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Association between bullous pemphigoid and hypovitaminosis D in older inpatients: Results from a case-control study.

Abstract：

OBJECTIVES:To compare serum vitamin D status in older inpatients with bullous pemphigoid (BP) and matched inpatients without BP, and to examine whether hypovitaminosis D, a high comorbidity burden or their combination were associated with BP. METHODS:This prospective case-control study was performed from November 2012 to February 2014. A total of 90 consecutive older inpatients (31 consecutive inpatients with a de novo diagnosis of active BP, and 59 matched controls without BP) were recruited in the Department of Dermatology of Angers University Hospital, France. Hypovitaminosis D was defined as serum 25-hydroxyvitamin D (25OHD) concentration<50nmol/L. Age, gender, functional level, sun exposure, season, comorbidity burden and cognitive performance were used as covariates. RESULTS:There was no significant difference between older inpatients with and without BP. Fully adjusted logistic regression showed a significant association between BP and hypovitaminosis D (odds ratio [OR]=3.7, P=0.046). The analysis of interaction between hypovitaminosis D and comorbidity burden showed that only the association of both was significantly associated with PB (OR=3.1, P=0.042). CONCLUSIONS:BP was significantly associated with hypovitaminosis D solely in patients with a high comorbidity burden among the older in-patients studied. This result suggests a complex interplay between hypovitaminosis D and BP, explaining the mixed results reported previously in the literature.

journal_name

Eur J Intern Med

journal_title

European journal of internal medicine

authors

Sarre ME,Annweiler C,Legrand E,Martin L,Beauchet O

doi

10.1016/j.ejim.2016.02.004

subject

Has Abstract

pub_date

2016-06-01 00:00:00

pages

25-8

eissn

0953-6205

issn

1879-0828

pii

S0953-6205(16)00051-0

journal_volume

31

pub_type

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