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13522

Study of Iron profile Level in Lupus Nephritis

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Last updated: 03 Jan 2025

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Abstract

Background:Systemic lupus erythematosus (SLE) is a multi-factorial, chronic autoimmune disorder, characterized by dysfunction of T and B lymphocytes. It affects various vital organ systems, and 70% to 90% of SLE patients are females. Lupus nephritis (LN) is one of the common complications in patients with SLE and influences overall outcome of these patients. About two-thirds of patients with SLE have renal disease at some stage which is a leading cause of mortality in these patient.Iron is critical in nearly  all cell functions  and  the ability of a cell, tissue  and  organism to procure this metal  is obligatory  for survival. Iron is necessary for normal immune function, and relative iron deficiency is associated with mild immunosuppression. Concentrations of this metal in excess of those required for function can present both an oxidative stress and elevate risks for infection. As a result, the human has evolved to have a complex mechanism of regulating iron and limiting its availability.Ferritin levels correlate with disease activity in patients   with SLE and developing of lupus nephritis. Objective: To correlate between Iron profile and SLE activity and developing lupus nephritis. Materials and Methods: A prospective study was conducted on 75 adult persons: 25 Patients with SLE with proteinuria, patients with SLE without proteinuria, 25person have no SLE (control group).These person were Admitted at internal medicine department and outpatient clinic of Al-Hussein university hospital, Cairo, Egypt. SLE patients were diagnosed according to the American College of Rheumatology (ACR) criteria, Lupus Activity assessment by C3&C4, Lupus nephritis assessment using Albumin /creatinine ratio. Iron profile was measured and included: serum iron, serum TIBC, transferrin saturation and Serum ferritin levels were tested by ELISA. Results: There were no significant statistical difference between groups as regard age or sex however, There were significant difference between groups as regard S.iron, S. ferritin, TIBC and TSAT,   Between group analysis results showed significantly lower s.iron and TSAT level of SLE patients with and without proteinuria in comparison with control group. While S. ferritin is significantly high in SLE patients with proteinuria in comparison with SLE patients without proteinuria and control group. And this data go with activity markers of SLE. Conclusions: 1) Hyperferritinemia  is  a useful marker in assessment of disease activity and severity of Albuminuria in  SLE patients complicated by lupus nephritis, treatment of hyperferritinemia can result in decreased Albuminuria and delayed  renal damage. 2)  Iron homoeostasis is important in normal immune function and Iron disturbance can result in mild immunosuppression.

DOI

10.21608/ejhm.2018.13522

Keywords

iron, Inflammation, Systemic lupus erythematosus

Authors

First Name

Mohamed Nabil

Last Name

Raafat

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Affiliation

Internal Medicine Department, Faculty of Medicine, Al-Azhar University (cairo), Egypt.

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First Name

Mamdouh Attia

Last Name

Mohamed

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Affiliation

Clinical Pathology Department, Faculty of Medicine, Al-Azhar University (cairo), Egypt.

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Orcid

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First Name

Ismail Mohamed

Last Name

Elmancy

MiddleName

-

Affiliation

Internal Medicine Department, Faculty of Medicine, Al-Azhar University (cairo), Egypt.

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First Name

Eslam Abdelhaleem Abd Allah

Last Name

Elnemr

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-

Affiliation

Internal Medicine Department, Faculty of Medicine, Al-Azhar University (cairo), Egypt.

Email

dreslamelnemr98@yahoo.com

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Volume

73

Article Issue

3

Related Issue

2442

Issue Date

2018-10-01

Receive Date

2018-09-13

Publish Date

2018-10-01

Page Start

6,182

Page End

6,188

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_13522.html

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https://ejhm.journals.ekb.eg/service?article_code=13522

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Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Study of Iron profile Level in Lupus Nephritis

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Article

Created At

22 Jan 2023