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Lupus
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Calprotectin in Patients with Systemic Lupus Erythematosus: Relation to Clinical and Laboratory Parameters of Disease Activity

Hans-Jacob Haga

Department of Rheumatology, Haukeland Hospital, Bergen

Johan G. Brun

Department of Rheumatology, Haukeland Hospital, Bergen

Hilde Berner Berntzen

Oslo Sanitetsforening Rheumatism Hospital, Oslo, Norway

Ricard Cervera

The Lupus Arthritis Research Unit, St Thomas' Hospital, London, UK

Munther Khamashta

The Lupus Arthritis Research Unit, St Thomas' Hospital, London, UK

Graham R.V. Hughes

The Lupus Arthritis Research Unit, St Thomas' Hospital, London, UK

Calprotectin (L1) is a granulocyte and monocyte cytosolic protein released during activation of these cells. The plasma level of L1 has been shown to be a good marker of disease activity in rheumatoid arthritis. In this cross-sectional study of 100 patients with systemic lupus erythematosus (SLE), the serum level of L1 was found to be higher in patients than in matched controls (3661 µg/l versus 1051 µg/l; P < 0.001). The serum level of L1 was the only laboratory parameter with significant association to the disease activity index SLEDAI (r = 0.28; P < 0.01). Furthermore, the serum level of L1 was significantly higher in SLE patients with anti-DNA antibodies compared to patients without anti-DNA antibodies (4501 µg/l versus 3279 µg/l; P = 0.01). SLE patients with arthritis had higher serum levels of L1 than patients without arthritis (7652 µg/l versus 2811 µg/l; P < 0.01), indicating that the serum level of L1 also reflects arthritis activity in SLE.

Key Words: Systemic lupus erythematosus • L1 protein • Calprotectin • C-reactive protein • Erythrocyte sedimentation rate • Disease activity

Lupus, Vol. 2, No. 1, 47-50 (1993)
DOI: 10.1177/096120339300200108


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