Platelet Indices Are the Promising Biomarkers in Monitoring Disease Activities in Patients with Syphilis

International Journal of Infectious Diseases

Mengya Shang¹  Nanyan Jiang²  Chunjie Liao²  Zhifang Guan²  Wei Zhao²  Juan Wu²  Liyan Ni²  Pingyu Zhou²  Meiping Ye²  Tengfei Qi²  Jingmin Yan³  Ruirui Peng³  Guixuan Wang³ 

[1] Shanghai Skin Disease Clinical College of Anhui Medical University, Shanghai Skin Disease Hospital, Shanghai 200050, People's Republic of China;STD Institute, Shanghai Skin Disease Hospital, School of Medicine, Tongji University, Shanghai 200443, China;Shanghai Skin Disease Clinical College of Anhui Medical University, Shanghai Skin Disease Hospital, Shanghai 200050, People's Republic of China;

关键词: Syphilis;    Disease activities;    Platelet indices;    Platelet count;    Mean platelet volume;    Platelet distribution width;   

DOI  :  

来源: DOAJ

【 摘 要 】

Objectives: To uncover the role of the platelet indices in patients with syphilis. Methods: A total of 2061 patients with syphilis and 528 healthy controls were enrolled in this retrospective cohort study. The data of platelet count (PLT), mean platelet volume (MPV), platelet distribution width (PDW), and indicators of syphilis activities were collected. The correlations between the platelet indices and disease activities were analyzed. Results: A total of 425 (20.6%) of the 2061 patients were of primary and secondary syphilis, 433 (21.0%) latent, 463 (22.5%) serofast, 350 (17.0%) asymptomatic neurosyphilis, and 390 (18.9%) symptomatic neurosyphilis. Compared with the healthy controls, PLT was significantly increased in the primary and secondary syphilis group; whereas, MPV and PDW were significantly decreased in all stages of syphilis. These changes of platelet indices were reversed after anti-treponemal therapy. Further correlation analysis showed that PLT was positively associated with the syphilis activity indicators [rapid plasma reagin (RPR) titer, cerebrospinal fluid white blood cell (CSF-WBC), CSF-protein, and CSF-VDRL (venereal disease research laboratory)] and inflammatory markers [WBC, C-reaction protein (CRP), and erythrocyte sedimentation rate (ESR)]. Conversely, PDW was negatively correlated with all of these parameters. MPV had an inverse relationship with RPR, ESR, and CRP. Conclusions: Platelet indices are associated with syphilis activities.

【 授权许可】

Unknown