Monocyte to Lymphocyte Ratio, Neutrophil to Lymphocyte Ratio, and Red Cell Distribution Width are the Associates with Gouty Arthritis

Kadiyoran, Cengiz; Zengin, Orhan; Cizmecioglu, Hilal Akay; Tufan, Abdurrahman; Kucuksahin, Orhan; Cure, Medine Cumhur; Cure, Erkan; Kucuk, Adem; Ozturk, Mehmet Akif

doi:10.14712/18059694.2019.132

Acta Medica > Archive > 2019, Vol. 62 > Issue 3 > Monocyte to Lymphocyte Ratio, Neutrophil…

Acta Med. 2019, 62: 99-104

https://doi.org/10.14712/18059694.2019.132

Monocyte to Lymphocyte Ratio, Neutrophil to Lymphocyte Ratio, and Red Cell Distribution Width are the Associates with Gouty Arthritis

Cengiz Kadiyoran^a, Orhan Zengin^b, Hilal Akay Cizmecioglu^c, Abdurrahman Tufan^d, Orhan Kucuksahin^e, Medine Cumhur Cure^f, Erkan Cure^g, Adem Kucuk^h, Mehmet Akif Ozturk^d

^aDepartment of Radiology, Necmettin Erbakan University, Konya, Turkey
^bDepartment of Rheumatology, Adiyaman Training and Research Hospital, Adiyaman, Turkey
^cDepartment of Internal Medicine, Necmettin Erbakan University, Konya, Turkey
^dDivision of Rheumatology, Department of Internal Medicine, Gazi University Faculty of Medicine, Ankara, Turkey
^eDivision of Rheumatology, Department of Internal Medicine, Ankara Liv Hospital, Kavaklidere, Ankara, Turkey
^fDepartment of Biochemistry, Sadik Ahmet Hospital, Istanbul, Turkey
^gDepartment of Internal Medicine, Ota&Jinemed Hospital, Istanbul, Turkey
^hDivision of Rheumatology, Department of Internal Medicine, Necmettin Erbakan University, Konya, Turkey

Received April 4, 2019
Accepted July 18, 2019

Background: Neutrophils, monocytes, and macrophages activations are associated with a gout attack. Monocyte to lymphocyte ratio (MLR), neutrophil to lymphocyte ratio (NLR), platelet to lymphocyte ratio (PLR), red cell distribution width (RDW), and mean platelet volume (MPV) are well-known inflammation markers. In this study, we aimed to investigate whether they could be a predictive marker to the gout attack. Material and Methods: A hundred and ten gout patients (male/female, 86/24) and 90 (male/female, 64/26) age-, gender-, and body mass index-matched volunteer controls were included in the study. Blood samples were obtained in the intercritical and attack period of the patients. Hemogram, serum uric acid (SUA), C-reactive protein (CRP), and erythrocyte sedimentation rate (ESR) values were studied. Results: In the attack period NLR (p < 0.001), PLR (p < 0.05), MLR (p < 0.001), RDW (p < 0.05), MPV (p < 0.05), ESR (p < 0.001), CRP (p < 0.001) and SUA (p < 0.001) values were significantly higher than intercritical period values. According to the results of regression analysis; There was an independent strong relationship between the gout attack and SUA, (Beta [β] = 0.352, p < 0.001), ESR (β = 0.329, p < 0.001), CRP (β = 0.286, p < 0.001), MLR (β = 0.126, p < 0.001), RDW (β = 0.100, p = 0.003) and NLR (β = 0.082, p = 0.014). Conclusions: MLR, RDW, and NLR may be a strong predictive marker for a gout attack. MPV and PLR values in the gout attack may be associated with systemic inflammation.