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J Pediatr Infect Dis 2022; 17(04): 194-199
DOI: 10.1055/s-0042-1749372
Original Article

The Effect of Vitamin D Levels in Multisystem Inflammatory Syndrome in Children

Ahmet Kan 
1   Department of Pediatric Allergy and Immunology, Dicle University Faculty of Medicine, Dicle University, Diyarbakır, Turkey
,
Mehmet Türe 
2   Department of Pediatric Cardiology, Dicle University Faculty of Medicine, Dicle University, Diyarbakır, Turkey
,
Alper Akın 
2   Department of Pediatric Cardiology, Dicle University Faculty of Medicine, Dicle University, Diyarbakır, Turkey
,
Kamil Yılmaz 
3   Department of Pediatrics, Dicle University Faculty of Medicine, Dicle University, Diyarbakır, Turkey
,
Mehmet Sürücü 
3   Department of Pediatrics, Dicle University Faculty of Medicine, Dicle University, Diyarbakır, Turkey
,
Edip Ünal 
4   Department of Pediatric Endocrinology, Dicle University Faculty of Medicine, Dicle University, Diyarbakır, Turkey
,
Velat Şen
5   Department of Pediatric Pulmonology, Dicle University Faculty of Medicine, Dicle University, Diyarbakır, Turkey
,
Veysiye Hülya Üzel 
6   Department of Pediatric Hematology, Dicle University Faculty of Medicine, Dicle University, Diyarbakır, Turkey
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Funding None.
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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.

Keywords

multisystem inflammatory syndrome - vitamin D - inflammation parameters

Authors' Contributions

A.K., K.Y., A.A., and E.Ü. designed the study, A.K. and K.Y. wrote this manuscript, V.Ş. and K.Y. gave conceptual advice, M.T., V.H.Ü., and M.S. collected and analyzed the data. All authors read and approved the final manuscript.




Publikationsverlauf

Eingereicht: 06. Februar 2022

Angenommen: 23. April 2022

Artikel online veröffentlicht:
11. Juli 2022

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