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223606

Urinary Ferritin Creatinine Ratio as a Potential Biomarker for Lupus Nephritis

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Last updated: 03 Jan 2025

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Abstract

Background: Systemic lupus erythematosus (SLE) can affect multiple systems and major organs, among which lupus nephritis (LN), which is a common major organ manifestation and a main cause of the morbidity and mortality of the disease. In this regard, LN affects 40– 80% of SLE patients and result in chronic kidney disease, which sequentially increases the morbidity and mortality in SLE patients. Objective: The aim of this study was to evaluate the value of urinary ferritin/creatinine ratio (UFCR) in diagnosis and evaluation of lupus nephritis. Patients and Methods: This study was conducted in the Internal Medicine Department, Zagazig University Hospitals. The study included 36 patients complaining of SLE diagnosed according to the American College of Rheumatology (ACR) revised criteria for the classification of SLE. Patients were divided into two equal groups; group (I) included 18 SLE patients without LN (17 of them were females and one was male) with a mean age of 32.33 ± 6.47 years, and group (II) included 18 SLE patients with LN (18 of them were females) with a mean age of 29.28 ± 6.56 years. They were compared to 18 healthy control participants (16 of them were females and two were males) with mean age of 32.28 ± 6.03years. Urinary ferritin creatinine ratio (UFCR) was measured for all of them. Results: There was a statistical significance increase in urinary ferritin among LN group compared to other groups. UFCR was significantly higher in the LN group than control group. There was a statistically significance positive correlation between UFCR and SLEDAI score, serum ferritin, blood urea and serum creatinine among LN group. Conclusion: UFCR level can be considered as a potential biomarker for the kidney injury in LN, and it is significantly increased in LN patients.  

DOI

10.21608/ejhm.2022.223606

Keywords

Urinary ferritin creatinine ratio, biomarker, Lupus nephritis

Authors

First Name

Usama

Last Name

Ragab

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First Name

Yasser Abd El-Monem

Last Name

El-Hendy

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First Name

Ghada El-Sayed

Last Name

Amr

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First Name

Esraa Sameh Ibrahim

Last Name

Awadallah

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Email

dr-esraasameh@yahoo.com

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Orcid

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First Name

Ahmed

Last Name

Abdulsaboor

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Orcid

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First Name

Ahmed

Last Name

Noaman

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Volume

87

Article Issue

1

Related Issue

31467

Issue Date

2022-04-01

Receive Date

2022-03-09

Publish Date

2022-04-01

Page Start

1,328

Page End

1,335

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_223606.html

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https://ejhm.journals.ekb.eg/service?article_code=223606

Order

56

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

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

MainTitle

Urinary Ferritin Creatinine Ratio as a Potential Biomarker for Lupus Nephritis

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Article

Created At

22 Jan 2023