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口服维生素 D 治疗银屑病患者。

Oral Vitamin D Therapy in Patients with Psoriasis.

机构信息

Department of Family Medicine, "Carol Davila" University of Medicine and Pharmacy, 050474 Bucharest, Romania.

Department of Obstetrics and Gynecology, Filantropia Clinical Hospital, "Carol Davila" University of Medicine and Pharmacy, 050474 Bucharest, Romania.

出版信息

Nutrients. 2021 Jan 6;13(1):163. doi: 10.3390/nu13010163.

DOI:10.3390/nu13010163
PMID:33419149
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7825555/
Abstract

Vitamin D treatment is effective when applied topically to the skin for plaque-type psoriasis. Oral vitamin D supplementation might be effective as an adjuvant treatment option in psoriasis. This umbrella review aimed to highlight the current knowledge regarding the use of oral vitamin D for treatment of patients with psoriasis. We performed a literature search and identified 107 eligible full-text articles that were relevant to the research interest. Among these, 10 review articles were selected, and data were extracted. A data synthesis showed that only a few studies monitored oral vitamin D efficacy in patients with psoriasis. No studies investigated the optimal dose of systemic vitamin D in psoriasis. However, most studies did not observe side effects for doses within a relatively narrow range (0.25 to 2 μg/day). These results suggest that more large-scale studies are needed to determine the efficacy, optimal dose, and adverse effects of vitamin D administration in patients with psoriasis.

摘要

维生素 D 治疗对斑块状银屑病的皮肤局部应用有效。口服维生素 D 补充剂可能是银屑病辅助治疗的有效选择。本综述旨在强调目前关于口服维生素 D 治疗银屑病患者的知识。我们进行了文献检索,确定了 107 篇与研究兴趣相关的合格全文文章。其中,选择了 10 篇综述文章,并提取了数据。数据综合表明,只有少数研究监测了口服维生素 D 在银屑病患者中的疗效。没有研究调查系统性维生素 D 在银屑病中的最佳剂量。然而,大多数研究在相对较窄的剂量范围内(0.25 至 2 μg/天)没有观察到副作用。这些结果表明,需要更多的大规模研究来确定维生素 D 治疗银屑病患者的疗效、最佳剂量和不良反应。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d13/7825555/ea1d550aa141/nutrients-13-00163-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d13/7825555/ea1d550aa141/nutrients-13-00163-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d13/7825555/ea1d550aa141/nutrients-13-00163-g001.jpg

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本文引用的文献

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Relationship Between Vitamin D Level and Mortality in Adults With Psoriasis: A Retrospective Cohort Study of NHANES Data.维生素 D 水平与银屑病成人死亡率的关系:NHANES 数据的回顾性队列研究。
Clin Ther. 2021 Feb;43(2):e33-e38. doi: 10.1016/j.clinthera.2020.11.016. Epub 2020 Dec 24.
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Intratrial Exposure to Vitamin D and New-Onset Diabetes Among Adults With Prediabetes: A Secondary Analysis From the Vitamin D and Type 2 Diabetes (D2d) Study.糖尿病前期成年人试验期间维生素D暴露与新发糖尿病:维生素D与2型糖尿病(D2d)研究的二次分析
Diabetes Care. 2020 Dec;43(12):2916-2922. doi: 10.2337/dc20-1765. Epub 2020 Oct 5.
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用于治疗银屑病的聚合物支架中的可喷涂炎性体抑制脂质纳米棒。
Nat Commun. 2024 Oct 19;15(1):9035. doi: 10.1038/s41467-024-53396-x.
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Synthesis of vitamin D3 loaded ethosomes gel to cure chronic immune-mediated inflammatory skin disease: physical characterization, in vitro and ex vivo studies.载维生素 D3 的醇质体凝胶的合成治疗慢性免疫介导的炎症性皮肤病:物理特性、体外和离体研究。
Sci Rep. 2024 Oct 12;14(1):23866. doi: 10.1038/s41598-024-72951-6.
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The Effect of Phototherapy on Systemic Inflammation Measured with Serum Vitamin D-Binding Protein and hsCRP in Patients with Inflammatory Skin Disease.光疗对炎症性皮肤病患者血清维生素 D 结合蛋白和 hsCRP 全身炎症反应的影响。
Int J Mol Sci. 2024 Aug 8;25(16):8632. doi: 10.3390/ijms25168632.
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The Perspective of Cannabidiol in Psoriasis Therapy.大麻二酚在银屑病治疗中的前景。
Psoriasis (Auckl). 2024 Jun 19;14:51-61. doi: 10.2147/PTT.S469698. eCollection 2024.
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Circulating vitamin D level before initiating chemotherapy impacts on the time-to-outcome in metastatic colorectal cancer patients: systematic review and meta-analysis.起始化疗前循环维生素 D 水平对转移性结直肠癌患者结局时间的影响:系统评价和荟萃分析。
J Transl Med. 2024 Jan 30;22(1):119. doi: 10.1186/s12967-024-04889-2.
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Efficacy and safety of vitamin D supplementation on psoriasis: A systematic review and meta-analysis.维生素 D 补充剂治疗银屑病的疗效和安全性:系统评价和荟萃分析。
PLoS One. 2023 Nov 15;18(11):e0294239. doi: 10.1371/journal.pone.0294239. eCollection 2023.
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Immunologic Effects of Vitamin D on Human Health and Disease.
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