Vitamin D deficiency in pediatric sickle cell disease patients without crisis - A cry to investigate it on priority

Shahida Aziz Khan1,2, Torki Al Zughaibi1,2, Sarah A Khan2

  • 1King Fahd Medical Research Center, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia.

Insights

Vitamin D deficiency is common in children with sickle cell disease (SCD). Addressing low vitamin D levels early can reduce health complications in these vulnerable children.

Area of Science:

  • Pediatrics
  • Hematology
  • Endocrinology

Background:

  • Vitamin D deficiency (VDD) poses global health risks.
  • Children with sickle cell disease (SCD) are at heightened risk for comorbidities.
  • Early detection of VDD in SCD children is crucial to mitigate adverse effects.

Purpose of the Study:

  • To determine vitamin D levels in children with SCD during a stable state.
  • To investigate potential associations between vitamin D levels, inflammation, and infections in SCD children.

Main Methods:

  • Enrolled 5-16 year old children with SCD in a steady state.
  • Collected consent and ethical clearance.
  • Analyzed hemoglobin (Hb), serum calcium, vitamin D, and high-sensitivity C-reactive protein (hsCRP) levels.

Main Results:

  • Most SCD children exhibited vitamin D deficiency.
  • Significant correlations were observed between vitamin D levels and inflammatory markers (WBC, hsCRP) and Hb, particularly in older males and females.
  • Strong negative correlations were found between vitamin D and Hb/hsCRP in older males, and between vitamin D and WBC/hsCRP in older females.

Conclusions:

  • Vitamin D deficiency is prevalent in children with SCD.
  • Early intervention for VDD in SCD children is recommended to reduce comorbidity incidence and severity.
Abstract

Related Concept Videos

Vitamins01:30

Vitamins

Vitamins, derived from the Latin word for life, are essential organic substances required in small quantities for optimal growth and overall well-being. Unlike other organic nutrients, vitamins don't act as sources of energy or building materials but rather facilitate these nutrients' utilization by the body. Vitamins are predominantly coenzymes, assisting enzymes in specific chemical actions, like the oxidation of glucose for energy involving B vitamins. Most vitamins are not produced...
567
Immunodeficiency Diseases01:25

Immunodeficiency Diseases

Immunodeficiency disorders are conditions in which the immune system's ability to fight infectious disease and cancer is compromised or entirely absent. The immune system comprises a complex network of cells, tissues, and organs that work together to protect the body from potentially harmful invaders. When this system is deficient or not functioning properly, it leaves the body susceptible to infections, diseases, or other complications.
There are three main causes of immunodeficiency...
911
Role of Vitamins in Maintaining Bone Health01:25

Role of Vitamins in Maintaining Bone Health

The growth and maintenance of bone are regulated by a combination of nutritional factors, including vitamins, such as vitamin A, B12, C, D, and K.
Vitamin A
Vitamin A is involved in the process of bone remodeling. Retinoic acid, the active metabolite of Vitamin A, has nuclear receptors in osteoblasts and osteoclasts, which are involved in bone remodeling.
Vitamin B12
Vitamin B12 acts as a cofactor during the formation of osteoblast-related proteins, such as osteocalcin. Vitamin B12 plays a role...
3.2K
Changes in Skin Color: Clinical Perspectives01:14

Changes in Skin Color: Clinical Perspectives

The first thing a clinician sees is the skin, so the examination of the skin should be part of any thorough physical examination. Most skin disorders are relatively benign, but a few, including melanomas, can be fatal if untreated. A couple of the more noticeable disorders, albinism and vitiligo, affect the appearance of the skin and its accessory organs.
Albinism
Albinism is a genetic disorder that affects (completely or partially) the coloring of skin, hair, and eyes. The defect is primarily...
1.7K
Bone Disorders01:29

Bone Disorders

Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
3.4K