The role of serum amyloid A as an inflammatory biomarker in patients with chronic inflammatory conditions

Aim: This study aimed to evaluate the diagnostic value of serum amyloid A (SAA) by comparing it with conventional acute phase markers (APMs), such as C-reactive protein (CRP), erythrocyte sedimentation rate (ESR), and fibrinogen, in patients experiencing pain related to chronic inflammatory and gal...

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Main Author: Ali Osman Avcı
Format: Article
Language:English
Published: Izzet Baysal Training and Research Hospital 2025-07-01
Series:Northwestern Medical Journal
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Online Access:https://nwmedj.org/article/view/144
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author Ali Osman Avcı
author_facet Ali Osman Avcı
author_sort Ali Osman Avcı
collection DOAJ
description Aim: This study aimed to evaluate the diagnostic value of serum amyloid A (SAA) by comparing it with conventional acute phase markers (APMs), such as C-reactive protein (CRP), erythrocyte sedimentation rate (ESR), and fibrinogen, in patients experiencing pain related to chronic inflammatory and gallbladder diseases. Materials and Methods: We retrospectively examined data retrieved from the medical records of 601 patients diagnosed with chronic inflammatory disease, gallbladder stones who underwent cholecystectomy between January 2020 and June 2023. We compared serum levels of ESR, SAA, CRP, and fibrinogen during episodes of pain. Results: The study population consisted of 601 patients, of whom 401 (66.72%) were female and 200 (33.28%) were male. The mean age was 48.74±17.20 years for females and 46.62±17.52 years for males. Serum SAA, CRP, ESR, and fibrinogen levels showed a statistically significant positive correlation. The most significant correlation was between SAA and CRP. However, there was no rise in CRP or other acute phase markers (APMs), even though SAA rose in about one-fourth of the patients (24.7%). Conclusion: Monitoring chronic inflammatory diseases with SAA is thought to be useful for detecting subclinical inflammation and underlying chronic inflammatory diseases. It may also prevent the development of amyloidosis and therefore morbidity and mortality.
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spelling doaj-art-8da335d9a9174a2aa2519cb0a670b3202025-08-20T03:38:59ZengIzzet Baysal Training and Research HospitalNorthwestern Medical Journal2979-95382025-07-015310.54307/2025.NWMJ.144The role of serum amyloid A as an inflammatory biomarker in patients with chronic inflammatory conditionsAli Osman Avcı0https://orcid.org/0000-0002-5849-5988Department of Internal Medicine, Sincan Application and Research Center, Lokman Hekim University Ankara Hospital, Ankara, Türkiye Aim: This study aimed to evaluate the diagnostic value of serum amyloid A (SAA) by comparing it with conventional acute phase markers (APMs), such as C-reactive protein (CRP), erythrocyte sedimentation rate (ESR), and fibrinogen, in patients experiencing pain related to chronic inflammatory and gallbladder diseases. Materials and Methods: We retrospectively examined data retrieved from the medical records of 601 patients diagnosed with chronic inflammatory disease, gallbladder stones who underwent cholecystectomy between January 2020 and June 2023. We compared serum levels of ESR, SAA, CRP, and fibrinogen during episodes of pain. Results: The study population consisted of 601 patients, of whom 401 (66.72%) were female and 200 (33.28%) were male. The mean age was 48.74±17.20 years for females and 46.62±17.52 years for males. Serum SAA, CRP, ESR, and fibrinogen levels showed a statistically significant positive correlation. The most significant correlation was between SAA and CRP. However, there was no rise in CRP or other acute phase markers (APMs), even though SAA rose in about one-fourth of the patients (24.7%). Conclusion: Monitoring chronic inflammatory diseases with SAA is thought to be useful for detecting subclinical inflammation and underlying chronic inflammatory diseases. It may also prevent the development of amyloidosis and therefore morbidity and mortality. https://nwmedj.org/article/view/144Chronic inflammatory diseasesserum amyloid AC-reactive proteinerythrocyte sedimentation ratefibrinogen
spellingShingle Ali Osman Avcı
The role of serum amyloid A as an inflammatory biomarker in patients with chronic inflammatory conditions
Northwestern Medical Journal
Chronic inflammatory diseases
serum amyloid A
C-reactive protein
erythrocyte sedimentation rate
fibrinogen
title The role of serum amyloid A as an inflammatory biomarker in patients with chronic inflammatory conditions
title_full The role of serum amyloid A as an inflammatory biomarker in patients with chronic inflammatory conditions
title_fullStr The role of serum amyloid A as an inflammatory biomarker in patients with chronic inflammatory conditions
title_full_unstemmed The role of serum amyloid A as an inflammatory biomarker in patients with chronic inflammatory conditions
title_short The role of serum amyloid A as an inflammatory biomarker in patients with chronic inflammatory conditions
title_sort role of serum amyloid a as an inflammatory biomarker in patients with chronic inflammatory conditions
topic Chronic inflammatory diseases
serum amyloid A
C-reactive protein
erythrocyte sedimentation rate
fibrinogen
url https://nwmedj.org/article/view/144
work_keys_str_mv AT aliosmanavcı theroleofserumamyloidaasaninflammatorybiomarkerinpatientswithchronicinflammatoryconditions
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