Serum Vitamin D levels in Rheumatoid arthritis and Relationship with disease activity

Elamir, Azza; Ibrahim, Tarek; Fouad, Nermeen A.; Masoud, Mohamed

doi:10.21608/besps.2018.8206

Serum Vitamin D levels in Rheumatoid arthritis and Relationship with disease activity

Document Type : Original Article

Authors

¹ Department of Medical Biochemistry, Faculty of Medicine, Fayoum University, Fayoum, Egypt.

² Department of Internal Medicine, Faculty of Medicine, Fayoum University, Fayoum, Egypt.

³ Department of Rheumatology and Rehabilitation, Faculty of Medicine, Fayoum University, Fayoum, Egypt.

⁴ Department of public health, Faculty of Medicine, Fayoum University, Fayoum, Egypt.

10.21608/besps.2018.8206

Abstract

Aim: This study was designed to measure the serum level of vitamin D in patients with rheumatoid arthritis, and to correlate it with disease activity. Method: 41 patients of Rheumatoid arthritis fulfilling the ACR/EULAR classification criteria for RA and 20 healthy controls were included in the study. Disease activity was evaluated by DAS-28 score. 25 (OH) vitamin D and CRP levels were measured using ELISA Kit. Results: 9 patients had high disease activity (DAS-28 score >5.1), 25 patients had moderate disease activity (DAS 28 score 3.2-5.1, group B) and 7 patients had low disease activity (DAS-28 score ≤ 3.2). Mean serum level of vitamin D of RA patients was significantly low compared to healthy controls (P<0.0001). There was statistically significant negative correlation between vitamin D and DAS-28 (r = -0.388, P = 0.031). Conclusion: Serum level of vitamin D of RA patients was significantly low compared to healthy controls and vitamin D had statistically significant negative correlation with disease activity in RA.

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