Evidence map›Paper›PMID 41064504›Full record

ArticleFrontiers in medicine2025

Association of serum complement C3 level with disease severity in primary pterygium.

Young In Yun, Jung Sun Heo, Seung Hyeun Lee, Kyoung Woo Kim

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Article in Frontiers in medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Young In YunDepartment of Ophthalmology, Dongguk University Ilsan Hospital, Goyang, Republic of Korea.
Jung Sun HeoDepartment of Ophthalmology, Chung-Ang University College of Medicine, Chung-Ang University Hospital, Seoul, Republic of Korea.
Seung Hyeun LeeDepartment of Ophthalmology, Chung-Ang University College of Medicine, Chung-Ang University Gwangmyeong Hospital, Gwangmyeong, Republic of Korea.
Kyoung Woo KimDepartment of Ophthalmology, Chung-Ang University College of Medicine, Chung-Ang University Hospital, Seoul, Republic of Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To investigate whether various systemic inflammatory and immunologic markers-including complement C3, C4, antinuclear antibodies (ANA), rheumatoid factor (RF), and other autoantibodies-are associated with the clinical severity of primary nasal pterygium. Methods: We retrospectively reviewed 26 eyes from patients with primary nasal pterygium. Serum complement levels (C3, C4), erythrocyte sedimentation rate (ESR), and autoimmune markers (ANA, RF, perinuclear anti-neutrophil cytoplasmic antibody [P-ANCA], cytoplasmic ANCA [C-ANCA], human leukocyte antigen [HLA]-B51, HLA-B27, anti-Ro [SSA], and anti-La [SSB]) were measured. Pterygium severity was graded using T (stromal translucency), V (vascularity), and the loss of plica semilunaris (LPS). Results: Among 26 patients (mean age 52.9 ± 14.9 years; 42.3% female), 61.5% tested positive for ANA. However, neither ANA positivity nor titer correlated with T, V, or LPS grades. Five patients (19.2%) had low C3 (<90 mg/dL). Although C4 and ESR did not correlate with disease severity, C3 levels showed a significant inverse correlation with the T grade ( Conclusion: Lower serum C3 levels were associated with advanced stromal opacification in pterygium, indicating possible complement activation in severe disease. While ANA was frequently positive, it did not correlate with clinical severity. These findings suggest that complement C3 may serve as a potential biomarker for advanced pterygium.

Indexed as

complement C3disease severitypterygiumserum biomarkersT grade

Identifiers

PMID41064504
PMCPMC12500725

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