Neutrophil to lymphocyte ratio as a measure of systemic inflammation in psoriasis

Cutan Ocul Toxicol. 2014 Sep;33(3):223-7. doi: 10.3109/15569527.2013.834498. Epub 2013 Oct 22.

Abstract

Objective: Psoriasis is a chronic systemic inflammatory disorder. The neutrophil to lymphocyte ratio (N/L ratio) has been used as a marker for systemic inflammatory status. In our study, we aimed to evaluate N/L ratio in patients with psoriasis.

Methods: This cross-sectional study population consisted of 138 patients with psoriasis and 120 age- and sex-matched control subjects.

Results: The patients had significantly higher neutrophil counts and lower lymphocyte counts than the controls. The N/L ratios and high sensitivity C reactive protein (hs-CRP) levels were also significantly higher in patients. The N/L ratios and hs-CRP levels were increasing with increasing in Psoriasis Area and Severity Index score. Furthermore, the N/L ratios and hs-CRP levels of patients were found to be positively correlated.

Conclusions: Our data show that the N/L ratio to be a simple, inexpensive and easily assessable marker of systemic inflammation in patients with psoriasis.

Keywords: Inflammation; neutrophil lymphocyte ratio; psoriasis.

MeSH terms

  • Adult
  • C-Reactive Protein / analysis
  • Case-Control Studies
  • Female
  • Humans
  • Inflammation / immunology
  • Leukocyte Count
  • Lymphocytes / immunology*
  • Male
  • Middle Aged
  • Neutrophils / immunology*
  • Psoriasis / blood
  • Psoriasis / epidemiology
  • Psoriasis / immunology*
  • Severity of Illness Index
  • Turkey / epidemiology

Substances

  • C-Reactive Protein