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46487

Prevalence of Hypovitaminosis D among Renal Transplant Recipients and Its Relation to Graft Interstitial Fibrosis

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Last updated: 01 Jan 2025

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Abstract

Background:Vitamin D deficiency is not uncommon among kidney transplant recipients which may lead bone diseases, graft aging and vascular disease. We aimed to evaluate the prevalence of hypovitaminosis D among renal transplant recipients and its relation to graft interstial fibrosis in graft biopsies. Methods:We recruited 99 renal transplant recipients with recent graft biopsies performed during the period between 2016 and 2017 in the nephrology department, organ transplant center of Kuwait. We excluded 2nd transplants, previous rejecters, extremes of ages (<18,>70years), postmenopausal women, and conditions that interfered with vitamin D metabolism as hepatic disease, gastric bypass, cystic fibrosis; extensive burns and chronic diarrhea. Patients were divided the into two groups: recent transplants (1- year post-transplant, n=50). We measured serum 25(OH) vitamin D, iPTH, albumin, creatinine, calcium, phosphorus, cholesterol and uric acid. Graft biopsies were assessed according to Banff classification 2013. Results:Most of patients (81.8%) had hypovitaminosis D with variable degrees' deficiency (48.5 % had insufficiency, 24.2 % had mild deficiency, and 9.1 % had severe deficiency).  In our study, both groups were comparable regarding their demographic data except longer dialysis duration and higher number of patients receiving tacrolimus-based therapy in group 1. Vitamin D level was lower in group 1 but did not rank to significance (p>0.05), however, it had significant negative correlation with iPTH and the degree of renal graft interstitial fibrosis and vitamin D deficiency. Conclusion: The prevalence of 25-OH vitamin D deficiency is high post-transplant and it might contribute to the graft interstitial fibrosis.
 

DOI

10.21608/zumj.2019.10093.10750

Keywords

Vitamin D, renal transplant, fibosis, rejection

Authors

First Name

Waleed

Last Name

Awadain

MiddleName

H

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City

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Orcid

-

First Name

Ezzat

Last Name

Mohamad

MiddleName

M

Affiliation

-

Email

mostafa@yahoo.com

City

-

Orcid

-

First Name

Fawzy

Last Name

Almessallamy

MiddleName

AF

Affiliation

-

Email

almessallamy@yahoo.com

City

-

Orcid

-

First Name

Ahmed

Last Name

Gab-Allah

MiddleName

M

Affiliation

-

Email

m_gaballa@yahoo.com

City

-

Orcid

-

First Name

Osama

Last Name

Gheith

MiddleName

A

Affiliation

-

Email

ogheith@yahoo.com

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-

Orcid

-

Volume

25

Article Issue

5

Related Issue

7145

Issue Date

2019-09-01

Receive Date

2019-08-30

Publish Date

2019-09-01

Page Start

748

Page End

758

Print ISSN

1110-1431

Online ISSN

2357-0717

Link

https://zumj.journals.ekb.eg/article_46487.html

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https://zumj.journals.ekb.eg/service?article_code=46487

Order

15

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Original Article

Type Code

273

Publication Type

Journal

Publication Title

Zagazig University Medical Journal

Publication Link

https://zumj.journals.ekb.eg/

MainTitle

Prevalence of Hypovitaminosis D among Renal Transplant Recipients and Its Relation to Graft Interstitial Fibrosis

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Article

Created At

22 Jan 2023