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Serum vitamin D levels and inflammatory status in COVID-19 patients
Insights
This study found that severe COVID-19 patients have lower vitamin D levels and higher inflammatory markers compared to moderate cases. These findings highlight the link between vitamin D status, inflammation, and COVID-19 severity.
Area of Science:
- Clinical Medicine
- Immunology
- Nutritional Science
Background:
- COVID-19 presents with diverse clinical features and laboratory findings influenced by disease severity.
- Inflammatory responses play a critical role in COVID-19 pathogenesis.
Purpose of the Study:
- To investigate the correlation between serum vitamin D levels and key inflammatory markers in hospitalized COVID-19 patients.
- To assess how these parameters differ based on the severity of COVID-19.
Main Methods:
- A cohort of 100 hospitalized COVID-19 patients (55 moderate, 45 severe) was analyzed.
- Laboratory tests included complete blood count, biochemical parameters, C-reactive protein, procalcitonin, ferritin, interleukin-6, and 25-OH vitamin D.
Main Results:
- Severe COVID-19 patients exhibited significantly lower serum vitamin D levels (16.54±6.51 ng/ml) compared to moderate cases (20.37±5.63 ng/ml).
- Elevated levels of interleukin-6, C-reactive protein, ferritin, and LDH were observed in patients with severe disease.
Conclusions:
- A significant relationship exists between increased inflammatory laboratory markers, diminished vitamin D levels, and greater COVID-19 disease severity.
- Vitamin D status may serve as an indicator of the inflammatory state in COVID-19 patients.
Objectives:
The coronavirus 2019 disease (COVID-19) is characterized by a heterogeneous clinical presentation, a complex pathophysiology and a wide range of laboratory findings, depending on disease severity.
Background:
We studied some laboratory parameters in correlation with vitamin D status representing the inflammatory state in hospitalized COVID-19 patients on admission.
Methods:
The study included 100 COVID-19 patients with moderate (n=55) and severe (n=45) form of the disease. Complete blood count and differential blood count, routine biochemical parameters, C-reactive protein and serum procalcitonin, ferritin, human IL-6 and serum vitamin D (measured as 25-OH vitamin D) concentrations, were performed.
Results:
According to the severity of the disease, patients with severe form had significantly lower serum vitamin D (16.54±6.51 ng/ml vs 20.37±5.63 ng/ml, p=0.0012), higher serum interleukin-6 (41.24±28.46 pg/ml vs. 24.75±16.28 pg/ml, p=0.0003), C-reactive protein (101.49± 57.15 mg/l vs 74.43±42.99 mg/l, p=0.0044), ferritin (969.89±338.37 ng/ml vs 845.96±359.91 ng/ml, p=0.0423) and LDH (1050.53±369.11 U/l vs 905.31±335.57 U/l, p=0.0222) compared to those with moderate form of the disease.
Conclusion:
The presented data provide a relationship between increased inflammatory laboratory markers, low vitamin D levels and disease severity in COVID-19 patients (Tab. 2, Fig. 3, Ref. 32).
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