Department of Dermatology, CRB II, Johns Hopkins University School of Medicine, Suite 206, 1550 Orleans Street, Baltimore, MD, 21231, USA.
Department of Dermatology, Massachusetts General Hospital, Boston, MA, USA.
Arch Dermatol Res. 2023 Aug;315(6):1771-1776. doi: 10.1007/s00403-022-02357-9. Epub 2022 May 10.
Little is known about the role nutritional factors play in the pathogenesis of chronic pruritic dermatoses (CPD). In this study, we analyzed nutritional deficiencies in CPD patients compared to matched controls. We conducted a population-based study from the National Health and Nutrition Examination Survey (NHANES) from 2005 to 2006. The main outcomes of the study were laboratory data on serum vitamin levels in participants who answered affirmatively to the questionnaires on CPD as well as matched healthy controls. We identified 877 cases of CPD among 9817 adults in the US aged 20 to 59 years. These findings revealed a slightly higher percentage of females with CPD. Low vitamin B6 (OR 0.697; 95% CI: 0.696-0.699, p = 0.025) and vitamin D (OR 0.794; 95% CI: 0.789-0.799, p = 0.037) levels were associated with a higher rate of CPD compared to healthy controls. Our study suggests that low levels of Vitamin B6 and Vitamin D inversely correlates with the presence of CPD. These vitamin deficiencies suggest further studies on the effect of vitamin supplementation may help in patients with CPD.
关于营养因素在慢性瘙痒性皮肤病(CPD)发病机制中的作用知之甚少。在这项研究中,我们分析了 CPD 患者与匹配对照组的营养缺乏情况。我们进行了一项基于人群的研究,数据来自于 2005 年至 2006 年的国家健康和营养检查调查(NHANES)。该研究的主要结果是对在问卷中对 CPD 回答肯定的参与者以及匹配的健康对照组的血清维生素水平进行实验室检测。我们在美国 20 至 59 岁的成年人中发现了 877 例 CPD。这些发现显示,CPD 患者中女性的比例略高。与健康对照组相比,维生素 B6(OR 0.697;95%CI:0.696-0.699,p=0.025)和维生素 D(OR 0.794;95%CI:0.789-0.799,p=0.037)水平较低与 CPD 发生率较高相关。我们的研究表明,维生素 B6 和维生素 D 水平较低与 CPD 的存在呈负相关。这些维生素缺乏表明,进一步研究维生素补充的效果可能有助于 CPD 患者。