Is vitamin D status relevant to psoriasis and psoriatic arthritis? A retrospective cross-sectional study
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | São Paulo medical journal (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802022005000216 |
Resumo: | Abstract BACKGROUND: Psoriasis is a systemic, immune-mediated disease characterized by inflammatory manifestations in the skin and joints. Vitamin D deficiency is currently considered a pandemic and is associated with comorbidities including psoriasis and psoriatic arthritis (PsA). OBJECTIVES: To determine the prevalence of hypovitaminosis D [25(OH)D] in patients with plaque psoriasis, with and without PsA, and of independent predictors of serum 25(OH)D levels. DESIGN AND SETTING: Retrospective cross-sectional study conducted among 300 patients at an outpatient clinic in a university center in Juiz de Fora, Minas Gerais, Brazil. METHODS: Demographic and clinical data (psoriasis area and severity index [PASI], family history, age at onset, disease duration, and the presence of PsA according to Classification Criteria for Psoriatic Arthritis), skin phototype, and season of the year were reviewed. RESULTS: Hypovitaminosis D (< 30 ng/mL) was highly prevalent in patients with psoriasis with and without PsA (82.2% and 74.9%, respectively). An inverse correlation between PASI and vitamin D was found (without PsA r = –0.59 and, PsA r = –0.52, P < 0.001), and multivariate regression revealed that hypovitaminosis D was associated with disease severity, season, and phototype. It was confirmed by binary logistic regression between PASI and vitamin D deficiency (< 30 ng/mL), (odds ratio, OR 1.78 CI: –0.20–0.53, P < 0.001). CONCLUSION: Hypovitaminosis D (< 30 ng/mL) was highly prevalent in psoriatic patients with and without PsA. Season and skin phototype were associated with 25(OH)D levels. An inverse association between PASI and serum 25(OH)D levels was established. |
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Is vitamin D status relevant to psoriasis and psoriatic arthritis? A retrospective cross-sectional studyPsoriasisArthritis, psoriaticVitamin DRetrospective studiesPrevalencePsoriatic arthritis25-Hydroxyvitamin DPsoriasis area and severity indexClassification criteria for psoriatic arthritisRetrospective cross-sectional studyAbstract BACKGROUND: Psoriasis is a systemic, immune-mediated disease characterized by inflammatory manifestations in the skin and joints. Vitamin D deficiency is currently considered a pandemic and is associated with comorbidities including psoriasis and psoriatic arthritis (PsA). OBJECTIVES: To determine the prevalence of hypovitaminosis D [25(OH)D] in patients with plaque psoriasis, with and without PsA, and of independent predictors of serum 25(OH)D levels. DESIGN AND SETTING: Retrospective cross-sectional study conducted among 300 patients at an outpatient clinic in a university center in Juiz de Fora, Minas Gerais, Brazil. METHODS: Demographic and clinical data (psoriasis area and severity index [PASI], family history, age at onset, disease duration, and the presence of PsA according to Classification Criteria for Psoriatic Arthritis), skin phototype, and season of the year were reviewed. RESULTS: Hypovitaminosis D (< 30 ng/mL) was highly prevalent in patients with psoriasis with and without PsA (82.2% and 74.9%, respectively). An inverse correlation between PASI and vitamin D was found (without PsA r = –0.59 and, PsA r = –0.52, P < 0.001), and multivariate regression revealed that hypovitaminosis D was associated with disease severity, season, and phototype. It was confirmed by binary logistic regression between PASI and vitamin D deficiency (< 30 ng/mL), (odds ratio, OR 1.78 CI: –0.20–0.53, P < 0.001). CONCLUSION: Hypovitaminosis D (< 30 ng/mL) was highly prevalent in psoriatic patients with and without PsA. Season and skin phototype were associated with 25(OH)D levels. An inverse association between PASI and serum 25(OH)D levels was established.Associação Paulista de Medicina - APM2022-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802022005000216Sao Paulo Medical Journal n.ahead 2022reponame:São Paulo medical journal (Online)instname:Associação Paulista de Medicinainstacron:APM10.1590/1516-3180.2022.0216.r1.01072022info:eu-repo/semantics/openAccessGamonal,Shirley Braga LimaGamonal,Aloisio Carlos CouriMarques,Nathália Couri VieiraBrandão,Marcos Antônio FernandesRaposo,Nádia Rezende Barbosaeng2022-09-09T00:00:00Zoai:scielo:S1516-31802022005000216Revistahttp://www.scielo.br/spmjhttps://old.scielo.br/oai/scielo-oai.phprevistas@apm.org.br1806-94601516-3180opendoar:2022-09-09T00:00São Paulo medical journal (Online) - Associação Paulista de Medicinafalse |
dc.title.none.fl_str_mv |
Is vitamin D status relevant to psoriasis and psoriatic arthritis? A retrospective cross-sectional study |
