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血清叶酸、25-羟维生素 D3 和钴胺素在 UVB 光疗期间的水平:一项大型前瞻性试验的结果。

Serum levels of folate, 25-hydroxyvitamin D3 and cobalamin during UVB phototherapy: findings in a large prospective trial.

机构信息

Department of Dermatology, Medical University of Vienna, Vienna, Austria.

Department of Laboratory Medicine, Medical University of Vienna, Vienna, Austria.

出版信息

J Eur Acad Dermatol Venereol. 2020 Feb;34(2):385-391. doi: 10.1111/jdv.15941. Epub 2019 Oct 8.

DOI:10.1111/jdv.15941
PMID:31494977
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7027503/
Abstract

BACKGROUND

Narrowband UVB phototherapy (NB-UVB) is a mainstay in the treatment of numerous inflammatory dermatoses. Whereas, a wealth of studies has shown that NB-UVB treatment increases 25-hydroxyvitamin D3 (25(OH)D) levels, only sparse and controversial data exist on its effect on serum folate and cobalamin.

OBJECTIVES

To determine whether exposure to NB-UVB alters serum folate or cobalamin levels.

METHODS

A single-centre, prospective, open observational study on 101 patients subjected to NB-UVB phototherapy between late fall and early spring. Serum folate, 25(OH)D and cobalamin levels were measured after 0, 12, 24 and 36 NB-UVB exposures.

RESULTS

After 12 NB-UVB exposures a significant decrease of mean serum folate (-1.0 nmol/L; P = 0.03) and cobalamin (-14.5 pmol/L, P = 0.03) levels was observed whereas serum levels of 25(OH)D showed a significant increase (35.4 nmol/L, P < 0.0001).

CONCLUSIONS

A standard course of NB-UVB induces a small but significant decrease of serum folate and cobalamin levels.

摘要

背景

窄谱中波紫外线光疗(NB-UVB)是治疗多种炎症性皮肤病的主要方法。虽然大量研究表明 NB-UVB 治疗可提高 25-羟维生素 D3(25(OH)D)水平,但关于其对血清叶酸和钴胺素的影响仅有少量且存在争议的数据。

目的

确定暴露于 NB-UVB 是否会改变血清叶酸或钴胺素水平。

方法

一项单中心、前瞻性、开放观察性研究,共纳入 101 例在深秋至早春期间接受 NB-UVB 光疗的患者。在 0、12、24 和 36 次 NB-UVB 照射后测量血清叶酸、25(OH)D 和钴胺素水平。

结果

在 12 次 NB-UVB 照射后,平均血清叶酸(-1.0 nmol/L;P = 0.03)和钴胺素(-14.5 pmol/L,P = 0.03)水平显著下降,而 25(OH)D 血清水平显著增加(35.4 nmol/L,P < 0.0001)。

结论

标准疗程的 NB-UVB 会导致血清叶酸和钴胺素水平出现轻微但显著的下降。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f993/7027503/6f7d9bad2710/JDV-34-385-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f993/7027503/cca4b6658a34/JDV-34-385-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f993/7027503/b693ff32103b/JDV-34-385-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f993/7027503/789ebd36e443/JDV-34-385-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f993/7027503/6f7d9bad2710/JDV-34-385-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f993/7027503/cca4b6658a34/JDV-34-385-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f993/7027503/b693ff32103b/JDV-34-385-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f993/7027503/789ebd36e443/JDV-34-385-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f993/7027503/6f7d9bad2710/JDV-34-385-g004.jpg

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Sun exposure and 25-hydroxyvitamin D levels in a community sample: Quantifying the association with electronic dosimeters.
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