Vitamin D3

维生素 D3
  • 文章类型: Journal Article
    大多数精神分裂症(SCZ)患者不表现出暴力行为,更有可能成为暴力行为的受害者而不是肇事者。然而,SCZ的一个法医被拘留者小组表现出从事刑事犯罪的倾向。尽管已经提出了许多模型,从物质使用,5-羟色胺转运体基因,和认知功能障碍,SCZ患者暴力的分子基础仍然难以捉摸.锂和氯氮平已经建立了抗侵略特性,最近的研究已经将低胆固醇水平和紫外线(UV)辐射与人类侵略联系起来,而维生素D3减少暴力行为。最近的一项研究发现,维生素D3,ω-3脂肪酸,镁,和锌在法医人群中具有较低的攻击性。在这篇评论文章中,我们仔细研究了芳基烃受体(AhR)和神经元膜中功能失调的脂质组,强调胆固醇和维生素D3的消耗,作为攻击行为的来源。我们还讨论了通过膜脂质替代(MLR)和天然或合成化合物增加神经元双层流动性的方式。
    Most patients with schizophrenia (SCZ) do not exhibit violent behaviors and are more likely to be victims rather than perpetrators of violent acts. However, a subgroup of forensic detainees with SCZ exhibit tendencies to engage in criminal violations. Although numerous models have been proposed, ranging from substance use, serotonin transporter gene, and cognitive dysfunction, the molecular underpinnings of violence in SCZ patients remains elusive. Lithium and clozapine have established anti-aggression properties and recent studies have linked low cholesterol levels and ultraviolet (UV) radiation with human aggression, while vitamin D3 reduces violent behaviors. A recent study found that vitamin D3, omega-3 fatty acids, magnesium, and zinc lower aggression in forensic population. In this review article, we take a closer look at aryl hydrocarbon receptor (AhR) and the dysfunctional lipidome in neuronal membranes, with emphasis on cholesterol and vitamin D3 depletion, as sources of aggressive behavior. We also discuss modalities to increase the fluidity of neuronal double layer via membrane lipid replacement (MLR) and natural or synthetic compounds.
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  • 文章类型: Journal Article
    斑秃(AA)是一种常见的自身免疫性T细胞介导的非瘢痕形成,脱发的形式。它影响所有年龄和性别的人。
    比较病灶内注射维生素D3与病灶内注射曲安奈德治疗斑秃的疗效。
    这项临床研究是对40例成年斑秃患者进行的,患者分为两组.第一组涉及20例患者,每4周接受1ml病灶内注射维生素D3(胆钙化醇水性制剂200000IU/2ml),最多三个疗程。第二组涉及20名患者,他们每4周接受1ml曲安奈德40mg/mL的病灶内注射,最多三个疗程。在基线时进行临床和镜检评估,每次会议和最后一次会议后的3个月。
    关于临床改善程度,两个研究组之间没有统计学上的显着差异(p=.8)。在会议结束时和随访3个月后,两组的AA特异性三镜征象均有统计学上的显着减少。它们之间没有任何统计学上的显著差异。在报告的不良反应方面,两组之间也存在统计学上的显着差异,患者对病灶内维生素D3注射的满意度明显更好。
    病灶内维生素D3是一种有前途的有效药物,简单,安全,而且便宜,斑片状AA的治疗方式。
    UNASSIGNED: Alopecia areata (AA) is a common autoimmune T-cell mediated non-scarring, form of hair loss. It affects people of all ages and sexes.
    UNASSIGNED: To compare the efficacy of intralesional vitamin D3 injection versus that of intralesional triamcinolone acetonide in the treatment of patchy alopecia areata.
    UNASSIGNED: This clinical study was carried on 40 adult patients with patchy alopecia areata, the patients were categorized into two groups. Group I involved 20 patients who received 1 ml of intralesional injection of vitamin D3 (cholecalciferol aqueous preparation 200 000 IU/2 ml) every 4 weeks for a maximum of three sessions. Group II involved 20 patients who received 1 ml of intralesional injection of triamcinolone acetonide 40 mg/mL every 4 weeks for a maximum of three sessions. Clinical and trichoscopic evaluations were done at the baseline, each session and for 3 months after the last session.
