Serum vitamin D level in Egyptian children with Familial Mediterranean fever

Hala M Lotfy1, Huda Marzouk1, Yomna Farag1

  • 1Department of Pediatrics, Cairo University, Egypt.

Immunology Letters
|March 26, 2017
PubMed

Insights

Egyptian children with Familial Mediterranean Fever (FMF) have lower vitamin D levels than healthy children. This suggests vitamin D deficiency may be linked to FMF inflammation, warranting further research and potential supplementation.

Area of Science:

  • Pediatrics
  • Immunology
  • Endocrinology

Background:

  • Familial Mediterranean Fever (FMF) is a genetic autoinflammatory disorder.
  • Vitamin D plays a crucial role in immune system regulation.
  • Low vitamin D levels have been observed in various inflammatory conditions.

Purpose of the Study:

  • To compare plasma vitamin D levels in Egyptian children diagnosed with FMF against a control group of healthy children.
  • To investigate potential correlations between vitamin D status and clinical, laboratory, or genetic factors in pediatric FMF patients.

Main Methods:

  • Enzyme-linked immunosorbent assay (ELISA) was utilized to quantify serum vitamin D levels.
  • The study included 52 Egyptian children with FMF and 40 healthy controls.
  • Demographic and clinical data were collected for all participants.

Main Results:

  • Children with FMF exhibited significantly lower mean serum vitamin D levels (12.3±3.4 ng/mL) compared to healthy controls (21.2±3.5 ng/mL) (p<0.001).
  • Female FMF patients presented with lower vitamin D levels (11.3±2.9 ng/mL) than male patients (13.2±3.6 ng/mL) (p=0.04).
  • No significant associations were found between vitamin D levels and clinical, laboratory, or genetic variables in the FMF cohort.

Conclusions:

  • Egyptian children with FMF demonstrate lower vitamin D levels than their healthy peers.
  • Vitamin D deficiency in FMF may be associated with the underlying inflammatory processes.
  • Further research, including therapeutic trials, is recommended to explore vitamin D supplementation for FMF patients.
Abstract

Related Concept Videos

Role of Skin in Vitamin D Synthesis01:23

Role of Skin in Vitamin D Synthesis

The skin plays a crucial role in the synthesis of vitamin D, a vital nutrient for various physiological processes in the body. Vitamin D is unique because it can be synthesized in the skin through a series of chemical reactions triggered by exposure to ultraviolet B (UVB) radiation from sunlight.
The solar UV B rays (290-315 nm) are absorbed by the skin, and 7-dehydrocholesterol (provitamin D3) photolyzes it to previtamin D3, which undergoes a rapid transformation to vitamin...
8.4K
Serum Studies: Renal Function Tests01:24

Serum Studies: Renal Function Tests

Renal function tests are crucial for assessing kidney health, monitoring disease progression, and evaluating the kidneys' efficiency in waste elimination, fluid balance, and electrolyte regulation. These tests offer critical insights into kidney function, even though routine measurements may appear normal until there is a significant decline in the glomerular filtration rate or GFR. Typically, signs of kidney impairment only become evident when the GFR falls to about 50% of its normal level.
540
Chronic Kidney Disease II: Clinical Manifestations01:24

Chronic Kidney Disease II: Clinical Manifestations

Chronic Kidney Disease (CKD) progressively impairs multiple body systems due to the accumulation of uremic toxins, which disrupt cellular functions across various organs.Neurologic symptomsNeurologic symptoms often arise early in CKD, as uremic toxin buildup drives changes in cognitive and motor functions. Patients frequently experience fatigue, headache, confusion, difficulty concentrating, and, in severe cases, seizures. Peripheral neuropathy commonly manifests as burning sensations in the...
829
Drug Dosing in Renal Diseases: Estimation of Glomerular Filtration Rate Based on Serum Creatinine Concentration01:28

Drug Dosing in Renal Diseases: Estimation of Glomerular Filtration Rate Based on Serum Creatinine Concentration

Glomerular filtration rate (GFR) can be estimated from serum creatinine using the modification of diet in renal disease (MDRD) formula or the chronic kidney disease–epidemiology collaboration (CKD–EPI) equation. Both methods are widely used in clinical practice to assess kidney function and guide treatment decisions.The MDRD equation does not require weight or height measurements and is normalized to the body surface area of 1.73 m², considered the average adult surface area.
285
Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies01:22

Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies

The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
814
Blood Studies for Cardiovascular System III: Serum Lipid Profile01:25

Blood Studies for Cardiovascular System III: Serum Lipid Profile

Understanding serum lipids is crucial for maintaining cardiovascular health and preventing heart disease and stroke.
Serum lipids are fats and fatty substances in the blood and are crucial for various bodily functions, including energy storage, cellular structure, and hormone production. Serum lipids consist of cholesterol, triglycerides, and phospholipids.
Cholesterol is a soft, fat-like substance found in all body cells. It is crucial for producing hormones, vitamin D, and substances that aid...
718