The semi-quantitative calprotectin rapid test--is it useful in inflammatory bowel disease?

Rev Med Chir Soc Med Nat Iasi. 2012 Jul-Sep;116(3):761-5.

Abstract

Aim: To assess the efficiency of the dosage of the semi-quantitative calprotectin rapid test in evaluating the activity of inflammatory bowel diseases.

Material and methods: The prospective study included 87 patients with BII (50 with ulcerative colitis, 37 with Crohn disease) hospitalized between January 2011 - May 2012. The diagnosis was confirmed by colonoscopy and histological examination. Fecal calprotectin was measured by means of a semi-quantitative rapid test.

Results: There were 50 patients with UC and 37 with BC. 96% of the UC patients were evaluated during the active disease. 21 of them had a severe episode of active disease, 16 had a moderate one, while 10 had a mild activity episode. The correlation between the calprotectin values and lesions localization was analyzed, without finding any statistical differences. The data have shown a very strong correlation between the severity of the active disease, assessed through the UCDAI (Mayo) score, and the calprotectin value. Patients with CD manifested a linear correlation between the severity of the active disease and the calprotectin value.

Conclusions: The rapid test for assessing calprotectin could be a useful non-invasive marker in appreciating the severity of clinical and biological disease activity.

MeSH terms

  • Adult
  • Aged
  • Biomarkers / analysis
  • Chromatography, Affinity* / methods
  • Colitis, Ulcerative / diagnosis
  • Colonoscopy
  • Crohn Disease / diagnosis
  • Disease Progression
  • Feces / chemistry*
  • Female
  • Humans
  • Inflammatory Bowel Diseases / diagnosis*
  • Inflammatory Bowel Diseases / metabolism
  • Leukocyte L1 Antigen Complex / analysis*
  • Male
  • Middle Aged
  • Predictive Value of Tests
  • Prospective Studies
  • Reproducibility of Results
  • Sensitivity and Specificity
  • Severity of Illness Index

Substances

  • Biomarkers
  • Leukocyte L1 Antigen Complex