From: Relationship between vitamin D and chronic spontaneous urticaria: a systematic review
Outcome measurement | Pro | Cons | Results | References |
---|---|---|---|---|
Lower serum vitamin D levels in CSU patients than healthy controls | ✓ | One study showed significantly higher levels of vitamin D in CSU patients than that of controls | Wu et al. [30] | |
– | – | One study showed no significant difference in vitamin D levels between CSU patients and that of controls | Lee et al. [22] | |
✓ | Twelve studies showed significant lower levels of vitamin D in CSU patients than that of controls | Thorp et al. [28] Grzanka et al. [21] Chandrashekar et al. [20] Abdel-Rehim et al. [18] Movahedi et al. [23] Woo et al. [29] Rasool et al. [25] Boonpiyathad et al. [31] Oguz Topal et al. [24] Nasiri-Kalmarzi et al. [14] Dabas et al. [32] Rather et al. [33] | ||
Vitamin D insufficiency in CSU patients more than in controls | ✓ | One study showed significantly higher prevalence of vitamin D insufficiency in controls than in CSU | Movahedi et al. [23] | |
✓ | Two studies showed no significant difference in the prevalence of vitamin D insufficiency between CSU patients and controls | Grzanka et al. [21] | ||
✓ | One study showed significant difference in the prevalence of vitamin D insufficiency between CSU patients and controls | Oguz Topal et al. [24] | ||
Vitamin D deficiency in CSU patients more than in controls | – | – | One study showed no significant difference in the prevalence of vitamin D deficiency between CSU patients and controls | Thorp et al. [28] |
✓ | Three studies showed significant difference in the prevalence of vitamin D deficiency between CSU patients and controls | Grzanka et al. [21] Boonpiyathad et al. [31] Oguz Topal et al. [24] | ||
✓ | One study show significant difference in the proportion of critically low vitamin D levels in the CSU patients and in acute urticaria, atopic dermatitis, and healthy controls | Woo et al. [29] | ||
Lower serum vitamin D levels between CSU and acute urticaria | ✓ | One study showed no significant difference levels of vitamin D between CSU and acute urticaria patients | Lee et al. [22] | |
✓ | One study showed significantly lower levels of vitamin D in CSU than acute urticaria patients | Woo et al. [29] | ||
Lower serum vitamin D levels between CSU and atopic dermatitis | ✓ | One study showed significantly lower levels of vitamin D in CSU than atopic dermatitis | Woo et al. [29] | |
Lower serum vitamin D levels between CSU and allergic rhinitis | ✓ | One study showed significantly lower levels of vitamin D in CSU than allergic rhinitis | Thorp et al. [28] | |
Low serum vitamin D levels and higher disease activity | ✓ | One study reported a significant positive correlation between vitamin D levels and urticaria activity score | Movahedi et al. [23] | |
– | – | Six studies reported no association | Thorp et al. [28] Abdel-Rehim et al. [18] Grzanka et al. [21] Rorie et al. [26] Boonpiyathad et al. [31] Oguz Topal et al. [24] | |
✓ | Three study reported significant negative association between vitamin D levels and urticaria activity score One study reported significant negative association between vitamin D levels and urticaria severity score | Woo et al. [29] Nasiri-Kalmarzi et al. [14] Rather et al. [33] Chandrashekar et al. [20] | ||
Low serum vitamin D levels and longer disease duration | – | – | Five studies reported no association | Thorp et al. [28] Abdel-Rehim et al. [18] Grzanka et al. [21] Dabas et al. [32] Rather et al. [33] |
✓ | One studies reported significant negative association | Woo et al. [29] | ||
Low serum vitamin D levels and high ESR | ✓ | Two study reported significant correlation | Chandrashekar et al. [20] Boonpiyathad et al. [31] | |
Low serum vitamin D levels and high CRP levels | – | – | One study reported no association | Grzanka et al. [21] |
Low serum vitamin D levels and high IgE levels | ✓ | One study reported negative association | Abdel-Rehim et al. [18] | |
– | – | Four studies reported no association | Movahedi et al. [23] Oguz Topal et al. [24] Nasiri-Kalmarzi et al. [14] Dabas et al. [32] | |
Low serum vitamin D levels and high IL-17 levels | ✓ | One study reported negative association. | Chandrashekar et al. [20] | |
Low serum vitamin D levels and TGF-β1 | ✓ | One study reported negative association | Chandrashekar et al. [20] | |
Low serum vitamin D levels and thyroid autoantibodies testing | – | – | Two studies reported no association | Thorp et al. [28] Oguz Topal et al. [24] |
Low serum vitamin D levels and a positive ASST or APST | ✓ | One study reported significant lower levels of vitamin D in patients with a positive APST | Chandrashekar et al. [20] | |
✓ | Three study reported significant lower levels of vitamin D in patients with a positive ASST. | Woo et al. [29] Nasiri-Kalmarzi et al. [14] Rather et al. [33] | ||
– | – | Three studies reported no association between the ASST-positive and ASST-negative groups | Thorp et al. [28] Grzanka et al. [21] Dabas et al. [32] |