Status of vitamin D level in newly diagnosed pemphigus vulgaris patients

A case–control study from tertiary care centre of Eastern India

https://doi.org/10.53730/ijhs.v6nS5.11123

Authors

  • Manasi Mishra Assistant Professor, Skin & V.D, Fakir Mohan MedicalCollege & Hospital, Balasore, Odisha, India. Pin-756001
  • Maheswar Samanta Associate Professor, Department of Medicine, P.R.M. Medical College & Hospital, Mayurbhanj, Odisha, India
  • Prasenjeet Mohanty Prof. & HOD, Skin & VD, S.C.B. Medical College & Hospital, Cuttack, Odisha, India
  • Srikanta Acharya Senior Resident, Skin & V.D, Fakir Mohan Medical College & Hospital, Balasore, Odisha, India. Pin756001
  • Roma Rattan Prof. Biochemistry, Sundargarh Medical College & Hospital, Sundargarh, Odisha

Keywords:

Pemphigus vulgaris, Vitamin D, Calcitriol, Autoimmune disease

Abstract

Background: Pemphigus vulgaris (PV), one common type of pemphigus, that affects the skin and mucous membranes, produce keratinocyte acantholysis by desmoglein-3 autoantibodies. Many medical conditions, including autoimmune illnesses, have been linked to vitamin D deficiency. Aim of study: To measure vitamin D level of Pemphigus Vulgaris patients and compare that with healthy controls& severity of disease.  Material and Methods: Newly diagnosed PV patients (44) were compared to 50 healthy controls in this case-control study on vitamin D levels. At S.C.B. Medical College & Hospital, Odisha, the dermatology department chose all patients over a two-year period (2017-2019). Pemphigus vulgaris lesion severity ratings were used to measure the disease severity. The 25(OH) D levels in the blood were determined using the ECLIA method (Electro chemiluminescence immunoassay) in Cobas e411 analyzer. Analyses of the data included independent t-tests and pearson correlations. Results: Gender, age, and other characteristics of both groups were virtually identical. The study comprised 44 patients (27 females and 17 males) and 50 controls (including 19 men and 31 women). Eighty-six percent of patients had moderate to severe involvement, whereas 11% had minor lesions. Patients had Vitamin D levels of 14.44±9.03, compared to 32.88±15.66 for controls (p<0.05).

Downloads

Download data is not yet available.

References

Adams JS, Hewison M (2008). Unexpected actions of vitamin D: new perspectives on the regulation of innate and adaptive immunity. Nat ClinPractEndocrinolMetab, 4(2):80-90.

Baeke F, Takiishi T, Korf H, Gysemans C, Mathieu C (2010). Vitamin D: modulator of the immune system. CurrOpinPharmacol, 10(4):482496.

Banihashemi Mahnaz, NahidiYalda, TayyebiMeibodiNaser, JarrahiLidaetal.Serum vitamin D level in patients with newly diagnosed pemphigus vulgaris.Iranian Journal of Dermatology 2018;21:128-131.

Brandsen R, Frusic-Zlotkin M, Lyubimov H, Yunes F, Michel B, Tamir A, Milner Y, Brenner S:Circulating pemphigus Ig G in families of patients with Pemphigus: comparision of indirect immunoflorescence, direct immunoflorescence, and immunoblotting. J Am AcadDermatol 1997,36:44-52.

Cantorna MT, Mahon BD (2004). Mounting evidence for vitamin D as an environmental factor affecting autoimmune disease prevalence. ExpBiol Med, 229(11):1136-1142.

Cantorna MT, Zhu Y, Froicu M, Wittke A (2004). Vitamin D status, 1, 25-dihydroxyvitamin D3, and the immune system. Am J ClinNutr, 80(6):1717S-1720S.

Chams‐Davatchi C, Valikhani M, Daneshpazhooh M et al. (2005). Pemphigus: analysis of 1209 cases. Int J Dermatol, 44(6):470-476.

Daneshpazhooh M, Chams‐Davatchi C, Payandemehr P, Nassiri S, Valikhani M, Safai‐Naraghi Z (2012). Spectrum of autoimmune bullous diseases in Iran: a 10‐year review. Int J Dermatol, 51(1):35-41.

