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探索维生素D和锌缺乏对脂溢性皮炎的影响:一项对比研究。

Exploring the Impact of Vitamin D and Zinc Deficiencies on Seborrheic Dermatitis: A Comparative Study.

作者信息

Kashiri Amine, Maghsoudloo Negin

机构信息

Gorgan Faculty of Medicine Golestan University of Medical Sciences Gorgan Iran.

出版信息

Health Sci Rep. 2024 Dec 24;7(12):e70283. doi: 10.1002/hsr2.70283. eCollection 2024 Dec.

DOI:10.1002/hsr2.70283
PMID:39720239
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11667214/
Abstract

BACKGROUND AND AIMS

Seborrheic dermatitis (SD) is a chronic inflammatory skin condition that affects patients' quality of life. Emerging evidence suggests that vitamin and mineral deficiencies may contribute to its progression, although the exact etiology remains unclear.

OBJECTIVE

This case-control study assessed the serum levels of vitamin D and zinc in SD patients compared to a healthy control group, with a focus on how these deficiencies relate to disease severity.

METHODS

A total of 71 SD patients and 71 healthy controls participated, providing demographic data and blood samples. Disease severity was evaluated using the SEDASI scoring system. Serum vitamin D and zinc levels were measured using ELISA and photometric methods, respectively. Statistical analysis was performed using t-tests and chi-square tests in SPSS 24, with groups matched for demographic variables ( > 0.05).

RESULTS

Findings revealed no significant difference in vitamin D levels between SD patients and the control group ( = 0.066). However, zinc levels were notably lower in the SD group ( = 0.001). Additionally, vitamin D levels were inversely related to the severity of SD ( = 0.022), while no correlation was found between zinc levels and disease severity ( = 0.664).

CONCLUSION

Zinc deficiency appears to play a role in SD pathogenesis, while lower vitamin D levels are associated with increased disease severity. These findings highlight the need for further research into the potential therapeutic role of nutrient supplementation in managing SD.

摘要

背景与目的

脂溢性皮炎(SD)是一种慢性炎症性皮肤病,会影响患者的生活质量。新出现的证据表明,维生素和矿物质缺乏可能促使其病情发展,尽管确切病因仍不清楚。

目的

本病例对照研究评估了脂溢性皮炎患者与健康对照组血清中维生素D和锌的水平,重点关注这些缺乏与疾病严重程度的关系。

方法

共有71例脂溢性皮炎患者和71名健康对照者参与,提供了人口统计学数据和血样。使用SEDASI评分系统评估疾病严重程度。分别采用酶联免疫吸附测定法(ELISA)和比色法测量血清维生素D和锌水平。在SPSS 24中使用t检验和卡方检验进行统计分析,各小组在人口统计学变量方面相匹配(>0.05)。

结果

研究结果显示,脂溢性皮炎患者与对照组之间的维生素D水平无显著差异(=0.066)。然而,脂溢性皮炎组的锌水平显著较低(=0.001)。此外,维生素D水平与脂溢性皮炎的严重程度呈负相关(=0.022),而锌水平与疾病严重程度之间未发现相关性(=0.664)。

结论

锌缺乏似乎在脂溢性皮炎的发病机制中起作用,而较低的维生素D水平与疾病严重程度增加有关。这些发现凸显了进一步研究营养补充在脂溢性皮炎治疗中的潜在作用的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cb1/11667214/c83cd9c380c7/HSR2-7-e70283-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cb1/11667214/7020c41d6f49/HSR2-7-e70283-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cb1/11667214/8a5eb9028461/HSR2-7-e70283-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cb1/11667214/c83cd9c380c7/HSR2-7-e70283-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cb1/11667214/7020c41d6f49/HSR2-7-e70283-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cb1/11667214/8a5eb9028461/HSR2-7-e70283-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cb1/11667214/c83cd9c380c7/HSR2-7-e70283-g003.jpg

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本文引用的文献

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Association Between Diet and Seborrheic Dermatitis: A Case-Control Study.饮食与脂溢性皮炎之间的关联:一项病例对照研究。
Cureus. 2023 Nov 14;15(11):e48782. doi: 10.7759/cureus.48782. eCollection 2023 Nov.
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Vitamin D levels in patients with seborrheic dermatitis.脂溢性皮炎患者的维生素 D 水平。
Rev Assoc Med Bras (1992). 2023 Jul 17;69(7):e20230022. doi: 10.1590/1806-9282.20230022. eCollection 2023.
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Impact of seborrheic dermatitis on osteoporosis risk: A population-based cohort study.脂溢性皮炎对骨质疏松症风险的影响:一项基于人群的队列研究。
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An Overview of the Diagnosis and Management of Seborrheic Dermatitis.脂溢性皮炎的诊断与管理概述
Clin Cosmet Investig Dermatol. 2022 Aug 6;15:1537-1548. doi: 10.2147/CCID.S284671. eCollection 2022.
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Investigation of the relationship between seborrheic dermatitis and metabolic syndrome parameters.探讨脂溢性皮炎与代谢综合征参数之间的关系。
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Seborrheic Dermatitis in Older Adults: Pathogenesis and Treatment Options.老年人脂溢性皮炎:发病机制与治疗选择。
Drugs Aging. 2022 May;39(5):315-321. doi: 10.1007/s40266-022-00930-5. Epub 2022 Apr 8.
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The epidemiology, impact, and diagnosis of micronutrient nutritional dermatoses. Part 2: B-complex vitamins.微量营养素营养性皮肤病的流行病学、影响及诊断。第2部分:B族维生素。
J Am Acad Dermatol. 2022 Feb;86(2):281-292. doi: 10.1016/j.jaad.2021.06.900. Epub 2021 Nov 1.
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The impact of clinical nutrition on inflammatory skin diseases.临床营养对炎症性皮肤病的影响。
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The epidemiology, impact, and diagnosis of micronutrient nutritional dermatoses part 1: Zinc, selenium, copper, vitamin A, and vitamin C.微量营养素营养性皮肤病的流行病学、影响及诊断 第1部分:锌、硒、铜、维生素A和维生素C
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