https://digitallibrary.bldedu.ac.in/xmlui/handle/123456789/429 2026-06-03T20:22:33Z 2026-06-03T20:22:33Z Bheeman Gouda, Rajesh M Honnutagi, Prakash M Patil https://digitallibrary.bldedu.ac.in/xmlui/handle/123456789/6200 2026-05-16T07:06:49Z 2026-03-01T00:00:00Z

A study of microalbuminuria in patients with rheumatoid arthritis Bheeman Gouda, Rajesh M Honnutagi, Prakash M Patil Background: Rheumatoid arthritis (RA) is a chronic inflammatory disorder with potential systemic complications including renal involvement. Microalbuminuria represents early endothelial dysfunction and may indicate disease severity and cardiovascular risk in RA patients. The aim of the study is to determine the prevalence of microalbuminuria in patients with rheumatoid arthritis and to examine its correlation with disease activity markers including rheumatoid factor (RF), erythrocyte sedimentation rate (ESR), and C-reactive protein (CRP). Methods: The study included 40 patients with established rheumatoid arthritis diagnosed according to the 2020 American College of Rheumatology-European Alliance of Associations for Rheumatology (ACR EULAR) classification criteria. Patients underwent comprehensive clinical assessment including detailed history, physical examination with tender and swollen joint counts, and laboratory investigations. Microalbuminuria was assessed using spot morning urine samples with albumin-to-creatinine ratio (ACR) method, defining microalbuminuria as ACR more than or equal to 30 mg/g. Disease activity markers including ESR, CRP, and RF were measured using standard laboratory methods. Statistical analysis was performed using appropriate parametric and non-parametric tests, with p value less than 0.05 considered statistically significant. Results: Microalbuminuria was present in 8 out of 40 patients (20%). Patients with microalbuminuria demonstrated significantly elevated inflammatory markers compared to those without microalbuminuria. Mean ESR was 48.8±13.7 mm/hr in the microalbuminuria-positive group versus 31.6±12.2 mm/hr in the microalbuminuria- negative group (p=0.001). Mean CRP levels were 29.2±8.4 mg/L in microalbuminuria-positive patients compared to 20.06±12.1 mg/L in microalbuminuria negative patients (p=0.05). Rheumatoid factor showed a strong association with microalbuminuria, with 100% (8/8) of microalbuminuria-positive patients being RF positive compared to 62.5% (20/32) of microalbuminuria-negative patients (p=0.038). Conclusion: Microalbuminuria was present in 20% of rheumatoid arthritis patients and showed significant correlations with disease activity markers including ESR, CRP, and RF. These findings establish microalbuminuria as a valuable biomarker of disease severity and systemic inflammation in RA. Routine microalbuminuria screening should be considered in RA patients, especially those with high disease activity or elevated inflammatory markers.

2026-03-01T00:00:00Z Dr. Nethra N1*, Dr. Rajesh M Honnutagi2, Dr. Gurusangappa S Mudagall3 https://digitallibrary.bldedu.ac.in/xmlui/handle/123456789/6188 2026-05-14T11:16:28Z 2026-01-01T00:00:00Z

SERUM URIC ACID AS AN INDEPENDENT RISK FACTOR IN ACUTE ISCHEMIC STROKE: A CROSS-SECTIONAL STUDY Dr. Nethra N1*, Dr. Rajesh M Honnutagi2, Dr. Gurusangappa S Mudagall3

2026-01-01T00:00:00Z S Vinod Kumar Reddy, Rajesh M Honnutagi, Ashwini Hiremath, Chaitanya Patil. https://digitallibrary.bldedu.ac.in/xmlui/handle/123456789/5629 2024-11-13T11:16:02Z 2024-01-01T00:00:00Z

A Study on Social, Demographical and Etiological Risk Factors of Ischemic Stroke in Young. S Vinod Kumar Reddy, Rajesh M Honnutagi, Ashwini Hiremath, Chaitanya Patil.

2024-01-01T00:00:00Z Vishwanath Malkappa Jalawadi, Shravankumar Potkar, Upendra Prasad Yadav, Manjunath S. Hiremani. https://digitallibrary.bldedu.ac.in/xmlui/handle/123456789/5623 2024-11-13T10:58:11Z 2024-01-01T00:00:00Z

Managing Amitraz Poisoning: Epidemiological Data and Clinical Insights From a Tertiary Care Hospital in Southern India Vishwanath Malkappa Jalawadi, Shravankumar Potkar, Upendra Prasad Yadav, Manjunath S. Hiremani.

2024-01-01T00:00:00Z