Turkiye Klinikleri Journal of Dermatology

.: ORIGINAL RESEARCH
Fecal Calprotectin Level in Patients with Rosacea: Gut Inflammation May Be Associated with the Type of Rosacea, A Case-Control Study
Rozasea Hastalarında Fekal Kalprotektin Düzeyi: Bağırsak İltihabı Rozasea Tipi ile İlişkili Olabilir, Bir Vaka-Kontrol Çalışması
Havva Hilal AYVAZa, Mümtaz Cem ŞİRİNb, Seda ATAYc, Selma KORKMAZa, İjlal ERTURANa, Rahime Cankat DOĞANTEKİNa, Mehmet YILDIRIMa
aDepartment of Dermatology, Süleyman Demirel University Faculty of Medicine, Isparta, Türkiye
bDepartment of Medical Microbiology, Süleyman Demirel University Faculty of Medicine, Isparta, Türkiye
cClinic of Dermatology, Eskişehir City Hospital, Eskişehir, Türkiye
Turkiye Klinikleri J Dermatol. 2022;32(1):1-8
doi: 10.5336/dermato.2021-85699
Article Language: EN
Full Text
ABSTRACT
 Objective: Rosacea is a chronic inflammatory skin disease that has complex pathogenesis. The association between rosacea and inflammatory gastrointestinal tract disorders is a popular topic, and fecal calprotectin is a potential marker to diagnose intestinal inflammation of any cause. In this study, the aims were to determine the relationship between disease type, disease severity, and fecal calprotectin levels in patients with rosacea, and also compare the calprotectin levels between healthy controls and rosacea patients. Material and Methods: Forty-six patients with rosacea, and sex-age-matched 92 healthy volunteers were enrolled in this study. Calprotectin levels of stool samples were calculated using enzymelinked immunosorbent assay. Results: Of these patients, 30 (65.2%) had erythematotelangiectatic type rosacea, and 16 (34.8%) had papulopustular type rosacea. There was not a statistically significant difference between the mean fecal calprotectin levels of the patient and control groups (p=0.414), whereas the mean fecal calprotectin levels of the erythematotelangiectatic type group was lower than the papulopustular type group, and this difference was significant (p<0.001). Conclusion: According to the results, the underlying pathogenesis of different types of rosacea may be different, and the papulopustular type of rosacea may be more related to gut inflammation. In addition, we think that fecal calprotectin may be useful in evaluating intestinal inflammation especially in patients with papulopustular type and severe rosacea.

Keywords: Rosacea; gastrointestinal tract; inflammation
ÖZET
 Amaç: Rozasea, karmaşık patogenezi olan kronik inflamatuar bir deri hastalığıdır. Rozasea ve inflamatuar gastrointestinal sistem bozuklukları arasındaki ilişki popüler bir konudur ve fekal kalprotektin, herhangi bir nedene bağlı intestinal inflamasyonu teşhis etmek için kullanılan potansiyel bir belirteçtir. Bu çalışmada, rozasealı hastalarda hastalık tipi, hastalık şiddeti ile fekal kalprotektin düzeyleri arasındaki ilişkiyi ve sağlıklı kontrollerle farkını belirlemek amaçlandı. Gereç ve Yöntemler: Bu çalışmaya rozasealı 46 hasta ve cinsiyet-yaş uyumlu 92 sağlıklı gönüllü alındı. Dışkı örneklerinin kalprotektin seviyeleri, enzime bağlı immünosorbent tahlili kullanılarak hesaplandı. Bulgular: Bu hastaların 30'unda (%65,2) eritematotelanjiektatik tip rozasea, 16'sında (%34,8) papülopüstüler tip rozasea vardı. Hasta ve kontrol gruplarının ortalama fekal kalprotektin düzeyleri arasında istatistiksel olarak anlamlı fark bulunmazken (p=0,414); eritematotelanjiektatik tip hastalığı olan grubun ortalama fekal kalprotektin düzeyleri papülopüstüler tip grubuna göre daha düşüktü ve bu fark anlamlıydı (p<0.001). Sonuç: Elde edilen sonuçlara göre farklı rozasea türlerinin altta yatan patogenezi farklı olabilir ve papülopüstüler tip rozasea daha çok bağırsak iltihabı ile ilişkili olabilir. Ayrıca özellikle papülopüstüler tip ve şiddetli rozasealı hastalarda, fekal kalprotektinin intestinal inflamasyonun değerlendirilmesinde faydalı olabileceğini düşünmekteyiz.

Anahtar Kelimeler: Rozasea; gastrointestinal kanal; inflamasyon
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