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血清同型半胱氨酸与白癜风面积评分指数之间的相关性。

Correlation between Serum Homocysteine and Vitiligo Area Scoring Index.

作者信息

Hasibuan Dina R U, Putra Imam B, Jusuf Nelva K

机构信息

Dermatovenereology, Faculty of Medicine, University of Sumatera Utara, Medan, North Sumatera, Indonesia.

出版信息

Open Access Maced J Med Sci. 2017 Jun 11;5(3):332-334. doi: 10.3889/oamjms.2017.066. eCollection 2017 Jun 15.

DOI:10.3889/oamjms.2017.066
PMID:28698752
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5503732/
Abstract

BACKGROUND

Vitiligo is a chronic skin disorder. White macules caused by melanocyte destruction is a characteristic finding that cosmetically disturbing. Until recently, pathogenesis of vitiligo is still unclear. The role of homocysteine in vitiligo is mentioned in previous studies thus it is probable that it can be a biomarker to determine vitiligo severity.

AIM

To determine correlation between serum homocysteine and vitiligo area Scoring Index (VASI).

SUBJECT AND METHOD

This was a cross-sectional analytic study which involved 30 vitiligo patients that were diagnosed by clinical and Wood's lamp examinations then VASI score was determined and same numbers of control. We conducted blood sampling and measurement of serum homocysteine level to the patients.

RESULTS

There is no significant correlation between serum homocysteine and VASI score (p = 0.133, r = 0.281), family history (p = 0.706), and duration of vitiligo (p = 0.993, r = 0.002). There is no significant difference between serum homocysteine in vitiligo patients and controls (p = 0.905). There is a correlation between serum homocysteine with gender (p = 0.001) and age (p = 0.036; r = 0.385) in vitiligo patient.

CONCLUSION

There is no significant correlation between serum homocysteine and VASI score, family history, and duration of vitiligo. There is no significant difference between serum homocysteine in vitiligo patients and controls. There is a correlation between serum homocysteine with gender and age in vitiligo patient.

摘要

背景

白癜风是一种慢性皮肤病。由黑素细胞破坏引起的白色斑片是其特征性表现,会影响美观。直到最近,白癜风的发病机制仍不清楚。先前的研究提到了同型半胱氨酸在白癜风中的作用,因此它有可能成为确定白癜风严重程度的生物标志物。

目的

确定血清同型半胱氨酸与白癜风面积评分指数(VASI)之间的相关性。

对象与方法

这是一项横断面分析研究,纳入了30例经临床和伍德灯检查确诊的白癜风患者,确定其VASI评分,并设置相同数量的对照组。我们对患者进行了采血并检测血清同型半胱氨酸水平。

结果

血清同型半胱氨酸与VASI评分(p = 0.133,r = 0.281)、家族史(p = 0.706)以及白癜风病程(p = 0.993,r = 0.002)之间均无显著相关性。白癜风患者与对照组的血清同型半胱氨酸水平无显著差异(p = 0.905)。白癜风患者的血清同型半胱氨酸与性别(p = 0.001)和年龄(p = 0.036;r = 0.385)之间存在相关性。

结论

血清同型半胱氨酸与VASI评分、家族史以及白癜风病程之间均无显著相关性。白癜风患者与对照组的血清同型半胱氨酸水平无显著差异。白癜风患者的血清同型半胱氨酸与性别和年龄之间存在相关性。

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本文引用的文献

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Clin Exp Dermatol. 2012 Jan;37(1):62-4. doi: 10.1111/j.1365-2230.2011.04142.x.
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Vitiligo: a comprehensive overview Part I. Introduction, epidemiology, quality of life, diagnosis, differential diagnosis, associations, histopathology, etiology, and work-up.白癜风:全面概述 第一部分。引言、流行病学、生活质量、诊断、鉴别诊断、关联、组织病理学、病因学和检查。
J Am Acad Dermatol. 2011 Sep;65(3):473-491. doi: 10.1016/j.jaad.2010.11.061.
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Vitiligo: a review of the published work.白癜风:已发表文献的综述。
J Dermatol. 2011 May;38(5):419-31. doi: 10.1111/j.1346-8138.2010.01139.x.
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Serum homocysteine as a biomarker of vitiligo vulgaris severity: a pilot study.血清同型半胱氨酸作为寻常型白癜风严重程度的生物标志物:一项初步研究。
J Am Acad Dermatol. 2011 Feb;64(2):445-7. doi: 10.1016/j.jaad.2010.08.025.
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The involvement of Smac/DIABLO, p53, NF-kB, and MAPK pathways in apoptosis of keratinocytes from perilesional vitiligo skin: Protective effects of curcumin and capsaicin.丝氨酸/天冬氨酸蛋白酶抑制剂(Smac/DIABLO)、p53、NF-κB 和 MAPK 通路在白癜风皮损区角质形成细胞凋亡中的作用:姜黄素和辣椒素的保护作用。
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Homocysteine metabolism.同型半胱氨酸代谢
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Alterations in IL-6, IL-8, GM-CSF, TNF-alpha, and IFN-gamma release by peripheral mononuclear cells in patients with active vitiligo.活动期白癜风患者外周血单个核细胞释放白细胞介素-6、白细胞介素-8、粒细胞巨噬细胞集落刺激因子、肿瘤坏死因子-α和干扰素-γ的变化。
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