Affordable Access

Access to the full text

Neutrophil/lymphocyte ratio and lymphocyte/monocyte ratio in ulcerative colitis as non-invasive biomarkers of disease activity and severity

Authors
  • Okba, Ashraf M.1
  • Amin, Mariam M.1
  • Abdelmoaty, Ahmed S.2
  • Ebada, Hend E.2
  • kamel, Amgad H.2
  • Allam, Ahmed S.3
  • Sobhy, Omar M.1
  • 1 Ain Shams University, Department of Internal Medicine, Clinical Immunology and Allergy, Cairo, Egypt , Cairo (Egypt)
  • 2 Ain Shams University, Department of Tropical Medicine, Cairo, Egypt , Cairo (Egypt)
  • 3 Ain Shams University, Department of Internal Medicine, Cairo, Egypt , Cairo (Egypt)
Type
Published Article
Journal
Autoimmunity Highlights
Publisher
BioMed Central
Publication Date
May 15, 2019
Volume
10
Issue
1
Identifiers
DOI: 10.1186/s13317-019-0114-8
Source
Springer Nature
Keywords
License
Green

Abstract

BackgroundApart from endoscopic interventions, readily attainable cost-effective biomarkers for ulcerative colitis (UC) assessment are required. For this purpose, we evaluated differential leucocytic ratio, mainly neutrophil–lymphocyte ratio (NLR) and lymphocyte-monocyte ratio (LMR) as simple available indicators of disease activity in patients with ulcerative colitis.MethodsStudy conducted on 80 UC patients who were classified into two groups of 40 each according to Mayo score and colonoscopic findings. Group 1 (active UC) and group 2 (inactive UC). Another 40 group-matched healthy participants were enrolled. White blood cell count, NLR, LMR, C-reactive protein, and Erythrocyte sedimentation rate were measured and recorded.ResultsSignificant elevation of NLR was observed in active UC group compared to inactive UC and controls (2.63 ± 0.43, 1.64 ± 0.25, 1.44 ± 0.19 respectively; p < 0.0001). The optimal NLR cut-off value for active UC was > 1.91, with a sensitivity and a specificity of 90% and 90% respectively. The mean LMRs of active UC was significantly lower compared with inactive UC patients and controls (2.25 ± 0.51, 3.58 ± 0.76, 3.64 ± 0.49 respectively; p < 0.0001). The cut-off value of LMR for determining the disease activity was ≤ 2.88 with a sensitivity of 90% and a specificity of 90%. NLR, LMR, and CRP were found to be significant independent markers for discriminating disease activity (p = 0.000). Besides, NLR was significantly higher in patients with pancolitis and positively correlated with endoscopically severe disease.ConclusionNLRs and LMRs are simple non-invasive affordable independent markers of disease activity in UC.

Report this publication

Statistics

Seen <100 times