PMID- 35070279 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220430 IS - 2049-0801 (Print) IS - 2049-0801 (Electronic) IS - 2049-0801 (Linking) VI - 73 DP - 2022 Jan TI - Relationship of serum copper and HLADR4 tissue typing to disease activity and severity in patients with rheumatoid arthritis: A cross sectional study. PG - 103193 LID - 10.1016/j.amsu.2021.103193 [doi] LID - 103193 AB - BACKGROUND: Rheumatoid arthritis is a chronic disabling disease associated with high burden on individuals and national health system. Early detection of rheumatoid arthritis is helpful in management and preventing further complications. OBJECTIVE: To assess the relationship between each of serum copper and human leukocyte antigen (HLA)-DR tissue typing with the activity and severity of rheumatoid arthritis. METHODS: This study was an observational prospective cross sectional study implemented in the Rzgary general teaching hospital in Erbil governorate-Iraq from November 1, 2019, to October 31, 2020. Study sample included fifty rheumatoid arthritis patients. The diagnosis of rheumatoid arthritis was done according to 2010-American College of Rheumatology-European League against Rheumatism criteria. The serum copper and HLA-DR4 typing were assessed in regard to activity and severity of rheumatoid arthritis patients. RESULTS: This study found that high serum copper level was directly related to both active and severe rheumatoid arthritis disease (p < 0.001). Additionally, this study revealed that positive HLADR4 typing was related to severe rheumatoid arthritis disease (p < 0.001). This study revealed no significant relationship between rheumatoid arthritis activity and severity with HLADR4 subtypes. CONCLUSIONS: The serum copper level and HLA-DR typing of patients with rheumatoid arthritis may be useful in prediction of rheumatoid arthritis disease activity and severity. CI - (c) 2021 The Authors. FAU - Aldabbagh, Khalid Ahmad Omer AU - Aldabbagh KAO AD - Department of Medicine, College of Medicine, Hawler Medical University, Erbil, Iraq. FAU - Al-Bustany, Dashty Abbas AU - Al-Bustany DA AD - Department of Medicine, College of Medicine, Hawler Medical University, Erbil, Iraq. LA - eng PT - Journal Article DEP - 20211224 PL - England TA - Ann Med Surg (Lond) JT - Annals of medicine and surgery (2012) JID - 101616869 PMC - PMC8767240 OTO - NOTNLM OT - Activity OT - Copper OT - HLA-DR typing OT - Rheumatoid arthritis OT - Severity COIS- None. EDAT- 2022/01/25 06:00 MHDA- 2022/01/25 06:01 PMCR- 2021/12/24 CRDT- 2022/01/24 08:51 PHST- 2021/09/28 00:00 [received] PHST- 2021/12/12 00:00 [revised] PHST- 2021/12/19 00:00 [accepted] PHST- 2022/01/24 08:51 [entrez] PHST- 2022/01/25 06:00 [pubmed] PHST- 2022/01/25 06:01 [medline] PHST- 2021/12/24 00:00 [pmc-release] AID - S2049-0801(21)01143-2 [pii] AID - 103193 [pii] AID - 10.1016/j.amsu.2021.103193 [doi] PST - epublish SO - Ann Med Surg (Lond). 2021 Dec 24;73:103193. doi: 10.1016/j.amsu.2021.103193. eCollection 2022 Jan.