    UNASSIGNED: There was no statistically significant difference between the two studied groups regarding the degree of clinical improvement (p = .8). A statistically significant reduction in AA specific trichoscopic signs was detected at the end of the sessions and after 3 months of follow-up in both groups, without any statistically significant difference between them. Also a statistically significant difference was found between both groups regarding the reported adverse effects with a significant better patient satisfaction encountered toward the intralesional vitamin D3 injection.
    UNASSIGNED: Intralesional vitamin D3 is a promising effective, simple, safe, and inexpensive, therapeutic modality for patchy AA.
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  • 文章类型: Journal Article
    背景:维生素D在肉鸡的维持和健康中具有重要作用。已提出草药精油(EO)作为集约化生产管理系统中化学药物的合适替代品,以提高肉鸡的性能,并具有轻微的副作用和令人钦佩的治疗性能。
    目的:本实验旨在研究与SaturejarechingeriEO(SREO)联合饲喂胆钙化醇(VD)对生长性能的影响,肉仔鸡的血液学指标和免疫反应。
    方法:在完全随机设计中使用了总共540只1天大的混合性别肉鸡(Ross308),并采用3×3阶乘排列。实验处理包括不同浓度的胆钙化醇(VD)(0、2000和4000IU/kg=0、0.05和0.1mg/kg)和SREO(0、200和400mg/kg)对生长性能的影响。研究了肉鸡的血液学指标和免疫反应。
    结果:结果表明,与其他日粮处理相比,补充有0.1mg/kgVD(VD0.1)和200mg/kgSREO(SREO200)的鸡饲喂日粮增加了整个试验和第一个14天的采食量。与所有其他饲料处理组相比,VD0.1×SREO200的相互作用导致种植者和整理者阶段的体重增加(BWG)更多。与VD0SREO0组相比,VD0.1SREO200对第42天的淋巴细胞水平,第28天和第42天的异型粒细胞和第14天和第28天龄的异型粒细胞/淋巴细胞(H/L)比的影响。饲喂VD和/或SREO降低甘油三酯,研究的第28天和第42天的胆固醇和低密度脂蛋白浓度,特别是在VD0.1+SREO200治疗。喂食VD0.1+SREO200也导致免疫球蛋白M的血清状态升高,所有治疗中的溶菌酶和吞噬百分比。
    结论:考虑到结果,结果表明,适宜浓度的VD和EO的组合对肉鸡的免疫系统和性能标准有有利的影响。
    BACKGROUND: Vitamin D possesses an important role in the maintenance and health of broiler chickens. Herbal essential oils (EOs) have been proposed as a suitable alternative to chemical drugs in intensive production management systems for better performance of broilers with slight side effects and admirable therapeutic properties.
    OBJECTIVE: This experiment was conducted to investigate the effects of feeding cholecalciferol (VD) in combination of Satureja rechingeri EO (SREO) on growth performance, haematological indicators and immunological response of broilers.
    METHODS: A total of 540 1-day-old mixed-sex broiler chickens (Ross 308) were used in a completely randomized design with a 3 × 3 factorial arrangement of treatments. Experimental treatments included different concentrations of cholecalciferol (VD) (0, 2000 and 4000 IU/kg = 0, 0.05 and 0.1 mg/kg) and SREO (0, 200 and 400 mg/kg) on growth performance, haematological indicators and immunological responses of broiler chickens were investigated.
    RESULTS: The results showed that the chicken fed diet supplemented with 0.1 mg/kg VD (VD0.1) in combination of 200 mg/kg SREO (SREO200) increased the feed intake during the overall and first 14-day periods of the trial when compared with other dietary treatments. Interaction of VD0.1 × SREO200 led to more body weight gain (BWG) in the grower and finisher phases than all other feed treatment groups. The blood level of lymphocyte at day 42, heterophil at days 28 and 42 and heterophil/lymphocyte (H/L) ratio at 14 and 28 days of age were affected by VD0.1 + SREO200 in comparison with VD0 + SREO0 group. Feeding VD and/or SREO decreased triglyceride, cholesterol and low-density lipoprotein concentrations at days 28 and 42 of the study, especially in VD0.1 + SREO200 treatment. Feeding VD0.1 + SREO200 also resulted in higher serum status of immunoglobulin M, lysozymes and phagocytic percentage among all treatments.
