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[Hemorheologic changes in chronic polyarthritis].

P Schöps1, N Seichert, W Thies

  • 1Klinik für Physikalische Medizin, Universität München.

Zeitschrift Fur Rheumatologie
|January 1, 1988
PubMed
Summary
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Patients with chronic polyarthritis exhibit significantly reduced blood fluidity, impacting plasma viscosity, blood viscosity, erythrocyte aggregation, and filterability. These haemorheological changes are more pronounced in women and worsen during acute disease flares.

Area of Science:

  • Rheumatology
  • Haematology
  • Biophysics

Context:

  • Chronic polyarthritis (c.P.) is a systemic inflammatory condition.
  • Haemorheological parameters reflect blood flow properties and are implicated in various diseases.
  • Understanding rheological changes in c.P. is crucial for disease management.

Purpose:

  • To investigate the haemorheological status in patients with chronic polyarthritis.
  • To compare rheological data between c.P. patients and healthy controls.
  • To assess the impact of disease activity (acute vs. non-acute) on haemorheology.

Summary:

  • 46 c.P. patients and 20 healthy controls were analyzed for plasma viscosity (P eta), blood viscosity (B eta), erythrocyte aggregation (EA), erythrocyte filterability (EF), BSG, HCT, fibrinogen, and alpha-2-macroglobulin.

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  • c.P. patients demonstrated significantly decreased blood fluidity (p ≤ 0.001 or p ≤ 0.01) compared to controls.
  • Acute disease states correlated with worsening P eta, B eta, and EF, while EA remained unchanged. Female patients showed more significant alterations.

    • Impact:

    • Findings suggest impaired blood fluidity is a characteristic of chronic polyarthritis.
    • The results highlight potential pathophysiological mechanisms linking inflammation and rheological dysfunction.
    • Further research is needed to elucidate the clinical significance and therapeutic implications of these haemorheological alterations.