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Published on: March 2, 2014
Levels of serum vascular cell adhesion molecule-1 in measles
1Department of Infectious Diseases, Tokyo Metropolitan Bokutoh General Hospital, Sumida City, Tokyo, Japan. snow-crystal@mri.biglobe.ne.jp
Abstract:
While the levels of serum vascular cell adhesion molecule-1 (VCAM-1) have been investigated in many diseases, they have not, to our knowledge, been studied in patients with measles. Serum VCAM-1 and creatinine levels were determined in six adolescent and adult Japanese patients with measles in the acute febrile phase and defervescent afebrile phase. Serum VCAM-1 levels were significantly higher in the acute febrile phase than in the convalescent afebrile phase, but no significant difference between the serum creatinine levels was shown in the two phases. Our study revealed that the high serum VCAM-1 level in the acute febrile phase later decreased in the afebrile convalescent phase. The measurement of circulating VCAM-1 may be useful for the assessment of convalescence in patients with measles.
Insights
Serum vascular cell adhesion molecule-1 (VCAM-1) levels are higher during the acute phase of measles and decrease as patients recover. Measuring VCAM-1 may help assess measles convalescence.
Area of Science:
- Immunology
- Virology
- Clinical Medicine
Background:
- Serum vascular cell adhesion molecule-1 (VCAM-1) is implicated in various diseases.
- VCAM-1 levels have not been previously studied in measles patients.
Purpose of the Study:
- To investigate serum VCAM-1 levels in measles patients during acute and convalescent phases.
- To assess the potential utility of VCAM-1 as a marker for measles convalescence.
Main Methods:
- Serum VCAM-1 and creatinine levels were measured in six Japanese measles patients.
- Measurements were taken during both the acute febrile phase and the defervescent afebrile phase.
Main Results:
- Serum VCAM-1 levels were significantly higher during the acute febrile phase compared to the convalescent afebrile phase.
- No significant difference in serum creatinine levels was observed between the two phases.
- A decrease in serum VCAM-1 was noted as patients moved from the febrile to the afebrile convalescent phase.
Conclusions:
- Elevated serum VCAM-1 levels during the acute phase of measles decrease during convalescence.
- Circulating VCAM-1 measurement may serve as a useful indicator for assessing measles recovery.
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