Evaluation of Serum Leptin Level in Correlation with CRP in  a Sample of Iraqi Patients with Inflammatory Bowel Disease at  Gastroenterology and Hepatology Teaching Hospital

Authors

serum leptin, CRP, Iraqi patients, inflammatory bowel disease, Hepatology Teaching Hospital.

Introduction: adipocytokines display avital role in inflammation and metabolism, body metabolism

changes in inflammatory bowel disease (IBD) and chronic inflammation conceder the pathognomonic of

this disease, s. leptin and C-Reactive protein (CRP( in patients with active disease either Crohn disease

or ulcerative colitis. The aim of this descriptive study is to evaluate the serum leptin and CRP level in a

sample of Iraqi patients with IBD of variable disease activity index. METHOD: serum concentration of

leptin was studied in 79 patients diagnosed as IBD [41 patients diagnosed as Crohn’s disease (CD) and

in 38 patients diagnosed as ulcerative colitis (UC)]. The diagnosis based on colonoscopy, CT, MRI, US

and histopathological examination of mucosa. Serum leptin and CRP was measured by an indirect ELISA.

Leptin level was compared with CRP and correlated with disease activity. RESULTS: data showed that out

of 38 patients diagnosed as UC, 10 (26.3%) were in remission, 22 (57.9%) were in moderate activity, and

6 (15.8%) have severely active disease. On the other hand, out of 41 patients diagnosed as CD, 17 (41.5%)

were in remission state, 20 (48.8 %) have moderate active disease, and 4 (9.8%) have severely active form.

Serum leptin in the UC group was significantly associated with disease activity in an inverse pattern (p =

0.045), while no significant association between action index in patients with Crohn disease and leptin level

P-value = 0.77. While CPR level have significant association with ulcerative colitis patients P-value = 0.017

and with Crohn disease P-value = 0.043.Comparing both CRP and leptin level showed significant association

with UC as an overall effect and those in decrease only (P-value = 0.047, 0.029 correspondingly), while this

association was only significant as an overall effect for CD group P-value = 0.043. conclusion: a significant

association between disease activity in UC and CD with serum CRP. Comparing both CRP and leptin level

showed that there is an overall significant association with both UC and CD, but not useful for defining their

activity index.

Ali S. Musa Al Shammaa1, Ghaith Sael Mohammed Ali2 Haitham Kaddouri Hussein3

1 Lecturer, College of Medicine, Al-Nahraine University/Iraq, 2Lecturer, College of Medicine, Al-Nahraine

University/Iraq, 3 Consultant/ Department of General Surgery, Khadymia Teaching hospital/Iraq