Nagy F, Molnár T, Szepes Z, Farkas K, Nyári T, Lonovics J. Efficacy of 6-mercaptopurine treatment after azathioprine hypersensitivity in inflammatory bowel disease. World J Gastroenterol 2008; 14(27): 4342-4346 [PMID: 18666323 DOI: 10.3748/wjg.14.4342]
Corresponding Author of This Article
Ferenc Nagy, MD, PhD, First Department of Medicine, Faculty of Medicine, University of Szeged, Korányi fasor 8, H-6701, Szeged, POB: 427, Hungary. agyferi@in1st.szote.u-szeged.hu
Article-Type of This Article
Rapid Communication
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastroenterol. Jul 21, 2008; 14(27): 4342-4346 Published online Jul 21, 2008. doi: 10.3748/wjg.14.4342
Table 1 The number of IBD patients in the three groups, according to extents, fistulas and surgeries
Disease
No. of patients
A
B
C
D
E
F
Group1
UC
7
1
2
4
-
-
-
Group1
CD
2
-
2
-
-
-
-
Group2
CD
8
3
2
2
1
8
16
Group3
UC
8
1
-
7
1
Group3
CD
4
-
3
1
-
4
4
29
4
9
14
1
12
21
Table 2 Changes of CDAI/CAI, CRP, ESR, WBC, PLT variables in the third group (mean ± SD)
Disease
Months
CDAI
CAI
CRP
ESR
WBC
PLT
UC
0
-
7.8 ± 6.3
16 ± 10
30.4 ± 16.2
9.3 ± 3.3
384 ± 175
UC
3
-
6.9 ± 6
8.3 ± 3.5
28.3 ± 16.5
10.3 ± 4.5
336 ± 119
UC
6
-
6.1 ± 6.7
11 ± 19
31.9 ± 32.7
6.8 ± 2
348 ± 197
UC
12
-
1.1 ± 1
4.6 ± 3.5
27 ± 17.2
6.1 ± 2.6
283 ± 87
CD
0
146 ± 128
-
39.8 ± 26.7
41.3 ± 11.6
9.9 ± 2.7
431 ± 136
CD
3
145 ± 124
-
23.3 ± 10.7
29.2 ± 14.1
7 ± 3
332 ± 66
CD
6
167 ± 68
-
21 ± 15
17.6 ± 28.6
9.9 ± 4.2
317 ± 89
CD
12
46 ± 56
-
6 ± 4
18 ± 14.7
6.2 ± 1.3
247 ± 80
Table 3 Significant changes after six and twelve months of 6-MP treatment
Variable
6 mo
12 mo
CDAI
P = 0. 0144 (n = 4)
NS n = 3
CAI
NS n = 8
NS n = 6
Leukocyte
NS
P = 0. 0057
CRP
NS
P = 0. 0206
Serum iron
NS
P = 0. 0459
Table 4 Correlation of activity index numbers with the laboratory variables
Variable
CAI/UC
CDAI/CD
Thrombocyte
P < 0.001
NS
Serum iron
P = 0.006
NS
CRP
P = 0.008
NS
Haematocrit
P = 0.022
NS
Leukocyte
P = 0.071 (BS)
NS
ESR 1st h
P = 0.077 (BS)
NS
Table 5 Correlation between activity groups and laboratory variables
Variable
1-4 UC (P)
1-4 CD (P)
Fibrinogen
0.0046
NS
Thrombocyte
0.0060
0.0350
CRP
0.0061
NS
Leukocyte
0.0144
0.071 (BS)
Haematocrit
0.0270
NS
Serum iron
0.0808 (BS)
NS
Citation: Nagy F, Molnár T, Szepes Z, Farkas K, Nyári T, Lonovics J. Efficacy of 6-mercaptopurine treatment after azathioprine hypersensitivity in inflammatory bowel disease. World J Gastroenterol 2008; 14(27): 4342-4346