Study of changes in zinc and copper concentrations before and after psoriasis vulgaris treatment by narrow band ultraviolet irradiation (UVB-311nm) plus low dose methotrexate

  • Dang Van Em 108 Military Central Hospital
  • Phạm Diem Thuy 108 Military Central Hospital
  • Dang Trung Thanh 108 Military Central Hospital
  • Dang Thi Diu Hien 108 Military Central Hospital
  • Hoang Thi Gam 108 Military Central Hospital
  • Nguyen Thi Hai Yen 108 Military Central Hospital

Main Article Content

Keywords

Psoriasis vulgaris, UVB-311nm, methotrexate, Zinc, Copper

Abstract

Summary


Objective: To evaluate changes in zinc (Zn) and copper (Cu) concentrations before and after psoriasis vulgaris treated by UVB-311nm irradiation combined with low dose methotrexate (MTX) 7.5mg/week at Dep. of Dermatology and Venereology, 108 Military Central Hospital. Subject and method: 35 patients with moderate and severe psoriasis vulgaris are exposed to UVB-311nm once a day for 5 days/week plus oral dose of 7.5mg/week × 4 weeks and have blood drawn to quantify Zn and Cu before and after 4 weeks of inpatient treatment compared with 32 control groups (healthy people). Result: Before treatment, concentration of Zn in the serum of patients with psoriasis vulgaris before treatment decreased compared to the control group (p<0.05), while Cu did not mean change p>0.05. After treatment, Zn concentration increased more than before treatment with p<0.05 and Cu concentration, the change was not statistically significant, with p>0.05. Conclusion: UVB-311nm irradiation combined with low dose MTX when PASI decreased by 69% resulted in increased Zn concentration in blood while Cu concentration remained unchanged.


Keywords: Psoriasis vulgaris, UVB-311nm, methotrexate, Zinc, Copper.

Article Details

References

1. Bộ môn Da liễu, Viện nghiên cứu Khoa học Y Dược lâm sàng 108 (2017) Bệnh vảy nến. Giáo trình Da liễu, Nhà xuất bản Y học, Tập 1, tr. 117-132.
2. Habif TP (2010) Psoriasis, Clinical dermatology, fifth Edition. Mosby Elseveier: 264-307.
3. Đặng Văn Em (2013) Bệnh vảy nến. Nhà xuất bản Y học, 246 tr.
4. Bor NM, Karabiyikoglu A, Dereagzi H (1991) Zinc in treatment of psoriasis. Journal of islanic academy of science 4(1): 78-82.
5. Gajjar M, Sirajwala HB, Gajjar D et al (2015) Role of serum copper and zinc in pathogenesis of psoriasis. IOSR J. Bioetchnology and Biocheistry 1(6): 77-81.
6. Phạm Mỹ Hằng, Đặng Văn Em (2017) Nghiên cứu nồng độ kẽm, đồng trong huyết thanh bệnh nhân vảy nến thông thường. Tạp chí Y học Việt Nam, tập 459, số 1, tr. 174-176.
7. Sheikh G, Masood Q, Majeed S, Hassan I (2015) Comparison of levels of serum Copper, Zinc, albumin, globulin and alkaline phosphatase in psoriatic patients and controls: A hospital based casecontrol study. Indian Dermatol Online J 6(2): 81-83.
8. Shahidi-Dadras M, Namazi N, Younespour S (2017) Comparative analysis of serum copper, iron, ceruloplamin, and transferrin levels in mild and severe psoriasis vugaris in Iranian patients. Indian Dermatol Onlie J 8(4): 250-253.