Serum uric acid and inflammation in patients with immune thrombocytopenic purpura: preliminary results

Eur Rev Med Pharmacol Sci. 2015 Nov;19(22):4385-9.

Abstract

Objective: The purpose of this study was to evaluate the uric acid (UA) and C-reactive protein (CRP) levels in patients with immune thrombocytopenic purpura (ITP).

Patients and methods: Forty patients with newly diagnosed ITP and 40 healthy individuals were enrolled in the study. The patients were divided into two groups; group 1 (n = 40) consisted of patients with ITP, and group 2 (n = 40) consisted of healthy subjects. UA and CRP levels were measured in the blood samples from them.

Results: There were no statistical differences in gender, age and body mass index between two groups (p > 0.05 for all). Compared to group 2, group 1 had significantly higher UA levels (p = 0.002), whereas CRP levels were not significantly different (p > 0.05). In ITP patients, serum UA and CRP levels significantly correlated with low platelet count (r = -0.362, p = 0.022; r = -0.383, p = 0.015, respectively); and UA levels significantly correlated with CRP levels (r = 0.436, p = 0.005).

Conclusions: The present study showed that UA levels increased in patients with ITP and negatively correlated with platelet counts. UA levels might be a mediator of inflammation via enhanced production of inflammatory cytokines; they might also be a potential mediator of low platelet count, and could play a pathophysiological role in the development of ITP.

MeSH terms

  • Adult
  • Biomarkers / blood
  • C-Reactive Protein / metabolism
  • Cross-Sectional Studies
  • Cytokines / blood
  • Female
  • Humans
  • Inflammation / blood
  • Inflammation / diagnosis
  • Inflammation Mediators / blood*
  • Male
  • Middle Aged
  • Platelet Count / methods
  • Purpura, Thrombocytopenic, Idiopathic / blood*
  • Purpura, Thrombocytopenic, Idiopathic / diagnosis*
  • Uric Acid / blood*

Substances

  • Biomarkers
  • Cytokines
  • Inflammation Mediators
  • Uric Acid
  • C-Reactive Protein