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008 180414s2017 ua dh f m 000 0 eng d
040 _aEG-GiCUC
_beng
_cEG-GiCUC
041 0 _aeng
049 _aDeposite
097 _aM.Sc
099 _aCai01.11.28.M.Sc.2017.Am.V
100 0 _aAmira Ahmed Elrefaee Abass Khalil
245 1 0 _aVitamin D status in Egyptian sickle cell disease patients and its correlation to the course of the disease /
_cAmira Ahmed Elrefaee Abass Khalil ; Supervised Mona Mohamed Hamdy , Niveen Mohamed Salama , Ghada Maher Mohamed
246 1 5 _aمعدل فيتامين(د) عند مرضي أنيميا الخلايا المنجلية وتأثيره علي مسار المرض
260 _aCairo :
_bAmira Ahmed Elrefaee Abass Khalil ,
_c2017
300 _a131 P. :
_bcharts , facsimiles ;
_c25cm
502 _aThesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Pediatrics
520 _aBackground: Vitamin D insufficiency (VDD) is an established phenomenon in patients with sickle cell disease (SCD). Although a large portion of the population has been described as having low levels of vitamin D, individuals with SCD are at higher risk for VDD than their health counterparts. Despite these findings, its relationship with SCD is unclear and vitamin D levels are not routinely checked or treated in patients with SCD. Methods: Vitamin D levels (25-OHD) were measured in eighty SCD patients who were in steady state and sixty age and sex matched healthy controls using enzyme linked immunosorbent assay (ELISA). Comparison between two SCD patients groups one with VDD and other group with normal 25-OHD level was done focusing on medical history including vaos-occlusive crisis and transfusion history Hematological profile and biomarker of hemolysis (hemoglobin [Hb]/hematocrit, reticulocyte percentage and lactate dehydrogenase [LDH] levels) were done. Results: Assessment of 25-OHD levels revealed that 60% of patient group had VDD compared to 26.7% in control group with significance difference between the two groups who had VDD that mean serum level of 25- OHD was 9.9 ±2.1 ng/mL and 11 ± 1.8 ng/mL, respectively. There was significant negative correlation between serum 25-OHD level and age, frequency of VOC, reticulocyte count, LDH and AST (hemolysis biomarkers) while there is positive correlations with hemoglobin, hematocrite and age of first blood transfusion. Significant differences were found between patients with VDD and patients with normal 25-OHD in frequency of hospital admission, recurrent infections, frequency of blood transfusion
530 _aIssued also as CD
653 4 _aEgyptian sickle cell disease
653 4 _aVitamin D
653 4 _aVitamin D insufficiency (VDD)
700 0 _aGhada Maher Mohamed ,
_eSupervisor
700 0 _aMona Mohamed Hamdy ,
_eSupervisor
700 0 _aNiveen Mohamed Salama ,
_eSupervisor
856 _uhttp://172.23.153.220/th.pdf
905 _aNazla
_eRevisor
905 _aShimaa
_eCataloger
942 _2ddc
_cTH
999 _c65847
_d65847