Hypochlorhydria and hypergastrinaemia in rheumatoid arthritis.

Abstract:

:In order to evaluate the incidence and aetiology of hypergastrinaemia 53 patients with seropositive rheumatoid arthritis were examined for gastric acid secretion, fasting serum gastrin concentration, circulating parietal cell antibodies, and some parameters of the activity of inflammation of rheumatoid arthritis. The basal and maximum acid output was found to be subnormal in this group (P less than 0.01), and in 11 of these patients (23%) the fasting serum gastrin levels were raised (P less than 0.05). This hypergastrinaemia correlated strongly with maximum acid output. Only in cases of achlorhydria or hypochlorhydria (maximum acid output less than 2 mmol/l) was the serum gastrin level markedly raised. Two out of 5 patients with achlorhydria were found to have circulating parietal cell antibodies, and 1 had decreased absorption of vitamin B12. No relationship was found between serum gastrin and duration or activity of rheumatoid arthritis; nor was there a relationship between basal serum gastrin and the various antirheumatic drugs administered.

journal_name

Ann Rheum Dis

authors

de Witte TJ,Geerdink PJ,Lamers CB,Boerbooms AM,van der Korst JK

doi

10.1136/ard.38.1.14

subject

Has Abstract

pub_date

1979-02-01 00:00:00

pages

14-7

issue

1

eissn

0003-4967

issn

1468-2060

journal_volume

38

pub_type

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