Bone health, vitamin D and lupus
Reumatol Clin. 2015 Jul-Aug;11(4):232-6.
doi: 10.1016/j.reuma.2014.10.001.
Epub 2014 Dec 2.
[Article in
English,
Spanish]
Affiliations
- 1 Sección de Enfermedades Autoinmunes Sistémicas, Servicio de Reumatología, Hospital Universitario Puerta de Hierro Majadahonda. Majadahonda, Madrid, España.
- 2 Sección de Enfermedades Autoinmunes Sistémicas, Servicio de Reumatología, Hospital Universitario Puerta de Hierro Majadahonda. Majadahonda, Madrid, España. Electronic address: jlandreu@arrakis.es.
Abstract
The prevalence of vitamin D deficiency and insufficiency among patients with systemic lupus erythematosus is high. This is likely due to photoprotection measures in addition to intrinsic factors of the disease. Low levels of vitamin D increase the risk of low bone mineral density and fracture. Vitamin D deficiency could also have undesirable effects on patients' immune response, enhancing mechanisms of loss of tolerance and autoimmunity. Vitamin D levels should be periodically monitored and patients should be treated with the objective of reaching vitamin D levels higher than 30-40 ng/ml.
Keywords:
Lupus eritematoso sistémico; Osteoporosis; Systemic lupus erythematosus; Vitamin D; Vitamina D.
Copyright © 2014 Elsevier España, S.L.U. All rights reserved.
MeSH terms
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Cardiovascular Diseases / etiology
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Dietary Supplements
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Humans
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Lupus Erythematosus, Systemic / complications*
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Lupus Erythematosus, Systemic / immunology
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Osteoporosis / etiology*
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Vitamin D / therapeutic use
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Vitamin D Deficiency / drug therapy
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Vitamin D Deficiency / etiology*
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Vitamins / therapeutic use