Relationship of serum vitamin D with liver disease severity and bone abnormalities in cholestatic children
Acta Medica Philippina
;
: 90-95, 2021.
Artigo
em Inglês
| WPRIM
| ID: wpr-959895
ABSTRACT
@#<p style="text-align justify;"><strong>Background:
</strong> Vitamin D deficiency occurs in 10% to 36% of children with cholestasis. The relationship between serum vitamin D levels, severity of liver disease and bone abnormalities in children has not been extensively investigated.</p><p style="text-align justify;"><strong>Objective:
</strong> To determine serum vitamin D levels and its association with liver disease severity and presence of radiographic rickets in children with cholestasis.</p><p style="text-align justify;"><strong>Methods:
</strong> Children aged 0-10 years with cholestasis underwent serum 25-hydroxyvitamin D levels (25-[OH]D) determination, radiographs of wrists and knees and liver function tests. Liver disease severity was evaluated using the Child-Pugh score. Radiographs were assessed using Thacher Rickets Severity Score. Data were analyzed using odds ratio and Spearman's correlation coefficient.</p><p style="text-align justify;"><strong>Results:
</strong> We included 51 children [Mean (SD) age 5 (6) months, 63% are males], mostly with biliary atresia (51%). Forty-seven (92%) had serum 25-(OH)D deficiency and four (8%) had insufficiency. Radiologic bone abnormalities were observed in 22 (43%) cases; specifically, rickets in 16 (31%). No association was observed with vitamin D levels and liver disease severity (OR 1.27, 95% CI 0.12-13.31) nor with rickets score (OR 0.07, 95% CI 0.004-1.37).</p><p style="text-align justify;"><strong>Conclusion:
</strong> Majority of the children with cholestasis had vitamin D deficiency, with a third having radiographic findings of rickets. Serum vitamin D levels were not associated with liver disease severity or with rickets score.</p><p style="text-align justify;"><strong>Key Words</strong> Vitamin D, rickets, cholestasis, bone disease, bone abnormalities</p>
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Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Vitamina D
/
Doenças Ósseas
/
Colestase
Idioma:
Inglês
Revista:
Acta Medica Philippina
Ano de publicação:
2021
Tipo de documento:
Artigo
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