CORRELATIONS BETWEEN HEMOGLOBIN LEVEL AND DISEASE ACTIVITY PARAMETERS IN JUVENILE IDIOPATHIC ARTHRITIS
Authors:
- Abstract:
-
Anemia is a frequent extra-articular manifestation of juvenile idiopathic arthritis and may reflect persistent inflammatory activity. This study evaluated associations between hemoglobin level and clinical and laboratory indicators of disease activity in children with juvenile idiopathic arthritis. The study included 80 patients aged 2–18 years and 20 apparently healthy children. Patients with juvenile idiopathic arthritis had higher leukocyte, platelet, erythrocyte sedimentation rate, and C-reactive protein values and lower hemoglobin levels than the control group. Hemoglobin showed statistically significant negative correlations with erythrocyte sedimentation rate, C-reactive protein, platelet count, leukocyte count, neutrophil count, overall disease activity score, and involvement of several upper limb joints. These findings indicate that decreasing hemoglobin level may serve as an additional marker of inflammatory burden and more aggressive joint involvement in juvenile idiopathic arthritis, particularly in patients with polyarticular and systemic patterns of disease.
- Keywords:
-
pediatric rheumatology inflammatory anemia disease activity erythrocyte sedimentation rate C-reactive protein joint involvement
- References:
-
- Ahn JG. Role of Biomarkers in Juvenile Idiopathic Arthritis. J Rheum Dis. 2020;27(4):233-240. doi: 10.4078/jrd.2020.27.4.233.
- Angeles-Han ST, Ringold S, Beukelman T, Lovell D, Cuello CA, Becker ML, et al. 2019 American College of Rheumatology/Arthritis Foundation Guideline for the Screening, Monitoring, and Treatment of Juvenile Idiopathic Arthritis-Associated Uveitis. Arthritis Care Res (Hoboken). 2019;71(6):703-716. doi: 10.1002/acr.23871.
- Clarke SLN, Mageean KS, Maccora I, Harrison S, Simonini G, Sharp GC, et al. Moving from nature to nurture: a systematic review and meta-analysis of environmental factors associated with juvenile idiopathic arthritis. Rheumatology (Oxford). 2022;61(2):514-530. doi: 10.1093/rheumatology/keab627.
- Consolaro A, Negro G, Lanni S, Solari N, Martini A, Ravelli A. Toward a Treat-to-Target Approach in the Management of Juvenile Idiopathic Arthritis. Clin Exp Rheumatol. 2012;30(4 Suppl 73).
- Diaz-Cordoves Rego G, Nunez-Cuadros E, Mena-Vazquez N, Aguado Henche S, Galindo-Zavala R, Manrique-Arija S, et al. Adiposity Is Related to Inflammatory Disease Activity in Juvenile Idiopathic Arthritis. J Clin Med. 2021;10(17):3949. doi: 10.3390/jcm10173949.
- Fraenkel PG. Anemia of Inflammation: A Review. Med Clin North Am. 2017;101(2):285-296. doi: 10.1016/j.mcna.2016.09.005.
- Heckert SL, Groot N, van Dijkhuizen EHP, Swart JF, Wulffraat NM, van Suijlekom-Smit LWA, et al. Patterns of clinical joint inflammation in juvenile idiopathic arthritis. Rheumatology (Oxford). 2023;62(11):3712-3721. doi: 10.1093/rheumatology/kead134.
- Horton DB, Shenoi S. Review of environmental factors and juvenile idiopathic arthritis. Open Access Rheumatol. 2019;11:253-267. doi: 10.2147/OARRR.S165916.
- Lanser L, Fuchs D, Kurz K, Weiss G. Physiology and Inflammation Driven Pathophysiology of Iron Homeostasis: Mechanistic Insights into Anemia of Inflammation and Its Treatment. Nutrients. 2021;13(11):3732. doi: 10.3390/nu13113732.
- Madu AJ, Ughasoro MD. Anaemia of Chronic Disease: An In-Depth Review. Med Princ Pract. 2017;26(1):1-9. doi: 10.1159/000452104.
- Martini A, Lovell DJ, Albani S, Brunner HI, Hyrich KL, Thompson SD, et al. Juvenile idiopathic arthritis. Nat Rev Dis Primers. 2022;8(1):5. doi: 10.1038/s41572-021-00332-8.
- Nordal E, Zak M, Aalto K, Berntson L, Fasth A, Herlin T, et al. Participation in school and physical education in juvenile idiopathic arthritis in a Nordic long-term cohort study. Pediatr Rheumatol Online J. 2019;17(1):44. doi: 10.1186/s12969-019-0341-6.
- Onel KB, Horton DB, Lovell DJ, Shenoi S, Cuello CA, Angeles-Han ST, et al. 2021 American College of Rheumatology Guideline for the Treatment of Juvenile Idiopathic Arthritis: Recommendations for Nonpharmacologic Therapies, Medication Monitoring, Immunizations, and Imaging. Arthritis Care Res (Hoboken). 2022;74(4):505-520. doi: 10.1002/acr.24839.
- Onel KB, Horton DB, Lovell DJ, Shenoi S, Cuello CA, Angeles-Han ST, et al. 2021 American College of Rheumatology Guideline for the Treatment of Juvenile Idiopathic Arthritis: Therapeutic Approaches for Oligoarthritis, Temporomandibular Joint Arthritis, and Systemic Juvenile Idiopathic Arthritis. Arthritis Rheumatol. 2022;74(4):553-569. doi: 10.1002/art.42037.
- Rebane K, Ristolainen L, Relas H, Orenius T, Luosujarvi R. Disability and health-related quality of life are associated with restricted social participation in young adults with juvenile idiopathic arthritis. Scand J Rheumatol. 2019;48(2):105-113. doi: 10.1080/03009742.2018.1493140.
- Salamzade GZ, Sultanova NH, Gafarov IA. Associations between joints status and immunological parameters in children with juvenile idiopathic arthritis. Modern Pediatrics. 2025;(1):64-69. doi: 10.15574/SP.2025.1(145).6469.
- Sarkar S, Alam MM, Das G, Datta S. Inflammatory Markers and Disease Activity in Juvenile Idiopathic Arthritis. Indian J Pediatr. 2017;84(5):349-356. doi: 10.1007/s12098-017-2292-6.
- Weiss G, Ganz T, Goodnough LT. Anemia of inflammation. Blood. 2019;133(1):40-50. doi: 10.1182/blood-2018-06-856500.
- Publication:
-
«World of Medicine and Biology»
Vol. 22 No. 96 (2026), pp. 122-126
UDC 616.72-002.77-053.2:616.155.194-07
Share

English
Ukrainian