scholarly journals Association between microalbuminuria and metabolic syndrome in patients with rheumatoid arthritis

2018 ◽  
Vol 45 (3) ◽  
pp. 87
Author(s):  
Asmaa Shoshan ◽  
Samia Abdelmonem ◽  
Refaat Eltanawy ◽  
Yaser Ismail ◽  
Eman Baraka
Keyword(s):  
Rheumatoid Arthritis ◽  
Metabolic Syndrome

scholarly journals THU0521 EVALUATION OF LIVER FIBROSIS IN PATIENTS WITH RHEUMATOID ARTHRITIS UNDER METHOTREXATE TREATMENT. UTILITY OF FIBROSCAN AND BIOMARKERS IN ROUTINE CLINICAL PRACTICE.

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 499.2-500
Author(s):  
A. De Diego Sola ◽  
M. Vaamonde Lorenzo ◽  
A. Castiella Eguzkiza ◽  
M. J. Sánchez Iturri ◽  
N. Alcorta Lorenzo ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Metabolic Syndrome ◽  
Liver Fibrosis ◽  
Controlled Study ◽  
Type I ◽  
Concomitant Treatment ◽  
Duration Of Treatment ◽  
Significant Difference ◽  
Apri Score ◽  
The Mean

Background:Despite therapeutic advances in recent years, methotrexate (MTX) remains the gold standard for the treatment of rheumatoid arthritis (RA). Among the side effects that have been blamed on it are liver fibrosis (LF) and cirrhosis, although late studies have failed to show such a relation1,2. The only validated test in the diagnosis of LF is biopsy. Given the relevance of MTX in the treatment of RA, it is important to evaluate non-invasive diagnostic options for LF such as transitional elastography (FibroScan, FS).Objectives:To evaluate the percentage of LF in RA patients treated with MTX. Secondly, to assess the correlation between altered liver function, RA activity, and LF. To determine whether dose and/or duration of treatment with MTX may affect the development of LF in such patients.Methods:We did a prospective study between February 2019 and January 2020. Patients affected of RA treated with MTX were included. Patients with basal liver disease (hepatitis B, hepatitis C and steatohepatitis), alcohol consumption, type I diabetes mellitus, chronic renal failure, heart failure, obesity and concomitant treatment with leflunomide or antiretrovirals were excluded. Demographic, clinical, analytical and therapeutic variables were collected. Liver fibrosis was assessed by FS in kilopascals (kpa) and using the APRI score. RA activity was assessed by DAS28 score. Continuous variables are described with mean and standard deviation (SD), and qualitative variables are shown with absolute value and percentage. Spearman’s and Mann-Whitney’s U tests were used for the bivariate analysis.Results:Fifty patients were included (Table 1 and 2). Of these, 38 were women (76%) with mean age of 61.8 years (SD 11.7) and mean RA evolution time of 13.7 years (SD 8.2). The mean DAS28 at the visit was 2.39 (SD 1.1). The FS showed an average of 4.8 kpa (SD 2). The mean duration of treatment with MTX was 85.8 months (SD 93.3) and that of AD-MTX was 5414.6mg (SD 5011). Patients were divided into those with DA-MTX greater than 4000mg (21, 42%) and less than 4000mg (29, 58%) and no significant differences were found in terms of LF in FS (p 0.637) or APRI scale (p 0.806). No significant differences were found in terms of treatment duration either. Six patients (12%) had elevated aspartate aminotransferase (AST) and 9 (18%) had elevated alanine aminotransferase (ALT). No significant difference was found in FS values in relation to ALT, but it was with elevated AST (p 0.021). Similarly, differences were found in APRI based on AST (p 0.045). Metabolic syndrome was collected in 4 patients (8%) without significant differences with FS or APRI values. There were no significant differences in LF depending on gamma-glutamyl transpeptidase (GGT) values.Conclusion:FS and APRI score are useful for the determination of LF in RA patients treated with MTX. There is no evidence of a relationship between AD-MTX and LF by FS or APRI. AST values may be related to the presence of fibrosis as determined by FS or APRI. and the presence of the metabolic syndrome are not.References:[1]G.L. Erre, et al. Methotrexate therapy is not associated with increased liver stiffness and significant liver fibrosis in rheumatoid arthritis patients: A cross-sectional controlled study with real-time two-dimensional shear wave elastography. European Journal of Internal Medicine 69 (2019) 57–63. Internet.[2]R. Conway et al. Risk of liver injury among methotrexate users: a meta-analysis of randomised controlled trials. Semin Arthritis Rheum 2015 Oct;45(2):156–62. Internet.Disclosure of Interests:None declared

Metabolic Syndrome in Rheumatoid Arthritis

2015 ◽  
pp. 167-182
Author(s):  
Flávia Rosa ◽  
Tatiana Iriyoda ◽  
Elis de Souza ◽  
Ana Kallaur ◽  
Andréa Simão ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Metabolic Syndrome

Hypertriglyceridaemic waist is associated with hyperuricaemia and metabolic syndrome in rheumatoid arthritis patients

2019 ◽  
Vol 13 (1) ◽  
pp. 722-729 ◽  
Author(s):  
Oscar Zaragoza-García ◽  
José Eduardo Navarro-Zarza ◽  
Joyarib Y. Maldonado-Anicacio ◽  
Natividad Castro-Alarcón ◽  
Isela Parra Rojas ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Metabolic Syndrome

scholarly journals Prevalence and Characteristics of Metabolic Syndrome Differ in Men and Women with Early Rheumatoid Arthritis

2019 ◽  
Vol 1 (9) ◽  
pp. 535-541 ◽  
Author(s):  
B. Kuriya ◽  
O. Schieir ◽  
M. F. Valois ◽  
J. E. Pope ◽  
G. Boire ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Metabolic Syndrome ◽  
Early Rheumatoid Arthritis ◽  
Men And Women

Vitamin D, Metabolic Dyslipidemia, and Metabolic Syndrome in Rheumatoid Arthritis

2012 ◽  
Vol 125 (10) ◽  
pp. 1036.e9-1036.e15 ◽  
Author(s):  
Joshua F. Baker ◽  
Nehal N. Mehta ◽  
Daniel G. Baker ◽  
Gary Toedter ◽  
Justine Shults ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Metabolic Syndrome ◽  
Vitamin D

scholarly journals Metabolic Syndrome in Rheumatoid Arthritis

2012 ◽  
Vol 12 (3) ◽  
Author(s):  
V Manka ◽  
P Galajda ◽  
I Sagova ◽  
A Klimentova ◽  
D Kantarova ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Metabolic Syndrome
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