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血清维生素D水平与儿童斑秃的疾病严重程度相关。

Serum vitamin D level is related to disease severity in pediatric alopecia areata.

作者信息

Unal Mehmet, Gonulalan Gulsum

机构信息

Department of Dermatology, Konya Numune Hospital, Konya, Turkey.

Department of Endocrinology and Metabolism, Konya Numune Hospital, Konya, Turkey.

出版信息

J Cosmet Dermatol. 2018 Feb;17(1):101-104. doi: 10.1111/jocd.12352. Epub 2017 Apr 26.

Abstract

BACKGROUND

Alopecia areata (AA) is the most common cause of inflammatory hair loss. AA is considered an autoimmune disease and occurs with various autoimmune disorders. Recent studies have revealed connection between autoimmune diseases and vitamin D deficiency.

OBJECTIVES

In this study, we investigated vitamin D status in AA and its relationship with disease severity, number of patches, and disease duration.

METHODS

This study included 20 pediatric patients with AA and 34 pediatric healthy controls. The serum vitamin D levels were evaluated.

RESULTS

The mean serum 25(OH)D concentration of patients was 15.47±7.66 ng/mL and of control group was 11.09±10.53 ng/mL. There was no statistically significant difference between two groups (P: .084). Vitamin D concentration had significantly and negatively correlated with SALT score (P<.001 and r: -.831), number of patch (P<.001 and r: -.989), and disease duration (P<.001 and r: -.997).

CONCLUSION

Vitamin D deficiency is not the only etiologic factor in AA pathogenesis, but in the presence of other etiological factors, this deficiency can aggravate AA severity, and thus, vitamin D supplementation may be beneficial in treatment of pediatric AA.

摘要

背景

斑秃(AA)是炎症性脱发最常见的病因。AA被认为是一种自身免疫性疾病,常与多种自身免疫性疾病并发。近期研究揭示了自身免疫性疾病与维生素D缺乏之间的联系。

目的

在本研究中,我们调查了斑秃患者的维生素D状况及其与疾病严重程度、斑秃斑片数量和病程的关系。

方法

本研究纳入了20例斑秃患儿和34例健康对照儿童。评估血清维生素D水平。

结果

患者血清25(OH)D平均浓度为15.47±7.66 ng/mL,对照组为11.09±10.53 ng/mL。两组间差异无统计学意义(P = 0.084)。维生素D浓度与SALT评分(P<0.001,r = -0.831)、斑秃斑片数量(P<0.001,r = -0.989)和病程(P<0.001,r = -0.997)均呈显著负相关。

结论

维生素D缺乏不是斑秃发病机制中的唯一病因,但在存在其他病因的情况下,这种缺乏会加重斑秃的严重程度,因此,补充维生素D可能有助于儿童斑秃的治疗。

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