Biomeditsina va amaliyot jurnali, 2022 №6


Subject of the article

EFFECT OF ANEMIA AND HAPTOGLOBIN PHENOTYPE ON RHEUMATOID ARTHRITIS (346-354)

Authors

Rizaev A. Jasur, Shodikulova Z. Gulandom, Pulatov Ulugbek Sunatovich

Institution

Samarkand State Medical University

Abstract

patients with rheumatoid arthritis, depending on the haptoglobin system of different phenotypes. Methods: The study was conducted on 214 patients diagnosed with rheumatoid arthritis who were treated in the Samarkand city medical association during 2018-2021. The study used general clinical, medico-social, hematological, biochemical, immunological, instrumental and statistical research methods. Results: All patients with RA according to hematological parameters were divided into 2 groups: 50 (23.4%) patients without anemia, who made up our control group; the remaining 164 (76.6%) patients were diagnosed with anemia by hematological parameters, these patients constituted the main group. The type and degree of anemia in RA patients was determined in accordance with the classification recommended by WHO. ACD was observed in 94 (57.3%) patients, IDA in 65 (39.6%) patients, and 5 patients (3.1%) had both ACD and IDA. Conclusions. 76.6% of all RA patients participating in the study were diagnosed with anemia of various forms and degrees, which are characterized by a relationship between the duration, activity and radiographic manifestations of the disease

Key words

haptoglobin phenotype, rheumatoid arthritis (RA), anemia, ferritin, anemia of chronic disease, iron deficiency anemia