    CONCLUSIONS: Considering the outcomes, it is suggested that the combination of suitable concentration of VD and EO of the plant had favourable effects on the immune system and performance criteria of broiler chickens.
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  • 文章类型: Journal Article
    磷酸盐的肠道吸收是双峰的,由跨细胞途径和特征不佳的细胞旁模式组成,尽管后者有助于在正常饮食条件下的大部分吸收。Claudin-3(Cldn3),一种紧密连接蛋白,存在于小鼠的整个肠道中,已提出收紧磷酸盐的细胞旁途径。这项工作的目的是表征Cldn3缺陷小鼠的磷酸盐相关表型。向Cldn3缺陷小鼠和野生型同窝动物喂食标准饮食或用高饮食磷酸盐攻击3天。粪便,尿液,血,收集肠段和肾脏。测量包括粪便,泌尿,以及血浆中磷酸盐和钙的浓度,磷酸盐调节激素的血浆水平,评估跨空肠和回肠的跨细胞和旁细胞磷酸盐转运,以及肠道磷酸盐和钙渗透性的分析。两种基因型的粪便和尿液中磷酸盐的排泄及其血浆浓度相似,在标准和高磷酸盐饮食下。然而,接受高饮食磷酸盐攻击的Cldn3缺陷小鼠的尿钙排泄减少,血浆骨化三醇水平升高。两组的FGF23浓度也相似。无论饮食条件如何。我们发现基因型之间的肠道磷酸盐转运(跨细胞或旁细胞)以及磷酸盐和钙渗透性均无差异。在Cldn3缺陷小鼠中,claudin-7的肠道表达保持不变。我们的数据没有提供Cldn3对肠磷酸盐吸收和磷酸盐稳态的决定性作用的证据。此外,我们的数据提示Cldn3在调节骨化三醇水平方面的新作用.
    Intestinal absorption of phosphate is bimodal, consisting of a transcellular pathway and a poorly characterized paracellular mode, even though the latter one contributes to the bulk of absorption under normal dietary conditions. Claudin-3 (Cldn3), a tight junction protein present along the whole intestine in mice, has been proposed to tighten the paracellular pathway for phosphate. The aim of this work was to characterize the phosphate-related phenotype of Cldn3-deficient mice. Cldn3-deficient mice and wildtype littermates were fed standard diet or challenged for 3 days with high dietary phosphate. Feces, urine, blood, intestinal segments and kidneys were collected. Measurements included fecal, urinary, and plasma concentrations of phosphate and calcium, plasma levels of phosphate-regulating hormones, evaluation of trans- and paracellular phosphate transport across jejunum and ileum, and analysis of intestinal phosphate and calcium permeabilities. Fecal and urinary excretion of phosphate as well as its plasma concentration was similar in both genotypes, under standard and high-phosphate diet. However, Cldn3-deficient mice challenged with high dietary phosphate had a reduced urinary calcium excretion and increased plasma levels of calcitriol. Intact FGF23 concentration was also similar in both groups, regardless of the dietary conditions. We found no differences either in intestinal phosphate transport (trans- or paracellular) and phosphate and calcium permeabilities between genotypes. The intestinal expression of claudin-7 remained unaltered in Cldn3-deficient mice. Our data do not provide evidence for a decisive role of Cldn3 for intestinal phosphate absorption and phosphate homeostasis. In addition, our data suggest a novel role of Cldn3 in regulating calcitriol levels.