title |
Is vitamin D status relevant to psoriasis and psoriatic arthritis? A retrospective cross-sectional study |
spellingShingle |
Is vitamin D status relevant to psoriasis and psoriatic arthritis? A retrospective cross-sectional study Gamonal,Shirley Braga Lima Psoriasis Arthritis, psoriatic Vitamin D Retrospective studies Prevalence Psoriatic arthritis 25-Hydroxyvitamin D Psoriasis area and severity index Classification criteria for psoriatic arthritis Retrospective cross-sectional study |
title_short |
Is vitamin D status relevant to psoriasis and psoriatic arthritis? A retrospective cross-sectional study |
title_full |
Is vitamin D status relevant to psoriasis and psoriatic arthritis? A retrospective cross-sectional study |
title_fullStr |
Is vitamin D status relevant to psoriasis and psoriatic arthritis? A retrospective cross-sectional study |
title_full_unstemmed |
Is vitamin D status relevant to psoriasis and psoriatic arthritis? A retrospective cross-sectional study |
title_sort |
Is vitamin D status relevant to psoriasis and psoriatic arthritis? A retrospective cross-sectional study |
author |
Gamonal,Shirley Braga Lima |
author_facet |
Gamonal,Shirley Braga Lima Gamonal,Aloisio Carlos Couri Marques,Nathália Couri Vieira Brandão,Marcos Antônio Fernandes Raposo,Nádia Rezende Barbosa |
author_role |
author |
author2 |
Gamonal,Aloisio Carlos Couri Marques,Nathália Couri Vieira Brandão,Marcos Antônio Fernandes Raposo,Nádia Rezende Barbosa |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Gamonal,Shirley Braga Lima Gamonal,Aloisio Carlos Couri Marques,Nathália Couri Vieira Brandão,Marcos Antônio Fernandes Raposo,Nádia Rezende Barbosa |
dc.subject.por.fl_str_mv |
Psoriasis Arthritis, psoriatic Vitamin D Retrospective studies Prevalence Psoriatic arthritis 25-Hydroxyvitamin D Psoriasis area and severity index Classification criteria for psoriatic arthritis Retrospective cross-sectional study |
topic |
Psoriasis Arthritis, psoriatic Vitamin D Retrospective studies Prevalence Psoriatic arthritis 25-Hydroxyvitamin D Psoriasis area and severity index Classification criteria for psoriatic arthritis Retrospective cross-sectional study |
description |
Abstract BACKGROUND: Psoriasis is a systemic, immune-mediated disease characterized by inflammatory manifestations in the skin and joints. Vitamin D deficiency is currently considered a pandemic and is associated with comorbidities including psoriasis and psoriatic arthritis (PsA). OBJECTIVES: To determine the prevalence of hypovitaminosis D [25(OH)D] in patients with plaque psoriasis, with and without PsA, and of independent predictors of serum 25(OH)D levels. DESIGN AND SETTING: Retrospective cross-sectional study conducted among 300 patients at an outpatient clinic in a university center in Juiz de Fora, Minas Gerais, Brazil. METHODS: Demographic and clinical data (psoriasis area and severity index [PASI], family history, age at onset, disease duration, and the presence of PsA according to Classification Criteria for Psoriatic Arthritis), skin phototype, and season of the year were reviewed. RESULTS: Hypovitaminosis D (< 30 ng/mL) was highly prevalent in patients with psoriasis with and without PsA (82.2% and 74.9%, respectively). An inverse correlation between PASI and vitamin D was found (without PsA r = –0.59 and, PsA r = –0.52, P < 0.001), and multivariate regression revealed that hypovitaminosis D was associated with disease severity, season, and phototype. It was confirmed by binary logistic regression between PASI and vitamin D deficiency (< 30 ng/mL), (odds ratio, OR 1.78 CI: –0.20–0.53, P < 0.001). CONCLUSION: Hypovitaminosis D (< 30 ng/mL) was highly prevalent in psoriatic patients with and without PsA. Season and skin phototype were associated with 25(OH)D levels. An inverse association between PASI and serum 25(OH)D levels was established. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802022005000216 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802022005000216 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1516-3180.2022.0216.r1.01072022 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Associação Paulista de Medicina - APM |
publisher.none.fl_str_mv |
Associação Paulista de Medicina - APM |
dc.source.none.fl_str_mv |
Sao Paulo Medical Journal n.ahead 2022 reponame:São Paulo medical journal (Online) instname:Associação Paulista de Medicina instacron:APM |
instname_str |
Associação Paulista de Medicina |
instacron_str |
APM |
institution |
APM |
reponame_str |
São Paulo medical journal (Online) |
collection |
São Paulo medical journal (Online) |
repository.name.fl_str_mv |
São Paulo medical journal (Online) - Associação Paulista de Medicina |
repository.mail.fl_str_mv |
revistas@apm.org.br |
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1754209268599357440 |