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Published on: April 11, 2019
The evaluation of vitamin K status in children with febrile seizure
Kürşat Bora Carman1, Yasemin Karal2, Gül Gülen Mert3
1Department of Pediatric Neurology, Eskişehir Osmangazi University School of Medicine, Eskişehir, Turkey.
Insights
Children with febrile seizures show higher serum vitamin K levels compared to healthy controls. These findings suggest a potential role for vitamin K in the underlying mechanisms of febrile seizures in pediatric patients.
Area of Science:
- Pediatric Neurology
- Biochemistry
- Immunology
Background:
- Febrile seizure is the most common childhood neurological disorder.
- Its exact pathophysiology remains unclear.
- Vitamin K has demonstrated roles in nonhematological and inflammatory conditions.
Purpose of the Study:
- To investigate serum vitamin K levels in children diagnosed with febrile seizures.
- To explore the relationship between vitamin K and inflammatory markers in febrile seizures.
Main Methods:
- A prospective case-control study was conducted across 8 Turkish cities.
- Serum levels of Vitamin K1, Vitamin K2, TNF-alpha, IL-1 beta, and IL-6 were measured using ELISA.
- 155 children (84 with febrile seizures, 71 controls) were enrolled.
Main Results:
- Children with febrile seizures exhibited significantly higher serum Vitamin K1 and K2 levels than controls.
- Vitamin K levels correlated positively with inflammatory markers (TNF-alpha, IL-1 beta, IL-6).
- First-time febrile seizure patients had higher vitamin K levels than those with recurrent seizures.
Conclusions:
- Elevated serum vitamin K levels are observed in children experiencing febrile seizures.
- These findings may offer insights into the etiopathogenesis of febrile seizures.
- Further research is warranted to understand the specific role of vitamin K.
Background:
Febrile seizure is the most common neurological disorder in childhood. The exact pathophysiology of febrile seizures is unknown. Recent studies showed the role of vitamin K in nonhematological and inflammatory disorders. This study aimed to investigate the serum vitamin K levels in children with febrile seizures.
Aims:
To evaluate vitamin K levels in children with febrile seizures.
Study Design:
Prospective case-control study.
Methods:
This multicenter study examined representative populations in 8 different cities in Turkey between April 1, 2018 and April 1, 2019. Blood samples were taken from all children at presentation. Vitamin K1, vitamin K2, tumor necrosis factor-alpha, interleukin 1 beta, and interleukin 6 levels were determined by enzyme-linked immunosorbent assay.
Results:
A total of 155 children were included in the study-84 children with febrile seizures and 71 children in febrile control group. Serum vitamin K1 and vitamin K2 levels were also higher in children with febrile seizures than in the controls. The results of statistical analysis showed that vitamin K1 and vitamin K2 levels were correlated with tumor necrosis factor-alpha, interleukin 1 beta, and interleukin 6 levels. The median vitamin K1 and vitamin K2 levels of children experiencing their first febrile seizure were higher than those in children with recurrent febrile seizures. Type of febrile seizure has no effect on serum vitamin K1 and vitamin K2 levels.
Conclusion:
In children with febrile seizures, vitamin K levels are higher than those in the control group. These new findings may contribute to elucidating the etiopathogenesis of febrile seizures.
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