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학술저널
저자정보
Jae Chang Jun (Seoul National University College of Medicine) 윤혁 (Seoul National University Bundang Hospital) Yoon Jin Choi (Seoul National University Bundang Hospital) Cheol Min Shin (Seoul National University Bundang Hospital) Young Soo Park (Seoul National University Bundang Hospital) Nayoung Kim (Seoul National University Bundang Hospital) Dong Ho Lee (Seoul National University Bundang Hospital) Joo Sung Kim (Seoul National University College of Medicine)
저널정보
대한장연구학회 Intestinal research Intestinal research Vol.17 No.2
발행연도
2019.1
수록면
210 - 217 (8page)

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Background/Aims: The exact relationship between vitamin D deficiency and inflammatory bowel disease (IBD) remains unclear. We evaluated the effect of vitamin D3 administration on inflammatory responses and disease severity in patients with IBD. Methods: We investigated the serum 25-hydroxyvitamin D3 [25-(OH)D], C-reactive protein (CRP) levels and the partial Mayo score (PMS) in patients with IBD. Vitamin D3 was administered in patients with either vitamin D deficiency or insufficiency and CRP, serum vitamin D levels and PMS were re-examined at 6 months of administration. Results: In 88 patients with Crohn’s disease (CD), a negative correlation was found between serum vitamin D and CRP. In 178 patients with ulcerative colitis (UC), serum vitamin D showed no association with CRP or PMS. Serum vitamin D increased from 11.08±3.63 to 22.69±6.11 ng/mL in 29 patients with CD and from 11.45±4.10 to 24.20±6.61 ng/mL in 41 patients with UC who received vitamin D3 treatment (P<0.001 and P<0.001, respectively). In patients with CD, median ΔCRP was –0.24 in the normalized vitamin D group and –0.11 in the non-normalized group (P=0.308). In patients with UC, median ΔCRP was −0.01 in the normalized vitamin D group and 0.06 in the non-normalized group (P=0.359). Conclusions: Although a negative correlation was found between serum vitamin D and CRP levels in patients with CD, administration of vitamin D did not improve the CRP level in patients with CD. In patients with UC, serum vitamin D level was unrelated to CRP or PMS. (Intest Res 2019;17:210-217)

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