Association of hypovitaminosis D with Systemic Lupus Erythematosus and inflammation.
| Autor: | de Souza VA; Universidade Federal de Juiz de Fora., Bastos MG; Universidade Federal de Juiz de Fora., Fernandes NM; Universidade Federal de Juiz de Fora., Mansur HN; Universidade Salgado de Oliveira., Raposo NR; Universidade Federal de Juiz de Fora., de Souza DM; Fundação Hospitalar do Estado de Minas Gerais., de Andrade LC; Universidade Federal de Juiz de Fora. |
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| Jazyk: | English; Portuguese |
| Zdroj: | Jornal brasileiro de nefrologia : 'orgao oficial de Sociedades Brasileira e Latino-Americana de Nefrologia [J Bras Nefrol] 2014 Oct-Dec; Vol. 36 (4), pp. 430-6. |
| DOI: | 10.5935/0101-2800.20140062 |
| Abstrakt: | Introduction: Nowadays it is described a high prevalence of hypovitaminosis D in Systemic Lupus Erythematosus (SLE), which is associated with some clinical manifestations and increased inflammatory activity. Objective: To evaluate the association between vitamin D insufficiency with SLE and inflammatory markers. Methods: Cross-sectional study, in which have been evaluated 45 SLE patients and 24 controls without the disease. Levels of 25-hydroxyvitamin D [25(OH) D] less than 30 ng/mL were considered inadequate. Disease activity was assessed by the Systemic Lupus Erythematosus Disease Activity Index (SLEDAI). High sensitivity C reactive protein (hsCRP) and interleukin-6 (IL-6) were evaluated for verification of the inflammatory status. For assessment of renal involvement, analysis of abnormal elements and urinay sediment (AES), quantitative hematuria and pyuria, proteinuria and creatinine clearance in 24-hour urine and serum anti-double stranded DNA were performed. Results: The prevalence of 25(OH)D insufficiency was 55% in SLE patients and 8% in the controls participants (p = 0.001). The median of 25(OH)D was lower in patients than in controls. Patients with insufficient 25(OH)D had higher levels of IL-6 and higher prevalence of hematuria in the AES. There was no correlation between vitamin D and SLEDAI or lupus nephritis. Conclusion: In our study, vitamin D deficiency was more prevalent in patients with SLE and was associated with higher levels of IL-6 and hematuria. |
| Databáze: | MEDLINE |
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