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295959

Vitamin D Level in Pediatric Autoimmune Hepatitis: Relation to Features and Response to Therapy

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Last updated: 01 Jan 2025

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Abstract

Abstract Background: Vitamin D has diverse immunomodulatory, anti-inflammatory, antioxidant, and anti-fibrotic actions, that have warranted its consideration as acritical pathogenic factor in the occurrence and severity ofdiverse immune-mediated diseases, including autoimmunehepatitis. Aim of Study: Primary aim: To assess serum levels of 25(OH)D in children and adolescents with AIH, Secondary aim: To evaluate the association between serum 25(OH)D levels and clinical, histological, biochemical features of AIH, Tertiary aim: To evaluate the association between serum 25(OH)D levels and response to immunosuppressive therapy. Patients and Methods: This controlled cross sectional study was performed on a total of 30 children and adolescences diagnosed with autoimmune hepatitis following-up in Pediatric Hepatology Clinic, Faculty of Medicine, Ain Shams University. They were 13 males and 17 females, their age ranged from 5-17 years old and 15 age and sex matched children as control group starting from October 2021 till July 2022. Results: This study study results revealed that there were no statistically significant differences between vitamin D level and sex, treatment, symptoms (right hypochondrial pain and abdominal enlargement), other autoimmune diseases of thyroid and DM and interface hepatitis. Conclusion: As evident from the current study, severe vitamin D deficiency occurs in patients with AIH. Interface hepatitis was found in 93.3%, bridging fibrosis in 86.7% and lymphocytic infiltration in 80% in case group of autoimmune hepatitis. Abdominal enlargement is the most common symptom in liver disease (46.7%) followed by right hypochondrial pain (26.7%).

DOI

10.21608/mjcu.2022.295959

Keywords

Pediatric autoimmune hepatitis, Relation to features, Response to therapy

Authors

First Name

LERINE B. AHMED, M.D.*;

Last Name

DALIA H. ABDELHAMID, M.D.**

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Orcid

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First Name

IMAN M. TALAAT, M.D.;

Last Name

AHMED S.S. HASSAN, M.Sc.*

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Affiliation

The Departments of Paediatrics* and Clinical Pathology**, Faculty of Medicine, Ain Shams University

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Volume

90

Article Issue

12

Related Issue

39806

Issue Date

2022-12-01

Receive Date

2023-04-19

Publish Date

2022-12-01

Page Start

2,653

Page End

2,662

Print ISSN

0045-3803

Online ISSN

2536-9806

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https://mjcu.journals.ekb.eg/article_295959.html

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https://mjcu.journals.ekb.eg/service?article_code=295959

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295,959

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Original Article

Type Code

263

Publication Type

Journal

Publication Title

The Medical Journal of Cairo University

Publication Link

https://mjcu.journals.ekb.eg/

MainTitle

Vitamin D Level in Pediatric Autoimmune Hepatitis: Relation to Features and Response to Therapy

Details

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Article

Created At

30 Dec 2024