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  • 文章类型: Journal Article
    这项研究涉及使用真空浸渍(VI)预处理并用钙和维生素D3强化南瓜片,并评估所得甜点/果酱的质量特征。将切片在含有氧化钙和维生素D3的溶液中浸渍或VI预处理30、60和90分钟。钙离子有助于甜点的硬度,与VI减少处理时间。在VI预处理90分钟的切片中确定了最高的浸渍钙(58.17mg/100gfw)和维生素D3含量(6.02mg/100gdm)。在钙和维生素D3转化为南瓜组织方面,VI比浸入更有效。扫描电子显微镜(SEM)图像表明氧化钙颗粒在经VI预处理的切片中是明显的。将水果片浸入90分钟可产生质地硬度为11.04N的甜点,而VI预处理相同时间的硬度值增加到18.92N。用VI预处理的切片生产的甜点表现出优异的质地和感官属性,没有不良的味道产生的氧化钙。总之,VI预处理显示出工业化生产具有增强的水果结构完整性的甜点/果酱的巨大潜力。
    This study involved fortifying pumpkin slices with calcium and vitamin D3 using vacuum impregnation (VI) pre-treatment and assessing the quality characteristics of the resulting desserts/jams. Slices were subjected to immersion or VI pre-treatments for 30, 60, and 90 min in a solution containing calcium oxide and vitamin D3. Calcium ions contributed to the hardness of desserts, with VI reducing processing time. The highest impregnated calcium (58.17 mg/100 g fw) and vitamin D3 contents (6.02 mg/100 g dm) were determined in slices pre-treated by VI for 90 min. VI was more effective than immersion in terms of calcium and vitamin D3 transition into pumpkin tissues. Scanning electron microscope (SEM) images indicated that calcium oxide particles were noticeable in slices pre-treated by VI. Immersing fruit slices for 90 min produced desserts with a textural hardness of 11.04 N, while VI pre-treatment for the same duration increased their hardness value to 18.92 N. Desserts produced with VI-pre-treated slices exhibited superior texture and sensory attributes, with no adverse taste resulting from calcium oxide. In conclusion, VI pre-treatment shows significant potential for the industrial production of desserts/jams with enhanced structural integrity for fruits.
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  • 文章类型: Journal Article
    背景:油炸食品在全球范围内越来越受欢迎。然而,油炸可以增加食物中过氧化毒素的产生,可能对胎儿发育有害.先前已经报道了维生素D3(VD3)的抗氧化作用。
    目的:本研究旨在探讨妊娠期孕妇在氧化油饮食中补充VD3对胎儿抗氧化能力和发育的影响。
    方法:将妊娠小鼠随机分为三组:对照组(含新鲜大豆油的饮食),OSO组(含氧化大豆油(OSO)的饮食),和OSOV组(饮食用OSO和10000IU/KgVD3)。在妊娠期间用相应的饮食喂养小鼠。在妊娠的16.5天,收集胎盘和胎儿以分析抗氧化状态.
    结果:妊娠期间母体氧化油饮食显著降低胎盘血管丰度,迷宫区,和胎儿体重。然而,饮食中补充VD3可以预防氧化油饮食的这些负面影响。母亲摄入氧化油饮食会增加血清丙二醛浓度,总一氧化氮合酶(NOS),和诱导型NOS,而补充VD3对其具有保护作用。此外,补充VD3可增加抗氧化酶水平和核因子-红细胞相关因子2(NRF2)的核转位,从而保护胎盘和胎儿免受氧化油饮食引起的细胞凋亡和氧化应激。通过在氧化油饮食下补充母体VD3,胎儿肝脏中脂肪酸转运蛋白溶质载体家族27成员1(SLC27A1)的基因表达和蛋白质水平增加。值得注意的是,NRF2可与胎盘中的VD受体(VDR)共免疫沉淀。
    结论:母亲补充VD3可以通过VDR/NRF2途径减轻胎盘和胎儿的氧化应激,从而保护胎儿免受氧化油饮食引起的发育障碍。至少部分。因此,在怀孕期间,通过补充确保足够的VD3水平通常是至关重要的。
    BACKGROUND: Fried food has increased in popularity worldwide. However, deep frying can increase the production of peroxidative toxins in food, which might be harmful to fetal development. The antioxidative effect of vitamin D3 (VD3) has been reported previously.
