Frequency of Positive Anti-CCP Antibodies in Patients of Rheumatoid Arthritis with Negative Rheumatoid Factor: A Cross-sectional Retrospective Data-based Study

Objective: To investigate the frequency of positive anti-cyclic citrullinated peptide (CCP) antibodies in rheumatoid arthritis (RA) patients with negative rheumatoid factor (RF) from Lahore, Pakistan. Materials and methods: This retrospective cross-sectional observational study was conducted at the...

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Main Authors: Nauman Ismat Butt, Muhammad Sohail Ajmal Ghoauri
Format: Article
Language:English
Published: Jaypee Brothers Medical Publisher 2024-08-01
Series:Indian Journal of Medical Biochemistry
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Online Access:https://www.ijmb.in/doi/IJMB/pdf/10.5005/jp-journals-10054-0234
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author Nauman Ismat Butt
Muhammad Sohail Ajmal Ghoauri
author_facet Nauman Ismat Butt
Muhammad Sohail Ajmal Ghoauri
author_sort Nauman Ismat Butt
collection DOAJ
description Objective: To investigate the frequency of positive anti-cyclic citrullinated peptide (CCP) antibodies in rheumatoid arthritis (RA) patients with negative rheumatoid factor (RF) from Lahore, Pakistan. Materials and methods: This retrospective cross-sectional observational study was conducted at the Department of Medicine and Allied, Azra Naheed Medical College, Superior University Lahore. The 2010 ACR Diagnostic Criteria were used to define RA. The medical records of all patients with RF-negative RA from January 2022 to December 2023 were included in the study. Patients with incomplete data and seronegative arthritis due to other causes were excluded from the study. Retrospective data of 78 RF-negative RA patients, including basic, demographic, and clinical information such as age, sex, anti-CCP antibody status, and disease severity, were assessed and recorded. Statistical Package for the Social Sciences (SPSS) version 26 was used for data entry and analysis. Results: The mean age was 43.8 ± 15.8 years with 10 (12.8%) males and 68 (87.2%) females. Mean duration of disease was 9.1 ± 7.8 years with 62 (79.5%) patients have disease duration more than 3 years. Mean DAS-28 score was 4.5 ± 1.7 with 48 (61.5%) patients having active disease (DAS-28 score >3.2). Anti-CCP antibodies were observed in 32 patients (41.0%). Stratification of data with regard to anti-CCP antibodies revealed a significant association with sex but not with age, duration of disease, or disease severity. Conclusion: More than one-third of RA patients with negative RF test results had positive anti-CCP antibodies.
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spelling doaj-art-c2c60e3fb93840f89b3bcfcdbef401992025-01-03T07:49:51ZengJaypee Brothers Medical PublisherIndian Journal of Medical Biochemistry2456-51642024-08-0128375010.5005/jp-journals-10054-02341Frequency of Positive Anti-CCP Antibodies in Patients of Rheumatoid Arthritis with Negative Rheumatoid Factor: A Cross-sectional Retrospective Data-based StudyNauman Ismat Butt0https://orcid.org/0000-0003-1022-0157Muhammad Sohail Ajmal Ghoauri1Nauman Ismat Butt, Department of Medicine and Allied, Azra Naheed Medical College, Superior University, Lahore, Punjab, Pakistan, Phone: +92 3454651049Department of Medicine & Neurology, Bahawal Victoria Hospital, Quaid-e-Azam Medical College, Bahawalpur, PakistanObjective: To investigate the frequency of positive anti-cyclic citrullinated peptide (CCP) antibodies in rheumatoid arthritis (RA) patients with negative rheumatoid factor (RF) from Lahore, Pakistan. Materials and methods: This retrospective cross-sectional observational study was conducted at the Department of Medicine and Allied, Azra Naheed Medical College, Superior University Lahore. The 2010 ACR Diagnostic Criteria were used to define RA. The medical records of all patients with RF-negative RA from January 2022 to December 2023 were included in the study. Patients with incomplete data and seronegative arthritis due to other causes were excluded from the study. Retrospective data of 78 RF-negative RA patients, including basic, demographic, and clinical information such as age, sex, anti-CCP antibody status, and disease severity, were assessed and recorded. Statistical Package for the Social Sciences (SPSS) version 26 was used for data entry and analysis. Results: The mean age was 43.8 ± 15.8 years with 10 (12.8%) males and 68 (87.2%) females. Mean duration of disease was 9.1 ± 7.8 years with 62 (79.5%) patients have disease duration more than 3 years. Mean DAS-28 score was 4.5 ± 1.7 with 48 (61.5%) patients having active disease (DAS-28 score >3.2). Anti-CCP antibodies were observed in 32 patients (41.0%). Stratification of data with regard to anti-CCP antibodies revealed a significant association with sex but not with age, duration of disease, or disease severity. Conclusion: More than one-third of RA patients with negative RF test results had positive anti-CCP antibodies.https://www.ijmb.in/doi/IJMB/pdf/10.5005/jp-journals-10054-0234anti-ccp antibodiesdas-28 scorerheumatoid arthritisrheumatoid factor
spellingShingle Nauman Ismat Butt
Muhammad Sohail Ajmal Ghoauri
Frequency of Positive Anti-CCP Antibodies in Patients of Rheumatoid Arthritis with Negative Rheumatoid Factor: A Cross-sectional Retrospective Data-based Study
Indian Journal of Medical Biochemistry
anti-ccp antibodies
das-28 score
rheumatoid arthritis
rheumatoid factor
title Frequency of Positive Anti-CCP Antibodies in Patients of Rheumatoid Arthritis with Negative Rheumatoid Factor: A Cross-sectional Retrospective Data-based Study
title_full Frequency of Positive Anti-CCP Antibodies in Patients of Rheumatoid Arthritis with Negative Rheumatoid Factor: A Cross-sectional Retrospective Data-based Study
title_fullStr Frequency of Positive Anti-CCP Antibodies in Patients of Rheumatoid Arthritis with Negative Rheumatoid Factor: A Cross-sectional Retrospective Data-based Study
title_full_unstemmed Frequency of Positive Anti-CCP Antibodies in Patients of Rheumatoid Arthritis with Negative Rheumatoid Factor: A Cross-sectional Retrospective Data-based Study
title_short Frequency of Positive Anti-CCP Antibodies in Patients of Rheumatoid Arthritis with Negative Rheumatoid Factor: A Cross-sectional Retrospective Data-based Study
title_sort frequency of positive anti ccp antibodies in patients of rheumatoid arthritis with negative rheumatoid factor a cross sectional retrospective data based study
topic anti-ccp antibodies
das-28 score
rheumatoid arthritis
rheumatoid factor
url https://www.ijmb.in/doi/IJMB/pdf/10.5005/jp-journals-10054-0234
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