Proporsi Defisiensi Vitamin D pada Pasien Poliklinik Alergi dan Imunologi

Authors

  • Iris Rengganis Divisi Alergi Imunologi Klinik, Departemen Ilmu Penyakit Dalam, Fakultas Kedokteran Universitas Indonesia
  • Aria Kakalih Departemen Ilmu Kedokteran Komunitas, Fakultas Kedokteran Universitas Indonesia
  • Danny Rasjiid Garna Dokter umum, Jakarta, Indonesia

DOI:

https://doi.org/10.55175/cdk.v46i12.394

Keywords:

Alergi, defisiensi, sistem imun, vitamin D

Abstract

Vitamin D mempengaruhi dan meregulasi fungsi sistem imun tubuh. Tujuan: Mengetahui proporsi defisiensi vitamin D-25(OH) pasien poliklinik Alergi dan Imunologi, serta untuk meninjau tatalaksana defisiensi vitamin D-25(OH) di poliklinik Alergi dan Imunologi. Metode: Penelitian retrospektif data rekam medis pasien Poliklinik Alergi dan Imunologi yang mendapat terapi vitamin D serta kadar vitamin D-25 (OH). Hasil: Sejumlah 97,1% pasien memiliki kadar vitamin D kurang dari normal (insufisiensi vitamin D dan defisiensi vitamin D). Setelah pemberian vitamin D dosis tinggi (1000 IU/hari atau lebih) selama 3 bulan, terjadi peningkatan bermakna status vitamin D. Simpulan: Proporsi defisiensi vitamin D tinggi pada pasien penyakit imunologi dan pemberian vitamin D dosis tinggi (1000 IU/hari atau lebih) dapat meningkatkan status vitamin D pasien dengan penyakit imunologi.

Vitamin D plays a role in influencing and regulating the function of the immune system in the body. Objective: To determine the proportion of vitamin D-25 (OH) deficiency in patients in the Allergy and Immunology Polyclinic, and to evaluate the management of vitamin D-25 (OH) deficiency in patients in the Allergy and Immunology Polyclinic. Methods: Retrospective study on medical records data from Allergy and Immunology Polyclinic patients with vitamin D-25 (OH) level data and with vitamin D therapy. Results: Vitamin D level less than normal in 97,1% patients. After administration of high dose vitamin D (1000 IU/day or more) for 3 months, a significant increase in the patient’s vitamin D status was observed. conclusion: The proportion of vitamin D deficiency in patients with immunological diseases is high and administration of high doses vitamin D (1000 IU/day or more) can improve the vitamin D status

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References

Nimitphong H, Holick MF. Vitamin D status and sun exposure in Southeast Asia. Dermato-endocrinology. 2013;5(1):34-7.

Aranow C. Vitamin D and the immune system. J Investigative Med. 2011;59(6):881-6.

Mostafa WZ, Hegazy RA. Vitamin D and the skin: Focus on a complex relationship: A review. J Advanced Res. 2015;6(6):793-804.

Zittermann A, Koerfer R. Protective and toxic effects of vitamin D on vascular calcification: Clinical implications. Mol Aspects Med. 2008;29:423-32.

Huisman AM, White KP, Algra A, Vieth R, Jacobs JW, Bijlsma JW, et al. Vitamin D levels in women with systemic lupus erythematosus and fibromyalgia. J Rheumatol. 2001;28(11):2535-9.

Yamashita H, Noguchi S, Takatsu K, Koike E, Murakami T, Watanabe S, et al. High prevalence of vitamin D deficiency in Japanese female patients with Graves’ disease. Endocrine J. 2001;48(1):63-9.

Hassanalilou T, Khalili L, Ghavamzadeh S, Shokri A, Payahoo L, Bishak YK. Role of vitamin D deficiency in systemic lupus erythematosus incidence and aggravation. Autoimmunity Highlights. 2018;9(1):1.

Gallagher JC, Sai AJ. Vitamin D insufficiency, deficiency, and bone health. J Clin Endocrinol Metab. 2010;95(6):2630-3.

Holick MF. Vitamin D deficiency. N Engl J Med. 2007;357(3):266-81.

Mora JR, Iwata M, Von Andrian UH. Vitamin effects on the immune system: Vitamins A and D take centre stage. Nature Rev Immunol. 2008;8(9):685.

Schoindre Y, Jallouli M, Tanguy ML, Ghillani P, Galicier L, Aumaître O, et al. Lower vitamin D levels are associated with higher systemic lupus erythematosus activity, but not predictive of disease flare-up. Lupus Sci Med. 2014;1(1):e000027. doi: 10.1136/lupus-2014-000027.

Desai MK, Brinton RD. Autoimmune disease in women: Endocrine transition and risk across the lifespan. Front Endocrinol (Lausanne).2019;10:265.

Azrielant S, Shoenfeld Y. Vitamin D and autoimmune diseases. Indian J Rheumatol. 2017;12:219-22.

Zheng ZH, Gao CC, Wu ZZ, Liu SY, Li TF, Gao GM, et al. High prevalence of hypovitaminosis D of patients with autoimmune rheumatic diseases in China. Am J Clin Exp Immunol. 2016;5(3):48-54. eCollection 2016.

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Published

02-12-2019

How to Cite

Rengganis, I., Kakalih, A., & Garna, D. R. (2019). Proporsi Defisiensi Vitamin D pada Pasien Poliklinik Alergi dan Imunologi. Cermin Dunia Kedokteran, 46(12), 760–763. https://doi.org/10.55175/cdk.v46i12.394