    OBJECTIVE: This study aimed to explore how maternal VD3 supplementation in an oxidized-oil diet during gestation affects fetal antioxidative ability and development.
    METHODS: Pregnant mice were randomly assigned into 3 groups: Control group (diet with fresh soybean oil), OSO group [diet with oxidized soybean oil (OSO)], and OSOV group (diet with OSO and 10,000 IU/Kg VD3). Mice were fed with the corresponding diet during gestation. On day 16.5 of gestation, the placenta and fetus were harvested to analyze antioxidative status.
    RESULTS: Maternal oxidized-oil diet during gestation significantly reduced placental vessel abundance, labyrinth zone area, and fetal body weight. However, dietary VD3 supplementation prevented these negative effects of oxidized-oil diet. Maternal intake of oxidized-oil diet increased serum concentrations of malondialdehyde, total-nitric oxide synthase, and inducible nitric oxide synthase, whereas VD3 supplementation showed a protection effect on it. Additionally, maternal VD3 supplementation increased the levels of antioxidative enzymes and the nuclear translocation of nuclear factor erythroid 2-related factor 2 (NRF2), thereby protecting placenta and fetus from apoptosis and oxidative stress caused by an oxidized-oil diet. The gene expression and protein levels of a fatty acid transporter solute carrier family 27 member 1 in the fetal liver were increased by maternal VD3 supplementation under oxidized-oil diet. Notably, NRF2 could be co-immunoprecipitated with the VD receptor in the placenta.
    CONCLUSIONS: Maternal VD3 supplementation could protect fetus from oxidized-oil diet induced developmental impairment by alleviating oxidative stress in the placenta and fetus through the VD receptor/NRF2 pathway, at least partially. Thus, ensuring adequate levels of VD3 through supplementation is often critical during pregnancy.
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  • 文章类型: Journal Article
    背景腹腔镜胆囊切除术(LC)是良性胆囊疾病的金标准。已经观察到,由于肝肠循环的改变,胆囊切除术后维生素D水平和骨矿物质密度会发生变化。随着人口平均预期年龄的增加,胆囊切除术后维生素D水平低和骨质疏松可能会增加医疗负担.方法计划于2022年1月1日至2023年6月30日在PGIMER昌迪加尔普外科进行前瞻性观察研究,印度北部的一家三级医院。本研究纳入了一百零三名接受LC并符合纳入和排除标准的绝经后妇女。所有参与者在术前和术后3个月(POM)接受维生素D和骨矿物质密度的评估。结果患者的平均年龄为58.46±7.44。68例(66%)患者出现腹痛,18人出现上腹部不适,17人出现消化不良。VitD的平均水平从基线时的21.92降至第3次POM时的20.12(P<0.001)。股骨颈t评分(-1.12vs-1.15,P<0.001)和腰椎L1-L4-1.98vs-1.98,差异有统计学意义(P=0.033)。股骨颈的z评分为-0.34vs-0.54(p<0.001),腰椎L1-L4的z评分为-0.95vs1.02(P<0.001)。股骨颈(p=0.344)和腰椎(P=0.223)的骨折风险降低无统计学意义。结论绝经后女性LC术后维生素D和BMD水平明显降低。
    UNASSIGNED: Laparoscopic cholecystectomy (LC) is the gold standard management for benign gallbladder diseases. It has been observed that there is alteration in vitamin D levels and bone mineral density after cholecystectomy due to altered enterohepatic circulation. With increase in average age expectancy of the population, low levels of vitamin D levels and osteoporosis after cholecystectomies might cause increased health care burden.
    UNASSIGNED: A prospective observational study was planned between 1 January 2022 and 30 June 2023 in the Department of General Surgery at PGIMER Chandigarh, a tertiary care hospital in north India. One hundred and three post-menopausal women who underwent LC and met the inclusion and exclusion criteria were included in the study. All participants underwent estimation of vitamin D and bone mineral density preoperatively and third-post operative month (POM).
