Al Houssien Abdullah O, Al Houssien Rana O, Al Ajroush Waleed, Al Kahtani Hassan S
King Saud bin Abdulaziz University for Health Sciences, Riyadh, Kingdom of Saudi Arabia. E-mail.
Saudi Med J. 2017 Apr;38(4):400-404. doi: 10.15537/smj.2017.4.17551.
To identify the proportion and risk of chronic diseases in vitiligo patients in a tertiary hospital in Riyadh, Kingdom of Saudi Arabia (KSA). Methods: A retrospective case-control study included 61 vitiligo patients and 61 normal non-dermatology controls in King Abdulaziz Medical City, Riyadh, KSA between January and September 2016. Age, gender and co-morbid diseases including hypertension, diabetes, dyslipidemia, obesity and hypothyroidism were retrieved from participants' charts and medical records. Proportion and mean were used to describe the variables, and odds ratio (OR) was used to test the data. Results: A total of 122 participants (34 males, 88 females) equally divided in cases and controls. The mean age was 45±19 years for the case and 40±17 years for the control group. The proportion of diabetes (51%) was higher in the case group than the control (33%) (OR: 0.47; 95% confidence interval [CI]: 0.23-0.98; p=0.04). Dyslipidemia was significantly associated with vitiligo (67%) compared with the control group (48%) (OR: 0.44; 95% CI: 0.21-0.92; p=0.03). Vitiligo participants had a significantly increased risk of having hypothyroidism (26%) compared with the control group (10%) (OR: 0.31; 95% CI: 0.11-0.85; p=0.02). Conclusion: There is an increased risk of chronic diseases among vitiligo patients including diabetes, dyslipidemia, hypothyroidism, renal injuries, and obesity.
为确定沙特阿拉伯王国利雅得一家三级医院白癜风患者的慢性病比例及风险。方法:一项回顾性病例对照研究纳入了2016年1月至9月期间在沙特阿拉伯王国利雅得阿卜杜勒阿齐兹国王医疗城的61例白癜风患者和61名非皮肤科正常对照者。从参与者的病历和医疗记录中获取年龄、性别以及包括高血压、糖尿病、血脂异常、肥胖和甲状腺功能减退在内的合并疾病信息。用比例和均值描述变量,用比值比(OR)检验数据。结果:共有122名参与者(34名男性,88名女性),病例组和对照组人数相等。病例组的平均年龄为45±19岁,对照组为40±17岁。病例组糖尿病的比例(51%)高于对照组(33%)(OR:0.47;95%置信区间[CI]:0.23 - 0.98;p = 0.04)。与对照组(48%)相比,血脂异常与白癜风显著相关(67%)(OR:0.44;95% CI:0.21 -
0.92;p = 0.03)。与对照组(10%)相比,白癜风患者患甲状腺功能减退的风险显著增加(26%)(OR:0.31;95% CI:0.11 - 0.85;p = 0.02)。结论:白癜风患者患糖尿病、血脂异常、甲状腺功能减退、肾损伤和肥胖等慢性病的风险增加。