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Esanum is an online network for approved doctors

Esanum is the medical platform on the Internet. Here, doctors have the opportunity to get in touch with a multitude of colleagues and to share interdisciplinary experiences. Discussions include both cases and observations from practice, as well as news and developments from everyday medical practice.

esanum ist ein Online-Netzwerk für approbierte Ärzte

esanum ist die Ärzteplattform im Internet. Hier haben Ärzte die Möglichkeit, mit einer Vielzahl von Kollegen in Kontakt zu treten und interdisziplinär Erfahrungen auszutauschen. Diskussionen umfassen sowohl Fälle und Beobachtungen aus der Praxis, als auch Neuigkeiten und Entwicklungen aus dem medizinischen Alltag.

Esanum est un réseau en ligne pour les médecins agréés

Esanum est la plate-forme médicale sur Internet. Ici, les médecins ont la possibilité de prendre contact avec Une multitude de collègues et de partager des expériences interdisciplinaires. Les discussions portent à la fois sur les Observations de la pratique, ainsi que des nouvelles Et les développements de la pratique médicale quotidienne.

Low vitamin D levels: A risk factor of renal disease in lupus

A study showed that low levels of vitamin D were associated with higher rates of end-stage renal disease in patients with Systemic Lupus Erythematosus (SLE).

New insights into the role of vitamin D in lupus

A study showed that low levels of vitamin D were associated with higher rates of end-stage renal disease in patients with Systemic Lupus Erythematosus (SLE).

SLE patients have low serum levels of vitamin D, which increase the possibility of an association between vitamin deficiency, disease onset, and evolution. To clarify the role of vitamin D levels, may play in lupus inflammation, Dr. Michelle A. Petri and her colleagues of the “Hopkins Lupus Center” at Johns Hopkins University School of Medicine in Baltimore (MD/USA) conducted a study to determine how low vitamin D levels could predict organ damage later.

The researchers analyzed data on 1,392 SLE patients, including their first visit where vitamin D levels were measured, and then their organ or tissue damage on all the patient’s follow-up clinic visits.

The risk of lifetime organ damage for patients with low vitamin D levels was calculated using the Systemic Lupus International Collaborating Clinics/American College of Rheumatology (SLICC/ACR) Damage Index scoring system.

SLE patients whose vitamin D levels were insufficient (below 20ng/ml) had an 87% elevated risk (66% adjusted) to develop end-stage renal disease. Skin damage was another concern, with a 69% higher risk (22% adjusted). Even the total organ damage relative risk was elevated by 11% (17% adjusted).

"Supplementary vitamin D helps to prevent one of the most dreaded complications of SLE. Vitamin D supplementation, which can reduce proteinuria, should be a part of the treatment plan for lupus nephritis patients", concluded Dr. Petri.1

Source:
1. Petri M et al. Low Vitamin D Is Associated with End Stage Renal Disease in Systemic Lupus Erythematosus. Abstract No 665, 2017 ACR/ARHP Annual Meeting, November 3-8 2017, San Diego (CA/USA).