    UNASSIGNED: The mean age of the patients was 58.46 ± 7.44. Pain abdomen was present in 68(66%) patients, 18 had epigastric discomfort and 17 had dyspepsia. The mean levels of vitamin D decreased from 21.92 at the baseline to 20.12 at third POM (p < .001). There was a significant change in t score Femoral Neck (-1.12 vs -1.15, p < .001) and Lumbar spine L1-L4 - 1.98 vs -1.98 (p = .033). z-scores of the femoral neck were -0.34 vs -0.54 (p < .001) and of lumbar spine L1-L4 were -0.95 vs 1.02 (p < .001). The decrease in fracture risk for the femoral neck (p = .344) and the lumbar spine (p = .223) was not statistically significant.
    UNASSIGNED: There is a significant decrease in vitamin D and BMD levels after LC in post-menopausal females.
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  • 文章类型: Journal Article
    维生素D3在女性生殖中起着至关重要的作用。随着研究的进展,维生素D3对卵泡发育的作用机制已被广泛讨论。首先,在卵巢中发现了参与维生素D3合成和代谢的关键酶,表明维生素D3可以在卵巢内局部合成和代谢。此外,卵泡中维生素D3受体(VDR)的检测表明,维生素D3可能在卵泡发育过程中通过与这些受体特异性结合发挥其作用.进一步的研究表明,维生素D3通过促进颗粒细胞(GC)和卵母细胞的发育促进卵泡生长。目前,维生素D3在卵泡发育中的作用机制日益明确。维生素D3通过调节参与卵母细胞减数分裂停滞的分子促进卵母细胞发育。它还通过刺激类固醇激素合成和细胞周期调节来增强颗粒细胞增殖。此外,维生素D3通过减少氧化应激和晚期糖基化终产物(AGEs)发挥抗炎作用,减轻炎症对卵泡发育的不利影响。维生素D3的这些功能有临床应用,例如治疗多囊卵巢综合征(PCOS),提高女性生育能力,并提高体外受精(IVF)的结局。本文就维生素D3在卵泡发育中的作用及作用机制的研究进展作一综述,并简要总结其临床应用。
    Vitamin D3 plays a crucial role in female reproduction. As research progresses, the mechanisms of action of vitamin D3 on follicular development have been widely discussed. Firstly, key enzymes involved in the synthesis and metabolism of vitamin D3 have been discovered in the ovary, suggesting that vitamin D3 can be synthesized and metabolized locally within the ovary. Additionally, the detection of vitamin D3 receptors (VDR) in follicles suggests that vitamin D3 may exert its effects by binding specifically to these receptors during follicular development. Further research indicates that vitamin D3 promotes follicular growth by enhancing the development of granulosa cells (GCs) and oocytes. Currently, the mechanism of action of vitamin D3 in follicular development is becoming increasingly clear. Vitamin D3 promotes oocyte development by regulating molecules involved in meiotic arrest in oocytes. It also enhances granulosa cell proliferation by stimulating steroid hormone synthesis and cell cycle regulation. Additionally, vitamin D3 exerts anti-inflammatory effects by reducing oxidative stress and advanced glycation end-products (AGEs), mitigating the detrimental effects of inflammation on follicular development. These functions of vitamin D3 have clinical applications, such as in treating polycystic ovary syndrome (PCOS), improving female fertility, and enhancing outcomes in in vitro fertilization (IVF). This review summarizes the research progress on the role and mechanisms of vitamin D3 in follicular development and briefly summarizes its clinical applications.
