The Effect of Vitamin D Levels in Multisystem Inflammatory Syndrome in Children
Journal of Pediatric Infectious Diseases
; 2022.
Article
in English
| EMBASE | ID: covidwho-1955805
ABSTRACT
Objective Multiple factors being overweight, asthmatic, or being of Asian or black ethnic origins have been reported vis-à-vis the multisystem inflammatory syndrome in children (MIS-C). There is an association between these conditions and vitamin D deficiency, which explains why MIS-C is more common in these patients. In the present study, we attempted to retrospective evaluate the 25-hydroxy vitamin D levels of patients with MIS-C, its association with acute phase reactants, its treatment, and clinical status. Methods Patients aged between 1.5 months to 18 years with MIS-C were included in the study. All of the laboratory parameters, treatment, and response to the treatment were evaluated retrospectively. Two groups were formed. Patients had 25-hydroxycholecalciferol D vitamin < 20 ng/mL in group 1 and ≥ 20 ng/mL in group 2. Results A total of 52 patients were included in the study. There was no statistical difference between groups in terms of acceptance of the intensive care unit treatment (p = 0.29) and response to the first-line treatment (p = 0.56). A lower median lymphocyte count (p = 0.01) and a higher median C-reactive protein (p = 0.04) and procalcitonin (p = 0.01) with N-terminal pro-B-type natriuretic peptide (p = 0.025) values were found in group 1. Conclusion Vitamin D deficiency was associated with an increased inflammatory response in children with MIS-C. More studies are required to determine the potential impact of vitamin D deficiency on the clinical outcome of MIS-C.
adult; article; child; clinical outcome; controlled study; female; human; inflammation; intensive care unit; lymphocyte count; major clinical study; male; outcome assessment; pediatric multisystem inflammatory syndrome; retrospective study; systemic inflammatory response syndrome; vitamin blood level; vitamin D deficiency; young adult; 25 hydroxyvitamin D; acute phase protein; amino terminal pro brain natriuretic peptide; C reactive protein; endogenous compound; procalcitonin; vitamin D
Full text:
Available
Collection:
Databases of international organizations
Database:
EMBASE
Type of study:
Experimental Studies
Language:
English
Journal:
Journal of Pediatric Infectious Diseases
Year:
2022
Document Type:
Article
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