Di Rosa M, Malaguarnera M, Nicoletti F, Malaguarnera L (2011). Vitamin D3: a helpful immuno‐modulator. Immunology, 134(2):123-139.

El-Komy MH, Samir N, Shaker OG. Estimation of vitamin D levels in patients with pemphigus vulgaris. J EurAcadDermatolVenereol. 2014; 28:859-63.

Esmailli N, Chams-davatchi C, Valikhni M, Farshidfr F, Parvaneh N , Tamizifer B, Treatment of pemphigus vulgaris with mycophenolate mofetil as syeroid – sparing agent. Eur J Dermato, 2008;18:159-64.

GrandoSA:Pemphigus autoimmunity: hypothesis and realities. Autoimmunity 2012,45:7-35.

Groves RW (2009). Pemphigus: a brief review. Clin Med, 9(4):371-375.

Loser K, Beissert S (2009). Regulation of cutaneous immunity by the environment: an important role for UV irradiation and vitamin D. IntImmunopharmacol, 9(5):587-589.

Marzano AV, Trevisan V, Cairoli E, Eller Vainicher C, Morelli V, SpadaA et al. Vitamin D and skeletal health in autoimmune bullous skin disease: a case control study. Orphanet J Rare Dis. 2015;10:8.

Marzano AV, Trevisan V, Eller-Vainicher C, et al. Evidence for vitamin D deficiency and increased prevalence of fractures in autoimmune bullous skin diseases. Br J Dermatol. 2012;167:688-91.

Moravvej H, Mozafari N, Younespour S. Serum 25-hydroxy vitamin D level in patients with pemphigus and its association with disease severity. ClinExpDermatol 2016;41:142-7.

Neha Joshi, Ranjana W Minz,ShasiAnand,,Nisha V Parmar, Amirnder J Kanwar :Vitamin D deficiency and lower TGF-β/IL-17 ratio in a North Indian cohort of pemphigus vulgaris.BMCRearch Notes 2014,7:536.(http://www.biomedcentral.com/1756-0500/7/536)

Romagnani S (1995). Biology of human TH1 and TH2 cells. J ClinImmunol, 15(3):121-129.

Suryasa, I. W., Rodríguez-Gámez, M., & Koldoris, T. (2021). Get vaccinated when it is your turn and follow the local guidelines. International Journal of Health Sciences, 5(3), x-xv. https://doi.org/10.53730/ijhs.v5n3.2938

Thankappan Asha, SebastinRhia, Thankappan T.P. Vitamin D level in Autoimmune bullous diseases.International Journal of Conteporary Medical Research.volume 8, issue 6, june 2021.

Tukaj S, Schmidt E, Recke A, et al. Vitamin D status in patients with bullous pemphigoid. Br J Dermatol. 2013;168:873-4.

Wido, A., Bajamal, A. H., Apriawan, T., Parenrengi, M. A., & Al Fauzi, A. (2022). Deep vein thrombosis prophylaxis use in traumatic brain injury patients in tropical climate. International Journal of Health & Medical Sciences, 5(1), 67-74. https://doi.org/10.21744/ijhms.v5n1.1840

ZareiMahnaz ,Javanbhakht Mohammad Hassan , Chams-DavatchiCheida, Daneshpazhooh Maryam, Eshhraghian Mohammad Reza,DE- RakhshanianHoda , Djalali Mahmoud . Evaluation of Vitamin D Status in Newly Diagnosed Pemphigus Vulgaris Patients. Iranian J Publ Health, Vol. 43, No.11, Nov 2014, pp.1544-1549.

Published

26-07-2022

How to Cite

Mishra, M., Samanta, M., Mohanty, P., Acharya, S., & Rattan, R. (2022). Status of vitamin D level in newly diagnosed pemphigus vulgaris patients: A case–control study from tertiary care centre of Eastern India. International Journal of Health Sciences, 6(S5), 10084–10092. https://doi.org/10.53730/ijhs.v6nS5.11123

Issue

Section

Peer Review Articles