Literature

Bhala N, Emberson J, Merhi A, Abramson S, Arber N, Baron JA, et al. Vascular and upper gastrointestinal effects of non-steroidal anti-inflammatory drugs: meta-analyses of individual participant data from randomised trials. Lancet. 2013;382:769–79. doi: 10,1016/S0140- 6736(13)60900-9. 6. Branco JC, Barcelos A, de Araújo FP, et al. Utilization of subcutaneous methotrexate in rheumatoid arthritis patients after failure or intolerance to oral methotrexate: a Multicenter Cohort Study. Adv Ther. 2016;33(1):46–57. 7. Buckley F, Finckh A, Huizinga TWJ, et al. Comparative efficacy of novel DMARDs as monotherapy and in combination with methotrexate in rheumatoid arthritis patients with inadequate response to conventional DMARDs: a network meta-analysis J Man Care Spec Pharm 2015; 21: 409-423. DOI:10,18553/jmcp.2015,21,5,409. 8. Choy E, Aletaha D, Behrens F, Finckh A, Gomez-Reino J, Gottenberg JE, Schuch F, Rubbert- Roth A. Monotherapy with biologic disease-modifying anti-rheumatic drugs in rheumatoid arthritis. Rheumatology (Oxford) 2016 Aug 21. pii: kew271. 9. Daien CI, Hua C, Combe B, Landewe R. Non-pharmacological and pharmacological interventions in patients with early arthritis: a systematic literature review informing the 2016 update of EULAR recommendations for the management of early arthritis. RMD Open 2017 Jan 5;3(1):e000404. doi: 10,1136/rmdopen-2016-000404. 10. Gottheil S, Thorne JC, Schieir O, et al. Early use of subcutaneous MTX monotherapy vs. MTX oral or combination therapy significantly delays time to initiating biologics in early RA. Arthritis Rheumatol. 2016 68(suppl 10). 11. Kullich W. Effects of the chemokine MIP-lalpha on anemia and inflammation in rheumatoid arthritis / W. Kullich, F. Niksic, K. Burmucic // Z Rheumatol. - 2002. - № 61. - P. 568-576 12. Шодикулова, Г., & Пулатов, У. (2014). Диагностика и лечение дисфункции эндотелия у больных с недифференцированной дисплазией соединительной ткани. Журнал проблемы биологии и медицины, (2 (78), 69–73. извлечено от https://inlibrary.uz/index.php/problems_biology/article/view/4461 13. Kuruvilla J. Aplastic anemia following administration of a tumor necrosis factor-alpha inhibitor / J. Ku-ruvilla, H.A. Leitch, L.M. Vickars // Eur J Haematol. - 2003. - № 5. - P. 396-398 14. Lopez-Olivo MA, Siddhanamatha HR, Shea B, Tugwell P, Wells GA, Suarez-Almazor ME. Methotrexate for treating rheumatoid arthritis. Cochrane Database Syst Rev. 2014;6:CD000957. 15. Manolov V., Paskaleva-Peycheva V., Velizarova M., Ata-nasova B., Hadjidekova S., Vasilev V., Tzatchev K., Mari- nov B., Bogov I., Genchev G., Emilova R. Correlation between DAS28 and serum hepcidin levels in patients with anemia and rheumatoid arthritis. IJSR. 2015;4(1): 859-861. 16. Nies JAB, Krabben A, Schoones JW et al. What is the evidence for the presence of a therapeutic window of opportunity in rheumatoid arthritis? A systematic literature review. Ann Rheum Dis, 2014, 73: 861-870. doi: 10.1136/annrheumdis-2012-203130 17. Pulatov U., Hamdullaev M. LUS THERAPY IN PREGNANT WOMEN WITH CHRONIC RHINOSINUSITIS //Zamonaviy dunyoda tabiiy fanlar: Nazariy va amaliy izlanishlar. – 2022. – Т. 1. – №. 18. – С. 37-40. 18. Raj D.S. Role of Interleukin-6 in the Anemia of Chronic Disease / D.S Raj // Semin Arthritis Rheum. -2009,-№5.-P. 382-388 19. Gulandom Zikriyaevna Shodikulova, Ulugbek Sunatovich Pulatov, Madina Mukhtorovna Ergashova, Zarangis Kamolovna Tairova, Tulkin Tolmasovich Atoev. (2021). The Correlation among Osteoporosis, Calcium-Phosphore Metabolism and Clinical Symptoms of Main Disease in Patients with Rheumatoid Arthritis. Annals of the Romanian Society for Cell Biology, 4185– 4190. Retrieved from https://www.annalsofrscb.ro/index.php/journal/article/view/1908 20. Rizaev J.A., Ahrorova M.Sh., Kubaev A.S., Hazratov A.I.; ,Morphological Changes in the Oral Mucous Membrane in Patients with COVID-19,American Journal of Medicine and Medical Sciences, 12, 5, 466-470, 2022 Rakhimovna K. D., Abdumuminovna S. Z. OVERCOMING POSTOPERATIVE PAIN SYNDROME AFTER GYNECOLOGICAL SURGERY //ResearchJet Journal of Analysis and Inventions. – 2022. – Т. 3. – №. 06. – С. 117-120. 22. Rizaev Jasur Alimjanovich, Akhrorova Malika Shavkatovna,, Kubaev Aziz Saidolimovich,, & Khazratov Alisher Isamiddinovich. (2022). CLINICAL AND IMMUNOLOGICAL ASPECTS OF THE RELATIONSHIP OF THE ORAL CAVITY AND COVID-19. TJE - Thematic Journal of Education ISSN 2249-9822, Vol-7(Issue Q2- 2022), 3–15. https://doi.org/10.5281/zenodo.6464494 23. Shodikulova G. Z. et al. The Correlation among Osteoporosis, Calcium-Phosphore Metabolism and Clinical Symptoms of Main Disease in Patients with Rheumatoid Arthritis //Annals of the Romanian Society for Cell Biology. – 2021. – С. 4185-4190. 24. Shodikulova G. Z., Pulatov U. S. EFFICIENCY EVALUATION OF TREATMENTS PATIENTS WITH RHEUMATOID ARTHRITIS BY DEPENDENCE OF CLINIC COURSE AND GENETIC POLYMORPHISM OF HAPTOGLOBINS //Toshkent tibbiyot akademiyasi axborotnomasi. – 2020. – №. 1. – С. 175-178. 25. Шодикулова Г.З., Мирзаев О.В., Фозилова М.Ш. СОСТОЯНИЕ ПЕРИФЕРИЧЕСКОЙ СИСТЕМЫ КРОВИ БОЛЬНЫХ С ДИСПЛАЗИЕЙ СОЕДИНИТЕЛЬНОЙ ТКАНИ // Достижения науки и образования. 2022. №1 (81). URL: https://cyberleninka.ru/article/n/sostoyanie-perifericheskoy-sistemy-krovi-bolnyh-sdisplaziey- soedinitelnoy-tkani (дата обращения: 26.10.2022).