Changes in prostate specific antigen value in patients with COVID-19.

Yildiray Yildiz, Veysel Bayburtluoglu, Eda Tokat, Ali K Yildiz, Aykut Ucar, Sebnem Erdinc, Omer G Doluoglu
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Abstract

Objectives: To evaluate changes in prostate-specific antigen (PSA) values in patients with coronavirus disease 2019 (COVID-19).

Method: Male patients who were admitted to our flu outpatient clinic with cough, fever, weakness, and bone and joint pain were evaluated. The acute phase reactants of erythrocyte sedimentation rate, C-reactive protein, ferritin, and fibrinogen were measured both at the time the patients first presented at the clinic and 1 month after recovery from COVID-19 infection. PSA and free PSA were also measured at the same time. The difference in acute phase reactants and PSA values during active COVID-19 infection and after recovery was assessed using the paired samples t-test.

Results: The mean PSA values of the patients were 2.73 ± 3.7 μg/L in the period of active infection, and 2.04 ± 2.32 μg/L 1 month later (p = 0.12). In the 29 patients with PSA values in the gray zone, the PSA values were determined as 6.6 ± 4.4 μg/L during infection and 4.1 ± 2.9 μg/L after treatment (p = 0.001).

Conclusion: The results of this study showed that PSA values in the gray zone during COVID-19 infection decreased after treatment when the patient recovered.

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COVID-19患者前列腺特异性抗原值的变化
目的:评价2019冠状病毒病(COVID-19)患者前列腺特异性抗原(PSA)值的变化。方法:对以咳嗽、发热、虚弱、骨关节疼痛等症状就诊的流感门诊男性患者进行评估。在患者首次就诊时和COVID-19感染恢复后1个月测量急性期红细胞沉降率、c反应蛋白、铁蛋白和纤维蛋白原。同时测定PSA和游离PSA。采用配对样本t检验评估COVID-19活动性感染期间和恢复后急性期反应物和PSA值的差异。结果:患者感染活动性时PSA均值为2.73±3.7 μg/L, 1个月后PSA均值为2.04±2.32 μg/L (p = 0.12)。29例PSA值处于灰色地带的患者,感染时PSA值为6.6±4.4 μg/L,治疗后PSA值为4.1±2.9 μg/L (p = 0.001)。结论:本研究结果显示,患者在治疗后康复后,COVID-19感染期间灰色区PSA值有所下降。
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