C-reactive protein and disease activity in children with Crohn's disease

Dig Dis Sci. 2010 Jan;55(1):131-6. doi: 10.1007/s10620-009-1017-8.

Abstract

Background and aims: Various markers are used to monitor disease activity in paediatric Crohn's disease (CD). We sought to determine whether C-reactive protein measurement was useful in the assessment of disease activity in children with CD, with comparison to the other markers of disease activity.

Methods: Details of disease activity, C-reactive protein and inflammatory markers were obtained retrospectively from the records of 100 outpatient visits by 63 children with CD.

Results: The children were 12.6 (+/-3.4) years of age. C-reactive protein values correlated positively with disease activity (P < 0.0001). Children with inactive disease (according to pediatric CD activity index scores) had significantly lower C-reactive protein values compared to children with mild disease (P < 0.001). In addition, C-reactive protein values correlated well with ESR (P < 0.0001). Conclusions C-reactive protein measurements provided useful information in assessing children with CD and correlated well with a validated measure of disease activity.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Biomarkers / blood
  • C-Reactive Protein / analysis*
  • Child
  • Child, Preschool
  • Crohn Disease / blood
  • Crohn Disease / pathology*
  • Female
  • Humans
  • Infant
  • Male
  • Sensitivity and Specificity

Substances

  • Biomarkers
  • C-Reactive Protein