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Rheumatology Advance Access originally published online on July 20, 2004
Rheumatology 2004 43(10):1272-1274; doi:10.1093/rheumatology/keh307
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Rheumatology Vol. 43 No. 10 © British Society for Rheumatology 2004; all rights reserved


Concise Report

Raised serum prolactin in rheumatoid arthritis: genuine or laboratory artefact?

S. Ram, D. Blumberg1, P. Newton1, N. R. Anderson and R. Gama

Departments of Clinical Chemistry and 1 Rheumatology, New Cross Hospital, Wolverhampton, West Midlands WV10 0QP, UK.

Correspondence to: R. Gama, Clinical Chemistry, New Cross Hospital, Wolverhampton, West Midlands. WV10 0QP, UK. E-mail: rousseau.gama{at}rwh-tr.nhs.uk

Objectives. Serum prolactin concentrations have been reported as higher, similar or lower in patients with rheumatoid arthritis (RA) compared with control subjects. We investigated whether low biological activity macroprolactin (a prolactin antibody complex), which is detected variably in different prolactin immunoassays, could account for the discrepant total prolactin results reported in RA.

Methods. We compared serum total prolactin and free prolactin in 60 women with RA and 31 female controls.

Results. No subject had hyperprolactinaemia or macroprolactinaemia. Serum concentrations of total and free (monomeric) prolactin were higher (P<0.05) in women with RA [mean (S.D.), 225.6 (104.6) and 201.6 (95.4) mU/l respectively] compared with controls [175.0 (68.5) and 154.0 (60.9) mU/l respectively].

Conclusions. We report higher serum free prolactin concentrations in women with RA compared with control subjects. This result indicates that the higher serum total prolactin levels in patients with RA are the consequence of increased free prolactin concentrations and are not due to macroprolactin.

KEY WORDS: Prolactin, Macroprolactin, Big prolactin, Big big prolactin, Rheumatoid arthritis


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