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Vitamin D levels in children with recurrent tonsillitis
Salih Aydın1, Ismet Aslan, Ismail Yıldız
1Department of Otolaryngology, Istanbul University, Istanbul Medical Faculty, Istanbul, Turkey. drsalihaydin@gmail.com
Insights
This study found no significant difference in serum vitamin D levels or vitamin D receptor gene polymorphism between children with recurrent tonsillitis and healthy children. However, vitamin D insufficiency was more common in children with recurrent tonsillitis.
Area of Science:
- Pediatric immunology
- Nutritional science
- Genetics
Background:
- Recurrent tonsillitis etiology is not fully understood, with potential links to immune system defects.
- Vitamin D plays a crucial role in immune function.
- Vitamin D receptor gene polymorphisms may influence susceptibility to infections.
Purpose of the Study:
- To investigate serum vitamin D levels in children with recurrent tonsillitis.
- To examine vitamin D receptor gene polymorphisms (Apa1, Taq 1, Fok1) in these children.
- To compare these findings with a control group of healthy children.
Main Methods:
- Serum 25-hydroxyvitamin D levels were measured using ELISA in 106 children with recurrent tonsillitis and 127 healthy controls (ages 2-12).
- Vitamin D receptor gene polymorphisms (Apa1, Taq 1, Fok1) were determined by PCR.
- Vitamin D insufficiency was defined as serum levels below 80 nmol/L.
Main Results:
- Average serum vitamin D levels were similar between the recurrent tonsillitis group (176±79 nmol/L) and the control group (193±56 nmol/L) (p=0.13).
- No significant differences were observed in vitamin D receptor gene polymorphisms between the two groups.
- Vitamin D insufficiency was present in 18% of children with recurrent tonsillitis.
Conclusions:
- Serum vitamin D levels and vitamin D receptor gene polymorphism do not differ significantly between children with recurrent tonsillitis and healthy children.
- Vitamin D insufficiency is more prevalent in children experiencing recurrent tonsillitis.
- Further research may explore other factors contributing to recurrent tonsillitis.
Aim:
Although recurrent tonsillitis can be the consequence of defects in immune system, the exact etiology of recurrent tonsillitis is not clear. In this study, our aim was to determine the serum vitamin D levels and vitamin D receptor polymorphism among children undergone tonsillectomy due to the recurrent tonsillitis.
Methods:
A 106 children undergone tonsillectomy due to recurrent tonsillitis and a 127 healthy children aging between 2 and 12 years were enrolled in this study, to determine serum 25-hydroxyvitamin D level and vitamin D receptor gene polymorphisms (Apa1, Taq 1, fok1). Serum vitamin D level was measured with ELISA (nmol/L) and receptor gene polymorphism was determined by PCR. Vitamin D serum level below 80nmol/L was accepted as insufficient.
Results:
The average serum vitamin D level was 176±79nmol/L in recurrent tonsillitis group and 193±56nmol/L in control group. There was no significant difference between the groups (p=0.13). In recurrent tonsillitis group, 18% (n=15) of children had their serum vitamin D levels below 80nmol/L. The vitamin D receptor gene polymorphism (APA1, TAQ 1, FOK 1) in each group was compared (AA, Aa, aa, TT, Tt, tt, FF, Ff, ff). There was no significant difference between the two groups. The vitamin D serum levels and receptor sub-genotypes are also compared, and there was no significant difference between the groups.
Conclusion:
There is no difference between the serum vitamin D level and receptor gene polymorphism among children with recurrent tonsillitis and healthy children. But vitamin D insufficiency is more prevalent in children with recurrent tonsillitis group (18%).
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