arthritis as in psoriatic arthritis (PsA) and ankylosing spondylitis (AS) on blood counts.
Aim of this study
The aim of this study is to analyze the effect of biologic therapy on complete blood cell parameters, derived ratios, and cell volume indices in Egyptian patients with ankylosing spondylitis and psoriatic arthritis.
Results
One hundred and twenty Egyptian patients had been included, 60 have ankylosing spondylitis (AS) and 60 have psoriatic arthritis (PSA). On comparing the blood indices between the biologics and non-biologics groups of PSA patients, there was a statistically highly significant reduction in red cell distribution width (RDW%) at the biologics group than non-biologics (
p
< 0.006), where there was a statistically highly significant increase in Hb (hemoglobin)/RDW ratio and Hb/platelets ratio at the biologics group than non-biologics (
p
< 0.005).
Conclusion
As a result, biologic drugs used in rheumatology practice may have some effects on hematological parameters. In our study, no major negative effects on hematological parameters were observed in patients with AS and PsA who received Secukinumab, Adalimumab-atto, or Golimumab biologic therapy. However, the changes in the hematological indices correlates with their potent anti-inflammatory action in rheumatic patients.</description><subject>Autoimmune diseases</subject><subject>Biological products</subject><subject>Blood</subject><subject>Blood diseases</subject><subject>Blood platelets</subject><subject>Cytokines</subject><subject>Females</subject><subject>Hematology</subject><subject>Hemoglobin</subject><subject>Lymphocytes</subject><subject>Males</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neutropenia</subject><subject>Neutrophils</subject><subject>Psoriatic arthritis</subject><subject>Rehabilitation</subject><subject>Rheumatic diseases</subject><subject>Tumor necrosis factor-TNF</subject><issn>2090-3235</issn><issn>1110-161X</issn><issn>2090-3235</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>COVID</sourceid><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNp9kstu1DAUhiMEElXbF2BliXXAt_iyQUIVl5EqsSlry_El4yGxg-0BzSvw1LiTqrQbVsc65_8_-1h_171B8B1Cgr0vlCDGeohJDyHitIcvugsMJewJJsPLJ-fX3XUpB9hUA4MCkovuz25ZtakgeTCGNKcpGD0DHS2IKfZPWjU7XRcXmzSCvVt0fRyFaINxpVWw6hqapoDfoe4b5sdpTiXECZQ1RXuaQw3lTF9LyqGJDdC57vN9_6p75fVc3PVDvey-f_50d_O1v_32ZXfz8bY3VNDaG2K4xhgjadggBZPQY8ep1KMxTgjEoKTGaiu00YMQnntnqeTIeA7HgQhy2e02rk36oNYcFp1PKumgzo2UJ9XeFMzsFLOc4tFi5xmmGKGRYWnR6CXjrn2ia6wPG2s9jouzpu2e9fwM-nwSw15N6ZeSklMiaQO8fQDk9PPoSlWHdMyx7a8wF5AhyilrKrypTE6lZOcfb0BQ3WdAbRlQLQPqnAEFm4lsptLEcXL5H_o_rr-_77iz</recordid><startdate>20230301</startdate><enddate>20230301</enddate><creator>Aboud, Fatma Mohammed</creator><creator>Galal, Salwa</creator><creator>Elwafa, Menna Allah Zakaria Abou</creator><creator>Farouk, ALshymaa Mohammed</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><general>SpringerOpen</general><scope>C6C</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>COVID</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PIMPY</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-5010-2959</orcidid></search><sort><creationdate>20230301</creationdate><title>Impact of biological and non-biological treatment on hematological indices in patients with ankylosing spondylitis and psoriatic arthritis</title><author>Aboud, Fatma Mohammed ; Galal, Salwa ; Elwafa, Menna Allah Zakaria Abou ; Farouk, ALshymaa Mohammed</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c484t-c3c7a22219c6598690f2e749abcce8816094cdad8aca588f7fed4971cf70b5383</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Autoimmune diseases</topic><topic>Biological products</topic><topic>Blood</topic><topic>Blood diseases</topic><topic>Blood platelets</topic><topic>Cytokines</topic><topic>Females</topic><topic>Hematology</topic><topic>Hemoglobin</topic><topic>Lymphocytes</topic><topic>Males</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neutropenia</topic><topic>Neutrophils</topic><topic>Psoriatic arthritis</topic><topic>Rehabilitation</topic><topic>Rheumatic diseases</topic><topic>Tumor necrosis factor-TNF</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Aboud, Fatma Mohammed</creatorcontrib><creatorcontrib>Galal, Salwa</creatorcontrib><creatorcontrib>Elwafa, Menna Allah Zakaria Abou</creatorcontrib><creatorcontrib>Farouk, ALshymaa Mohammed</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ProQuest Hospital Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Coronavirus Research Database</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Collection</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Health & Nursing</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Egyptian Rheumatology and Rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Aboud, Fatma Mohammed</au><au>Galal, Salwa</au><au>Elwafa, Menna Allah Zakaria Abou</au><au>Farouk, ALshymaa Mohammed</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of biological and non-biological treatment on hematological indices in patients with ankylosing spondylitis and psoriatic arthritis</atitle><jtitle>Egyptian Rheumatology and Rehabilitation</jtitle><stitle>Egypt Rheumatol Rehabil</stitle><date>2023-03-01</date><risdate>2023</risdate><volume>50</volume><issue>1</issue><spage>14</spage><epage>9</epage><pages>14-9</pages><artnum>14</artnum><issn>2090-3235</issn><issn>1110-161X</issn><eissn>2090-3235</eissn><abstract>Background
Blood dyscrasias are common in patients with rheumatic diseases, as bone marrow and blood cells can be targets for autoimmune processes. This in addition to the potentially adverse effect of the disease-modifying anti-rheumatic drugs used for the treatment of inflammatory arthritis as in psoriatic arthritis (PsA) and ankylosing spondylitis (AS) on blood counts.
Aim of this study
The aim of this study is to analyze the effect of biologic therapy on complete blood cell parameters, derived ratios, and cell volume indices in Egyptian patients with ankylosing spondylitis and psoriatic arthritis.
Results
One hundred and twenty Egyptian patients had been included, 60 have ankylosing spondylitis (AS) and 60 have psoriatic arthritis (PSA). On comparing the blood indices between the biologics and non-biologics groups of PSA patients, there was a statistically highly significant reduction in red cell distribution width (RDW%) at the biologics group than non-biologics (
p
< 0.006), where there was a statistically highly significant increase in Hb (hemoglobin)/RDW ratio and Hb/platelets ratio at the biologics group than non-biologics (
p
< 0.005).
Conclusion
As a result, biologic drugs used in rheumatology practice may have some effects on hematological parameters. In our study, no major negative effects on hematological parameters were observed in patients with AS and PsA who received Secukinumab, Adalimumab-atto, or Golimumab biologic therapy. However, the changes in the hematological indices correlates with their potent anti-inflammatory action in rheumatic patients.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><doi>10.1186/s43166-023-00174-0</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-5010-2959</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Autoimmune diseases Biological products Blood Blood diseases Blood platelets Cytokines Females Hematology Hemoglobin Lymphocytes Males Medicine Medicine & Public Health Neutropenia Neutrophils Psoriatic arthritis Rehabilitation Rheumatic diseases Tumor necrosis factor-TNF |
title | Impact of biological and non-biological treatment on hematological indices in patients with ankylosing spondylitis and psoriatic arthritis |
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