Evaluation of the role of vitamin D in patients with psoriasis
DOI:
https://doi.org/10.33448/rsd-v12i12.43929Keywords:
Psoriasis; Vitamin D; Immune system.Abstract
Objectives: Investigate whether there is any association between the levels of vitamin D in the blood and the seriousness of psoriasis or its development. Methods: The study is characterized as observational, retrospective, composed of 40 patients with psoriasis who had serum vitamin D levels, who underwent clinical care at a dermatology outpatient clinic in Passo Fundo/RS, from August 2019 to June 2021. Results: Of the 40 interviewees, 60% were female and 40% male. Phototypes II and III prevailed. Regarding family health history, 50% had a history of the disease. Regarding the duration of psoriasis, the predominant group was between 1-10 years (57.5%). The most prevalent psoriasis subtype was vulgaris (62.5%). Regarding serum vitamin D results, the lowest index was 15.2 ng ̸ mL, the highest was 42.3 ng ̸ mL and the average was 25.99 ng ̸mL. In the predominant age group, between 20-40 years, the proportion of patients with vitamin D was less than 30 ng ̸mL is 83.33%. The lower the phototype, the greater the proportion of patients with suboptimal serum vitamin D. In the group of patients with disease duration > 10 years, vitamin D levels were lower. There is no extreme difference in the effectiveness of treatments when analyzing the average, minimum and maximum serum levels of vitamin D. Conclusion: There was no relationship between serum levels of 25-hydroxyvitamin D (25OHD) and the development of psoriasis or even control – worsening of the clinical picture of disease.
References
Alzaman, N. S., Dawson-Hughes, B., Nelson, J., D’Alessio, D., & Pittas, A. G. (2016). Vitamin D status of black and white Americans and changes in vitamin D metabolites after varied doses of vitamin D supplementation. The American Journal of Clinical Nutrition, 104(1), 205–214. https://doi.org/10.3945/ajcn.115.129478
Atwa, M. A., Balata, M. G., Hussein, A. M., Abdelrahman, N. I., & Elminshawy, H. H. (2013). Serum 25-hydroxyvitamin D concentration in patients with psoriasis and rheumatoid arthritis and its association with disease activity and serum tumor necrosis factor-alpha. Saudi Medical Journal, 34(8), 806–813. https://pubmed.ncbi.nlm.nih.gov/23974451/
Chandrashekar, L., Gr, K., Medha Rajappa, G. Revathy, M. M., & Devinder M. T. (2015). 25-hydroxy vitamin D and ischaemia-modified albumin levels in psoriasis and their association with disease severity. British Journal of Biomedical Science, 72(2), 56–60. https://doi.org/10.1080/09674845.2015.11666797
da Silva, B. M. B., Teixeira, M., Cardoso, M., Nascimento, P. M. M., & Gonçalves, B. C. M. (2016). Psoríase: Classificação Clínica e Tratamento Tópico. Janus, 13(24).
Dawson-Hughes, B. (2004). Racial/ethnic considerations in making recommendations for vitamin D for adult and elderly men and women. The American Journal of Clinical Nutrition, 80(6), 1763S1766S. https://doi.org/10.1093/ajcn/80.6.1763s
Delvin, E., Souberbielle, J.-C., Viard, J.-P., & Salle, B. (2014). Role of vitamin D in acquired immune and autoimmune diseases. Critical Reviews in Clinical Laboratory Sciences, 51(4), 232–247. https://doi.org/10.3109/10408363.2014.901291
Estrela, C. (2018). Metodologia Científica: Ciência, Ensino, Pesquisa. Editora Artes Médicas
Gisondi, P., Rossini, M., Di Cesare, A., Idolazzi, L., Farina, S., Beltrami, G., Peris, K., & Girolomoni, G. (2012). Vitamin D status in patients with chronic plaque psoriasis. British Journal of Dermatology, 166(3), 505–510. https://doi.org/10.1111/j.1365-2133.2011.10699.x
Gupta, A., Arora, T., Jindal, A., & Bhadoria, A. (2016). Efficacy of narrowband ultraviolet B phototherapy and levels of serum vitamin D3 in psoriasis: A prospective study. Indian Dermatology Online Journal, 7(2), 87. https://doi.org/10.4103/2229-5178.17808
Hagenau, T., Vest, R., Gissel, T. N., Poulsen, C. S., Erlandsen, M., Mosekilde, L., & Vestergaard, P. (2008). Global vitamin D levels in relation to age, gender, skin pigmentation and latitude: an ecologic meta-regression analysis. Osteoporosis International, 20(1), 133–140. https://doi.org/10.1007/s00198-008-0626-y
Hilger, J., Friedel, A., Herr, R., Rausch, T., Roos, F., Wahl, D. A., Pierroz, D. D., Weber, P., & Hoffmann, K. (2013). A systematic review of vitamin D status in populations worldwide. British Journal of Nutrition, 111(1), 23–45. https://doi.org/10.1017/s000711451300184
Machado, E. R., Oliveira, L. B. de, Chaves, P. L. G., Gomes, L. O. R. V., & Lins, J. P. (2019). Psoríase: uma revisão sistemática da literatura. Revista De Iniciação Científica E Extensão, 2(Esp.1), 52. Recuperado de https://revistasfacesa.senaaires.com.br/index.php/iniciacao-cientifica/article/view/22
Zuchi, M. F., Tanaka, A. A., Martins, L. E. A. M., Azevedo, P. O., Schmitt, J. V. (2015). Serum levels of 25-hydroxy vitamin D in psoriatic patients. Anais Brasileiros de Dermatologia, 90(3), 430–432. https://doi.org/10.1590/abd1806-4841.2015352
Morimoto, S., Yoshikawa, K., Keisuke Fukuo, Shiraishi, T., Koh, E., Shunji Imanaka, Kitano, S., & Toshio Ogihara. (1990). Inverse relation between severity of psoriasis and serum 1,25-dihydroxyvitamin D level. Journal of Dermatological Science, 1(4), 277–282. https://doi.org/10.1016/0923-1811(90)90120-
Moscardi, E., Suzana, E., & Ogava. (2017). Psoriasis: etiology, diagnosis and treatment. 29(2), 70–74. https://revista.uninga.br/uningareviews/article/download/1954/1550/564
O que é psoríase e por que ela pode causar problemas no coração? (n.d.). BBC News Brasil. https://www.bbc.com/portuguese/brasil-5021485
Pitukweerakul, S., Thavaraputta, S., Prachuapthunyachart, S., & Karnchanasorn, R. (2019). Hypovitaminosis D is Associated with Psoriasis: A Systematic Review and Meta-Analysis. Kansas Journal of Medicine, 12(4), 103–108. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6884011
Soleymani, T., Hung, T., & Soung, J. (2015). The role of vitamin D in psoriasis: a review. International Journal of Dermatology, 54(4), 383–392. https://doi.org/10.1111/ijd.12790
Umar, M., Sastry, K. S., Al Ali, F., Al-Khulaifi, M., Wang, E., & Chouchane, A. I. (2018). Vitamin D and the Pathophysiology of Inflammatory Skin Diseases. Skin Pharmacology and Physiology, 31(2), 74–86. https://doi.org/10.1159/000485132
Vidal, M. de L. (2019). Associação entre os níveis séricos de vitamina D e a gravidade da psoríase. Universidade Federal de Pernambuco. https://repositorio.ufpe.br/handle/123456789/34379
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Isabel Caroline Zanatta Pedon; Gabriela Martins Fim ; Nathalia Kaminski Della Libera; Alexandra Brugnera Nunes de Mattos
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.