Evaluation of Plasma Vitamin A and E Levels and Tear Film Changes in Patients with Psoriasis Vulgaris
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Purpose: To evaluate whether alterations in plasma vitamin A and E levels in patients with psoriasis have an effect on tear film changes. Methods: Sixty-two eyes of 31 patients with psoriasis vulgaris (Group A) and 74 eyes of 37 age- and gendermatched control subjects (Group B) were included in the study. Ocular and medical histories and dietary habits were obtained from each patient. The tear film break-up time (TBUT), the Schirmer 1 test results and plasma vitamin A and E levels were evaluated. Results: The mean Schirmer 1 test score was 14.76 ± 6.12 mm/5 min in Group A and 15.69 ± 3.10 mm/5 min in Group B. The mean plasma levels of vitamins A and E in Groups A and B were 1.86 ± 0.62 μmol/L and 1.88± 0.65 μmol/L vs. 26.21 ± 5.13 μmol/L and 27.19 ± 8.89 μmol/L, respectively. The Schirmer 1 test results and plasma vitamin A and E levels were not found to be significantly different between the groups (p > 0.05). The mean TBUT was 9.94 ± 6.18 seconds in Group A and 14.47 ± 5.65 seconds in Group B, a significant difference (p < 0.05). No correlation existed between plasma vitamin A and E levels, TBUT or the severity and duration of the disease (p > 0.05). Conclusions: Plasma vitamin A and E levels do not seem to be related to tear film changes in patients with psoriasis vulgaris.
Abstract
Purpose: To evaluate whether alterations in plasma vitamin A and E levels in patients with psoriasis have an effect on tear film changes. Methods: Sixty-two eyes of 31 patients with psoriasis vulgaris (Group A) and 74 eyes of 37 age- and gendermatched control subjects (Group B) were included in the study. Ocular and medical histories and dietary habits were obtained from each patient. The tear film break-up time (TBUT), the Schirmer 1 test results and plasma vitamin A and E levels were evaluated. Results: The mean Schirmer 1 test score was 14.76 ± 6.12 mm/5 min in Group A and 15.69 ± 3.10 mm/5 min in Group B. The mean plasma levels of vitamins A and E in Groups A and B were 1.86 ± 0.62 μmol/L and 1.88± 0.65 μmol/L vs. 26.21 ± 5.13 μmol/L and 27.19 ± 8.89 μmol/L, respectively. The Schirmer 1 test results and plasma vitamin A and E levels were not found to be significantly different between the groups (p > 0.05). The mean TBUT was 9.94 ± 6.18 seconds in Group A and 14.47 ± 5.65 seconds in Group B, a significant difference (p < 0.05). No correlation existed between plasma vitamin A and E levels, TBUT or the severity and duration of the disease (p > 0.05). Conclusions: Plasma vitamin A and E levels do not seem to be related to tear film changes in patients with psoriasis vulgaris.
참고문헌 (19)
- Karabulut AA, "Conjunctival impression cytology and tear-film changes in patients with psoriasis", Cornea, 18, pp.544~548 (1999)
- Fujikawa A, "Vitamin E prevents changes in the cornea and conjunctiva due to vitamin A deficiency", Graefes Arch Clin Exp Ophthalmol, 241, pp.287~297 (2003)
- Tsubota K, "Treatment of dry eye by autologous serum application in Sjogren’s syndrome", Br J Ophthalmol, 83, pp.390~395 (1999)
- Sommer A., "Xerophthalmia and vitamin A status", Prog Retin Eye Res, 17, pp.9~31 (1998)
- Sommer A, "Vitamin A deficiency and xerophthalmia", Arch Ophthalmol, 108, pp.343~344 (1990)
- Majewski S, "Decreased levels of vitamin A in serum of patients with psoriasis", Arch Dermatol Res, 280, pp.499~501 (1989)
- Safavi K., "Serum vitamin A levels in psoriasis: results from the First National Health and Nutrition Examination Survey", Arch Dermatol, 128, pp.1130~1131 (1992)
- Kokcam I, "Antioxidants and lipid peroxidation status in the blood of patients with psoriasis", Clin Chim Acta, 289, pp.23~31 (1999)
- Marrakchi S, "Vitamin A and E blood levels in erythrodermic and pustular psoriasis associated with chronic alcoholism", Acta Derm Venereol, 74, pp.298~301 (1994)
- Rehal B, "Ocular psoriasis", J Am Acad Dermatol, 65, pp.1202~1212 (2011)
- Zengin N, "Tear film and meibomian gland functions in psoriasis", Acta Ophthalmol Scand, 74, pp.358~360 (1996)
- Smith J, "Current patterns in the use of diagnostic tests in dry eye evaluation", Cornea, 27, pp.656~662 (2008)
- Nichols KK, "The repeatability of clinical measurements of dry eye", Cornea, 23, pp.272~285 (2004)
- Mrugacz M, "Retinol binding protein status in relation to ocular surface changes in patients with cystic fibrosis treated with daily vitamin A supplements", Eur J Pediatr, 164, pp.202~206 (2005)
- Kallarackal GU, "A comparative study to assess the clinical use of fluorescein meniscus time (FMT) with tear break up time (TBUT) and Schirmer’s tests (ST) in the diagnosis of dry eyes", Eye, 16, pp.594~600 (2002)
- Lima XT, "Skin carotenoid levels in adult patients with psoriasis", J Eur Acad Dermatol Venereol, 25, pp.945~949 (2011)
- Ricketts JR, "Nutrition and psoriasis", Clin Dermatol, 28, pp.615~626 (2010)
- Saurat JH, "Retinoids and psoriasis: novel issues in retinoid pharmacology and implications for psoriasis treatment", J Am Acad Dermatol, 41(3), pp.2~6 (1999)
- Karlsson T, "Topical retinoic acid alters the expression of cellular retinoic acid-binding protein-I and cellular retinoic acid-binding protein-II in non-lesional but not lesional psoriatic skin", Exp Dermatol, 11, pp.143~152 (2002)
