维生素D水平作为一种潜在的修饰剂,在成年人中改变了异性食道炎的严重程度
Brenderia A Cameron1, Carlton W Anderson2, Elizabeth T Jensen1,3,4
1Center for Esophageal Diseases and Swallowing, University of North Carolina School of Medicine, CB#7080 Bioinformatics Building 130 Mason Farm Rd. UNC-CH, Chapel Hill, NC, 27599-7080, USA.
与调整后的对照组相比,新诊断的乙性食道炎 (EoE) 患者的维生素D水平较低. 然而,维生素D缺乏在EoE患者中并不比较常见,维生素D水平与大多数疾病特征没有相关性.
科学领域:
- 免疫学 免疫学 免疫学
- 胃肠病学 胃肠病学
- 营养科学 营养科学
背景情况:
- 维生素D缺乏与免疫媒介疾病有关.
- 性食道炎 (EoE) 是一种免疫媒介的食道疾病.
- 在EOE患者的维生素D水平需要进一步调查.
研究的目的:
- 为了比较新诊断的EoE患者的血清维生素D水平与非EoE对照.
- 调查维生素D水平与EoE临床,内镜和组织学特征之间的关联.
主要方法:
- 一个前性队列研究的二次分析.
- 血清25-基维生素D3 (25(OH) D3) 用ELISA测量在40名EoE患者和40名对照组中.
- 组间维生素D水平的比较以及与EoE特征的相关性.
主要成果:
- 在EoE患者中,调整后的血清25(OH) D3水平较低 (10.8 ng/mL较低;95% CI: -19.0, -2.5).
- 维生素D缺乏 (<20 ng/mL) 的患病率在EoE病例 (20%) 和对照 (15%) 之间相似.
- 在EoE病例中观察到较低的25(OH) D3度,这些病例中表层自身纤维化 (p=0.03).
结论:
- 与对照组相比,EoE患者的调整血清25(OH) D3水平较低.
- 维生素D缺乏症在新诊断的EoE中并不异常常见.
- 维生素D水平与大多数EoE疾病特征存在有限的关联,除了叶片自身纤维化.
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