Abstract
Purpose Systemic lupus erythematosus (SLE) mainly affects childbearing age women and pharmacological treatments may\r\nnegatively influence the ovarian reserve. Anti-Müllerian hormone (AMH) could be a good biomarker for ovarian reserve.\r\nMethods AMH serum levels were assessed in 86 consecutive SLE female patients with regular menstrual cycle compared\r\nwith 44 aged matched healthy controls. Clinical and demographic characteristics, disease duration, pattern of organ\r\ninvolvement, and previous and current therapies were recorded.\r\nResults AMH levels were comparable between patients and controls (4.2 ± 3.1 ng/ml vs. 5.0 ± 3.1 ng/ml, p = 0.21).\r\nAccording to disease severity, AMH levels were lower in SLE patients with major organ involvement than in controls\r\n(3.8 ± 2.7 ng/ml vs. 5.0 ± 3.1 ng/ml, p = 0.08); no difference was found between SLE patients with mild organ involvement\r\n(4.5 ± 3.4 ng/ml) and controls (p = 0.43). Grouping patients based on the pharmacological treatments, AMH serum levels\r\ndid not differ among SLE patients treated with antimalarials only (4.7 ± 3.3 ng/ml), conventional disease-modifying antirheumatic drugs (cDMARDs) only (4.8 ± 3.2 ng/ml), cDMARDs and antimalarials (3.9 ± 2.9 ng/ml) or cyclophosphamide\r\n(CYC) only (4.9 ± 3.9 ng/ml), compared to controls, but patients sequentially treated with cDMARDs and CYC, had\r\nsignificantly lower AMH serum levels than controls (p = 0.01).\r\nConclusions SLE patients showed comparable AMH levels than controls, however, a reduction of the ovarian reserve was\r\nassociated with sequentially therapy with CYC and cDMARDs and with the disease severity. AMH could be a sensitive and\r\nspecific biomarker of ovarian reserve in SLE and it could be useful for therapeutic strategy and family planning.
| Lingua originale | Inglese |
|---|---|
| pagine (da-a) | 405-405 |
| Numero di pagine | 1 |
| Rivista | Endocrine |
| Volume | 63 |
| Numero di pubblicazione | 2 |
| DOI | |
| Stato di pubblicazione | Pubblicato - 2019 |
All Science Journal Classification (ASJC) codes
- Endocrinologia, Diabete e Metabolismo
- Endocrinologia
Keywords
- Anti-Müllerian hormone
- systemic lupus erythematosus
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Entra nei temi di ricerca di 'Correction to: Anti-Müllerian hormone serum levels in systemic lupus erythematosus patients: influence of the disease severity and therapy on the ovarian reserve (Endocrine, (2019), 63, 2, (369-375), 10.1007/s12020-018-1783-1)'. Insieme formano una fingerprint unica.Cita questo
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