Correlation of Vitamin D3 Levels and SCORAD Index in Atopic Dermatits: A Case Control Study.

J Clin Diagn Res

Junior Resident, Department of Dermatology, Venereology and Leprosy, Govt. Medical College, Amritsar, Punjab, India.

Published: July 2017

AI Article Synopsis

  • Atopic Dermatitis (AD) is a chronic inflammatory skin condition linked to low levels of serum 25-hydroxyvitamin D, which might worsen the severity of the disease.
  • A study involving 40 AD patients and 40 control subjects found that the vitamin D levels in AD patients were significantly lower (30.38 nmol/l) compared to controls (53.46 nmol/l).
  • There was a clear inverse correlation between SCORAD index scores (measuring disease severity) and serum vitamin D levels, indicating that lower vitamin D may be associated with more severe AD symptoms.

Article Abstract

Introduction: Atopic Dermatitis (AD) is a common chronic inflammatory condition characterized clinically by pruritus and eczematous lesions. An inverse relationship has been suggested between serum 25-hydroxyvitamin D concentration and severity of atopic dermatitis.

Aim: We carried out this controlled cross-sectional study to evaluate the association between the serum vitamin D levels and SCORAD index.

Materials And Methods: For this study, 40 patients with clinical diagnosis of AD based on UK diagnostic criteria were enrolled and 40 patients with minor ailments like superficial bacterial, fungal or viral infections and not suffering from atopic dermatitis were taken as controls. Salient presentations were recorded in a pre-set proforma. Serum 25-hydroxyvitamin D levels were determined through Sandwich-ELISA technique. SCORAD (Scoring AD) index was used to evaluate the severity of the disease.

Results: Mean value of serum 25-hydroxyvitamin D levels in cases was 30.38 nmol/l whereas in controls, it was 53.46 nmol/l. The decrease in serum levels in cases was statistically highly significant (p-value <0.001). Mean±S.D of serum vitamin D levels in mild disease was 33.29±5.89 nmol/l, in moderate disease was 31.52±6.04 nmol/l and in severe form of disease was 21.24±3.17nmol/l. The correlation between SCORAD and serum 25-hydroxyvitamin D levels was also statistically significant.

Conclusion: The data suggests an inverse relationship between serum levels of vitamin D and the SCORAD Index.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5583930PMC
http://dx.doi.org/10.7860/JCDR/2017/27188.10223DOI Listing

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