Journals / art / 2021 / Cilt: 36 - Sayı: 1

Association of vitamin D deficiency and disease activity in systemic lupus erythematosus patients: Two-year follow-up study

Journal
art
Pages
101–106
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

We hope this study becomes a platform for the global medical community to come together and implement early screening and monitoring of vitamin D levels and to determine the optimal level of supplementation for prevention of poor outcomes in SLE.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objectives: This study aims to determine the prevalence of vitamin D deficiency in Pakistani systemic lupus erythematosus (SLE) patients and the effect of vitamin D deficiency on the severity and outcomes of SLE.
📊
Key Findings & Data:Patients and methods: This retrospective study evaluated SLE patients presenting to our hospital between January 2009 and December 2018.
💡
Conclusion & Impact:We hope this study becomes a platform for the global medical community to come together and implement early screening and monitoring of vitamin D levels and to determine the optimal level of supplementation for prevention of poor outcomes in SLE.
🔬Design:Research Article
📍Scope:2009 Verileri
⚙️Variables:Domain Parameters

Özet

Objectives: This study aims to determine the prevalence of vitamin D deficiency in Pakistani systemic lupus erythematosus (SLE) patients and the effect of vitamin D deficiency on the severity and outcomes of SLE. Patients and methods: This retrospective study evaluated SLE patients presenting to our hospital between January 2009 and December 2018. A total of 98 patients (13 males, 85 females; mean age 39.8±14.9 years; range, 16 to 73 years) with vitamin D levels available at the time of diagnosis were included in the study. Disease activity was measured using SLE disease activity score at the time of diagnosis and at the two-year mark. Results: Sixty-five patients were deficient in Vitamin D and out of those 46 were severely deficient. The severe disease group had more patients with vitamin D deficiency at both visits (43/78 and 33/46) while patients in remission all had normal vitamin D (12/12 and 14/14) (p≤0.001). Conclusion: Vitamin D deficiency is common in SLE patients and also significantly associated with increased disease activity at the time of diagnosis and at the two-year mark. We hope this study becomes a platform for the global medical community to come together and implement early screening and monitoring of vitamin D levels and to determine the optimal level of supplementation for prevention of poor outcomes in SLE.

🔖

Cite This Article

ARSHAD, A., MAHMOOD, S. B. Z., AYAZ, A., MANJI, A. A. K., AHUJA, A. K. (2021). Association of vitamin D deficiency and disease activity in systemic lupus erythematosus patients: Two-year follow-up study. art, Cilt: 36 - Sayı: 1, 101–106. https://ajindex.com/articles/351641

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (14)

  1. Ruiz-Irastorza G, Egurbide MV, Olivares N, MartinezBerriotxoa A, Aguirre C. Vitamin D deficiency in systemic lupus erythematosus: prevalence, predictors and clinical consequences. Rheumatology (Oxford) 2008;47:920-3
  2. Mak A. The Impact of Vitamin D on the Immunopathophysiology, Disease Activity, and ExtraMusculoskeletal Manifestations of Systemic Lupus Erythematosus. Int J Mol Sci 2018;19:2355
  3. Mao S, Huang S. Association between vitamin D receptor gene BsmI, FokI, ApaI and TaqI polymorphisms and the risk of systemic lupus erythematosus: a metaanalysis. Rheumatol Int 2014;34:381-8
  4. Kow NY, Mak A. Costimulatory pathways: physiology and potential therapeutic manipulation in systemic lupus erythematosus. Clin Dev Immunol 2013;2013:245928
  5. Bombardier C, Gladman DD, Urowitz MB, Caron D, Chang CH. Derivation of the SLEDAI. A disease activity index for lupus patients. The Committee on Prognosis Studies in SLE. Arthritis Rheum 1992;35:630-40
  6. Jesus D, Matos A, Henriques C, Zen M, Larosa M, Iaccarino L, et al. Derivation and validation of the SLE Disease Activity Score (SLE-DAS): a new SLE continuous measure with high sensitivity for changes in disease activity. Ann Rheum Dis 2019;78:365-71
  7. Mok CC, Bro ET, Ho LY, Singh RJ, Jannetto PJ. Serum 25-hydroxyvitamin D3 levels and flares of systemic lupus erythematosus: a longitudinal cohort analysis. Clin Rheumatol 2018;37:2685-92
  8. Mak A, Kow NY. The pathology of T cells in systemic lupus erythematosus. J Immunol Res 2014;2014:419029
  9. Abaza NM, El-Mallah RM, Shaaban A, Mobasher SA, Al-Hassanein KF, Abdel Zaher AA, et al. Vitamin D deficiency in egyptian systemic lupus erythematosus patients: how prevalent and does it impact disease activity? Integr Med Insights 2016;11:27-33
  10. Aslam MM, John P, Bhatti A, Jahangir S, Kamboh MI. Vitamin D as a principal factor in mediating rheumatoid arthritis-derived immune response. Biomed Res Int 2019;2019:3494937
  11. Malik A, Saleem S, Basit Ashraf MA, Qazi MH. 1, 25-dihydroxyvitamin D3, a potential role player in the development of thyroid disorders in schizophrenics. Pak J Med Sci 2016;32:1370-4
  12. Dahlström Ö, Sjöwall C. The diagnostic accuracies of the 2012 SLICC criteria and the proposed EULAR/ ACR criteria for systemic lupus erythematosus classification are comparable. Lupus 2019;28:778-82
  13. Mok CC. Vitamin D and systemic lupus erythematosus: an update. Expert Rev Clin Immunol 2013;9:453-63
  14. Damanhouri LH. Vitamin D deficiency in Saudi patie