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Published on: November 8, 2024
Mean platelet volume in children with Reye-like syndrome
Ahmet Sert1, Cengizhan Kilicaslan, Ece Selma Solak
1Department of Pediatric Cardiology , Konya , Turkey .
Insights
Mean platelet volume (MPV) is lower in children with Reye-like syndrome (RLS) during early illness stages. MPV levels increase and inflammatory markers decrease following treatment in RLS patients.
Area of Science:
- Pediatrics
- Hematology
- Immunology
Background:
- Reye-like syndrome (RLS) is a systemic disorder linked to cytokine storm.
- Mean platelet volume (MPV) reflects platelet production and activation.
- MPV is a potential biomarker for inflammatory conditions.
Purpose of the Study:
- To investigate Mean platelet volume (MPV) in pediatric Reye-like syndrome (RLS).
- To assess MPV changes in RLS patients before and after treatment.
Main Methods:
- Compared MPV in 30 children with RLS to 30 healthy controls.
- Analyzed white blood cell (WBC) count, AST, ALT, ESR, and C-reactive protein.
- Evaluated MPV and inflammatory markers pre- and post-treatment.
Main Results:
- Children with RLS showed significantly lower MPV compared to controls.
- Elevated WBC, AST, and ALT were observed in RLS patients.
- Post-treatment, MPV increased while ESR, C-reactive protein, AST, and ALT decreased.
- MPV negatively correlated with ESR and WBC.
Conclusions:
- Lower MPV at early stages may indicate RLS.
- MPV changes correlate with treatment response in RLS.
- MPV serves as a potential indicator in RLS management.
Abstract:
Reye-like syndrome (RLS) is considered to be a systemic disorder in which the cytokine storm plays a major role. Mean platelet volume (MPV), which is commonly used as a measure of platelet size, indicates the rate of platelet production and platelet activation. We aimed to study MPV in children with RLS. The study population consisted of 30 children with RLS and 30 healthy control subjects. White blood cell (WBC) count, aspartate transaminase (AST) and alanine transaminase (ALT) values were significantly higher and MPV values were significantly lower in patients with RLS at an early stage of illness when compared to controls. Erythrocyte sedimentation rate (ESR), C-reactive protein, AST and ALT values were significantly decreased in patients with RLS after the treatment when compared to baseline whereas MPV values were increased. MPV values were negatively correlated with ESR and WBC. In conclusion, at an early stage of RLS MPV values were lower when compared to controls.
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