Volume 11 Supplement 1

7th Congress of International Society of Systemic Auto-Inflammatory Diseases (ISSAID)

Open Access

P01-015 – Effect of Cochicine on cholesterol in FMF and BS

  • S Ugurlu1,
  • E Seyahi1,
  • I Hanci1,
  • SM Pehlevan2,
  • H Ozdogan1 and
  • H Yazici1
Pediatric Rheumatology201311(Suppl 1):A19

https://doi.org/10.1186/1546-0096-11-S1-A19

Published: 8 November 2013

Introduction

We and others have previously shown that patients with Familial Mediterranean Fever (FMF) had low cholesterol levels when compared to healthy controls [1, 2]. This was initially brought up by Ozkan E [3]. The causes of this abnormality are not understood. It could be due to an inherent effect of FMF or due to a lipid lowering effect of colchicine, as the patients in these studies were all regular users. Additionally, earlier studies had suggested that colchicine may have hypocholesterolemic effect.

Objectives

We conducted a 12 week study to determine whether colchicine would decrease serum lipid levels in patients with FMF and Behçet's syndrome (BS). Lipid levels were measured in each patient before and after colchicine use.

Methods

Blood cholesterol and triglycerides levels were measured in 24 patients with FMF (11 M, 13 F) and 16 (8 M, 8 F) patients with BS who were registered at the outpatient clinic of Cerrahpasa Medical Faculty. All patients were naive to colchicine or immunosuppressive treatment or any other lipid lowering drugs at study entry. Blood cholesterol and triglycerides levels were measured again after 12 weeks of colchicine 1.5 mg daily. Colchicine was withdrawn in one patient with FMF because of liver toxicity and in another because of nausea. Two patients with FMF did not use colchicine and another with FMF was lost to follow-up. Colchicine was switched to azathioprine in 1 patient with BS because of active disease. Only patients who completed 12 weeks period were analyzed.

Results

There were 19 (8 M, 11 F) patients with FMF and 15 (7 M, 8 F) patients with BS who completed the 12 week period. Patients with FMF were (mean age: 33.8±14.1 years) significantly younger than BS patients (mean age: 36.5±9.5) (P = 0.001). Colchicine did not change cholesterol and triglycerides levels in patients with FMF (T.Cholesterol: 169±77 vs 181±48 mg/dl, P = 0.58, Triglycerides: 122±82 vs128±70 mg/dl, P= 0.75, LDL:120±44 vs 112±40, P=0.35, HDL: 42±13 vs 47±11 mg/dl, P=0.1, before and after colchicine use, respectively). This was also true for BS patients (T.cholesterol:181±51 vs 172±44 mg/dl, P=0.53, triglycerides:112±63 vs 107±52 mg/dl, P=0.18, LDL:115±38 vs 106±40 mg/dl, P = 0.85, HDL:48±9 vs 48.3±9.9 mg/dl, P= 0.3).

Conclusion

This study provided no evidence that colchicine use affects lipid levels in patients with FMF and BS.

Disclosure of interest

None declared.

Authors’ Affiliations

(1)
Department of Internal Medicine, Division of Rheumatology, Cerrahpasa Medical Faculty, University of Istanbul
(2)
Department of Internal Medicine, Division of Rheumatology, University of Fatih

References

  1. Ugurlu S, Seyahi E, Cetinkaya F, Ozbakir F, Balci H, Ozdogan H: Intima-media thickening in patients with familial Mediterranean fever. Rheumatology (Oxford). 2009, 48 (8): 911-5.View ArticleGoogle Scholar
  2. Akdogan A, Calguneri M, Yavuz B: Are familial Mediterranean fever (FMF) patients at increased risk for atherosclerosis? Impaired endothelial function and increased intima media thickness are found in FMF. J Am Coll Cardiol. 2006, 48: 2351-3.View ArticlePubMedGoogle Scholar
  3. Ozkan E, Okur O, Ekmekci A, Ozcan R, Tag T: A new approach to the treatment of periodic fever. Med Bull Istanbul. 1972, 5: 44-9.Google Scholar

Copyright

© Ugurlu et al; licensee BioMed Central Ltd. 2013

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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