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白癜风患者的维生素D缺乏症:来自伊拉克巴士拉的一项横断面研究。

Vitamin D Deficiency in Patients With Vitiligo: A Cross-Sectional Study From Basrah, Iraq.

作者信息

Mahmmod Zainab, Ismael Dooha K

机构信息

Department of Medicine, College of Medicine-University of Basrah, Basrah, IRQ.

出版信息

Cureus. 2021 Dec 27;13(12):e20733. doi: 10.7759/cureus.20733. eCollection 2021 Dec.

Abstract

Background and objective Cholecalciferol (vitamin D3) plays a physiological role in melanogenesis in human skin. Vitamin D3 deficiency has become a common complication encountered in daily clinical practice. Recently, there has been growing interest in the role of vitamin D3 in the pathogenesis of vitiligo and its relevance in the treatment of the same. We have also noticed an increase in the rate of vitiligo with an associated aggressive extension of the lesions. In light of this, we conducted this study to analyze the incidence of vitamin D deficiency in patients with vitiligo and explore the effect of this deficiency on disease extension and severity. Materials and methods This was a cross-sectional study involving 46 patients with vitiligo. The affected body surface area of the patients was assessed using the Vitiligo Extent Tensity Index (VETI) score. Results Most of the vitiligo patients had very low levels of vitamin D (p<0.05), and a majority of the vitiligo patients with low vitamin D levels were females; however, this difference between females and males was not statistically significant (p=0.642). There was no significant effect of vitamin D levels on VETI scores (p=0.184). Conclusion Based on our findings, patients with vitiligo have a high incidence of vitamin D deficiency, and this deficiency is more common among females than males.

摘要

背景与目的 胆钙化醇(维生素D3)在人体皮肤黑素生成过程中发挥生理作用。维生素D3缺乏已成为日常临床实践中常见的并发症。近年来,维生素D3在白癜风发病机制中的作用及其在白癜风治疗中的相关性越来越受到关注。我们还注意到白癜风发病率上升,且病变有侵袭性扩展。鉴于此,我们开展本研究以分析白癜风患者维生素D缺乏的发生率,并探讨这种缺乏对疾病扩展和严重程度的影响。材料与方法 这是一项横断面研究,纳入46例白癜风患者。采用白癜风面积严重程度指数(VETI)评分评估患者的受累体表面积。结果 大多数白癜风患者维生素D水平极低(p<0.05),且大多数维生素D水平低的白癜风患者为女性;然而,女性与男性之间的这种差异无统计学意义(p=0.642)。维生素D水平对VETI评分无显著影响(p=0.184)。结论 根据我们的研究结果,白癜风患者维生素D缺乏的发生率较高,且这种缺乏在女性中比男性更常见。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca97/8790802/ba2295841246/cureus-0013-00000020733-i01.jpg

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