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    文章类型: Case Reports
    过敏性紫癜(HSP)是一种免疫球蛋白A(IgA)介导的系统性血管炎,这是乙肝疫苗接种的罕见不良反应之一。发现大多数HSP患者存在低维生素D水平。2020年1月,一名19岁妇女因双侧下肢紫癜性皮疹和左食指关节痛而入院。在患者接受第一剂重组乙型肝炎疫苗接种后一周发生皮疹史。常规血液学检查,肌酐,尿液分析,C3和C4显示正常结果。HBsAg,抗HCV,ANA检测结果为阴性,和抗HBs升高。维生素D很低。患者诊断为HSP,给予霉酚酸酯,甲基强的松龙,维生素D3和叶酸。治疗后1个月内,皮疹仍然经常发生,所以霉酚酸酯被改为霉酚酸,增加甲基强的松龙的剂量并给予非索非那定.在接下来的3个月里,皮疹有所改善。然而,患者报告膝关节疼痛和脱发。2021年5月,由于慢性扁桃体炎急性加重,患者接受了扁桃体切除术。此后,患者报告皮疹已完全消退,从未恶化,维生素D检测结果正常。乙肝疫苗接种是HSP的病因之一,虽然很罕见,因此,询问疑似HSP患者的疫苗接种史很重要。在该患者的HSP病例中,维生素D的校正和扁桃体切除术可提供更好的治疗结果。
    Henoch-Schönlein purpura (HSP) is an immunoglobulin A (IgA)-mediated systemic vasculitis, which is one of the rare adverse reactions to hepatitis B vaccination. Low vitamin D levels were found to be present in the majority of HSP patients.A 19-year-old woman was admitted with a purpuric rash on bilateral lower limbs and joint pain on her left index finger in January 2020. A previous history of rash occurred one week after the patient received her first dose of recombinant hepatitis-B vaccination. Routine hematological examination, creatinine, urinalysis, C3, and C4 showed normal results. HBsAg, Anti-HCV, and ANA tests were negative, and anti-HBs were elevated. Vitamin D is very low. The patient was diagnosed with HSP and given mycophenolate mofetil, methylprednisolone, vitamin D3, and folic acid. Within 1 month of therapy, the rash still occurred frequently, so mycophenolate mofetil was changed to mycophenolic acid, the dose of methylprednisolone was increased and fexofenadine was administered. In the next 3 months, the rash has improved. However, patients reported knee joint pain and hair loss. In May 2021, the patient underwent tonsillectomy due to acute exacerbation of chronic tonsillitis. Thereafter, the patient reported that the rash had completely resolved and never worsened, and the vitamin D assay was normal.Hepatitis B vaccination is one of the etiologies of HSP, although it is rare, so it is important to ask about the vaccination history in patients with suspected HSP. Correction of vitamin D and performing tonsillectomy provide better treatment results in HSP cases in this patient.
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  • 文章类型: Journal Article
    维生素D3缺乏和不足正在成为我们共同的全球性问题,特别是在工业最发达的国家。维生素D3在脊椎动物中唯一公认的活性是促进钙的吸收,因此,允许骨骼的矿化。因此,它的缺乏与病等疾病有关。与维生素D3相关的其他许多重要功能尚未被考虑,维生素D2在植物中的功能是未知的。因此,它被发现100年后,维生素D的重要性似乎仍然没有得到承认(除了病),几乎没有注意到它在全世界的减少。在这次审查中,我认为维生素D缺乏和不足可能与更发达国家的西化生活方式有关。此外,我建议,而不是钙血活动,维生素D的主要功能是,总的来说,加强生物体。我得出的结论是,维生素D缺乏可能是慢性炎症性疾病风险更大和预期寿命更短的标志。
    Vitamin D3 deficiency and insufficiency are becoming a common global issue for us, especially in the most industrially developed countries. The only acknowledged activity of vitamin D3 in vertebrates is to promote the absorption of calcium and, therefore, allow for the mineralization of bones. Accordingly, its deficiency is associated with diseases such as rickets. Other numerous vital functions associated with vitamin D3 are yet to be considered, and the function of vitamin D2 in plants is unknown. Thus, 100 years after its discovery, the importance of vitamin D still seems to be unacknowledged (except for rickets), with little attention given to its decrease throughout the world. In this review, I suggest that vitamin D deficiency and insufficiency may be linked to the westernized lifestyle in more developed countries. Furthermore, I suggest that, rather than the calcemic activity, the main function of vitamin D is, in general, that of strengthening living organisms. I conclude with the hypothesis that vitamin D deficiency may represent a marker for a greater risk of chronic inflammatory diseases and a shorter life expectancy.
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