Вітамінний статус як оцінка забезпеченості вітамінами А, Е, D в дітей з алергодерматозами

Abstract

Vitamins are a group of biologically highly active, low molecular weight organic compounds of various chemical nature, which are practically not synthesized in the body or are synthesized in insufficient quantities, mainly income with food, and are vital to ensure for the flow and regulation of metabolic processes. Vitamins A, E, D play an important role in ensuring the normal functioning of the skin and mucous membranes, adequate immune response, maintaining the body’s resistance to various adverse external factors. Purpose - to study, evaluate and analyze the vitamin status, providing of vitamins A, E, D in children with allergic dermatoses. Materials and methods. 24 children with allergic dermatoses and 32 children of the control group aged 6 to 17 years were examined. General clinical, immunological, biochemical, questionnaires and statistical research methods were used. Results. Among the examined children with isolated allergopathology such as allergodermatoses were diagnosed 10 (41.7%) children, the remaining children were with combined allergic pathology such as allergodermatoses and bronchial asthma 14 (58.3%) children. The research of the providing of vitamins A, E, D in children with allergic dermatoses based on clinical symptoms showed the presence of hypovitaminosis manifestations of vitamin A in 9 (37.5%) children, vitamin E - 8 (33.3%) children, vitamin D - 14 (58.3%) children. Examination of vitamin status in children with allergodermatoses showed a marked decrease in blood levels of vitamin A, a moderate decrease in vitamin D levels, a slight decrease in vitamin E levels compared with children in the control group (p<0.05). In general, all examined children with allergodermatoses and the control group had low levels of vitamin D, subnormal low levels of vitamin A, normal levels of vitamin E according to the recommended criteria of normal supply of vitamins A, E, D according to blood levels. Conclusions. Based on the results of the study, the need for personalized correction of the consumption of vitamins A, E, D, taking into account the composition of the diet in children with allergic dermatoses, who are on elimination hypoallergenic diets were established. The synergistic effect of three vitamins A, E, D at the level of the immune system allows to recommend such a vitamin formula both for prophylactic purposes and in the complex treatment of children with skin allergies. The research was carried out in accordance with the principles of the Helsinki Declaration. The study protocol was approved by the Local Ethics Committee of all participating institutions. The informed consent of the patient was obtained for conducting the studies. No conflict of interests was declared by the authors.