Serum vitamin D level of patients with atopic dermatitis
Main Article Content
Keywords
Abstract
Objective: The aim of this study was to examine the correlation between vitamin D concentrations and clinical characteristics of AD in patients. Subject and method: A case-control study was conducted of 60 patients with AD and 30 healthy controls at HCMC Hospital of Dermato - Venereologyfrom October 2014 to May 2015. The diagnosis was based on the Hanifin and Rajka criteria and we evaluated disease severity using the Scoring Atopic Dermatitis (SCORAD) index. Serum vitamin D concentrations were determined by measuring 25-hydroxyvitamin D [25(OH)D] levels using etrochemiluminescence immunoassay (ECLIA). Result: Levels of vitamin D in the control group were higher than in AD (30.52 ± 8.80ng/mL vs 26.37 ± 11.51ng/mL; p=0.08). Our data showed that the ratio of patients with vitamin D deficiency (≤ 20ng/mL) in AD group was 2.75 fold higher than that in control group (36.7% vs 13.3%). Furthermore, vitamin D concentrations in AD group were significantly correlated with the SCORAD index (r = -0.65; p=0.00). Serum vitamin D levels were found to be significantly higher in mild AD (40.91 ± 7.76ng/mL) compared with moderate (28.43 ± 9.82ng/mL) or severe AD (17.21 ± 6.11ng/mL) (p=0.00). Conclusion: This study demonstrated the association between serum vitamin D concentration and AD severity.
Article Details
References
2. Boguniewicz M, Leung DY (2011) Atopic dermatitis: A disease of altered skin barrier and immune dysregulation. Immunol Rev 242: 233-246.
3. Châu Văn Trở (2013) Nghiên cứu siêu kháng nguyên của tụ cầu vàng và hiệu quả điều trị viêm da cơ địa bằng kháng sinh Cefuroxim. Luận án tiến sĩ trường Đại học Y Hà Nội.
4. Levy ML (2007) Atopic dermatitis: Understanding the disease and its management. Curr Med Res Opin 23: 3091-3103.
5. Moustafa A, Elsaied et al (2013) Assessment of serum 25- hydroxyvitamin D levels in children with atopic dermatitis: Correlation with SCORAD. Dermatitis 24(6): 296-301.
6. Schauber J, Dorschner RA, Yamasaki K, Brouha B, Gallo RL (2006) Control of the innate epithelial antimicrobial response is cell-type specific and dependent on relevant microenvironmental stimuli. Immunology 118: 509-519.
7. Seon Ah Lee et al (2013) Correlation between serum vitamin D level and the severity of atopic dermatitis associated with food sensitization. Allergy, Asthma & Immunology Research 5(4): 207-210.
8. Yvonne E, Chiu et al (2013) Serum 25- hydroxyvitamin D concentration does not correlate with atopic dermatitis severity. Journal of the American Academy of Dermatology 69(1): 40-46.
9. Zbigniew S et al (2013) Vitamin D effects in atopic dermatitis. Journal of the American Academy of Dermatology 69(2): 238.