Synthesis of vitamin D in skin after burns

被引:63
作者
Klein, GL
Chen, TC
Holick, MF
Langman, CB
Price, H
Celis, MM
Herndon, DN
机构
[1] Univ Texas, Med Branch, Dept Paediat, Galveston, TX 77550 USA
[2] Univ Texas, Med Branch, Dept Surg, Galveston, TX 77550 USA
[3] Shriners Burns Hosp, Galveston, TX USA
[4] Boston Univ, Med Ctr, Dept Med, Boston, MA USA
[5] Northwestern Univ, Childrens Mem Hosp, Feinberg Sch Med, Chicago, IL 60614 USA
关键词
D O I
10.1016/S0140-6736(03)15388-3
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Severe burn injury is associated with vitamin D deficiency, low bone turnover, and abnormalities in calcium homoeostasis. Patients do not routinely receive vitamin D supplementation and sun exposure is currently not controlled. By analysis of skin biopsy samples for vitamin D3 precursors after exposure to ultraviolet B light we found that the conversion of 7-dehydrocholesterol to previtamin D3 was reduced in children a mean of 14 months after the burn. Low serum 25-hydroxyvitamin D concentrations were also found. We conclude that vitamin D supplementation is necessary after burn injury.
引用
收藏
页码:291 / 292
页数:2
相关论文
共 5 条
[1]   Vitamin D depletion following burn injury in children: A possible factor in post-burn osteopenia [J].
Klein, GL ;
Langman, CB ;
Herndon, DN .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2002, 52 (02) :346-350
[2]   HISTOMORPHOMETRIC AND BIOCHEMICAL-CHARACTERIZATION OF BONE FOLLOWING ACUTE SEVERE BURNS IN CHILDREN [J].
KLEIN, GL ;
HERNDON, DN ;
GOODMAN, WG ;
LANGMAN, CB ;
PHILLIPS, WA ;
DICKSON, IR ;
EASTELL, R ;
NAYLOR, KE ;
MALONEY, NA ;
DESAI, M ;
BENJAMIN, D ;
ALFREY, AC .
BONE, 1995, 17 (05) :455-460
[3]   SUNSCREENS SUPPRESS CUTANEOUS VITAMIN-D3 SYNTHESIS [J].
MATSUOKA, LY ;
IDE, L ;
WORTSMAN, J ;
MACLAUGHLIN, JA ;
HOLICK, MF .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 1987, 64 (06) :1165-1168
[4]  
MCLAUGHLIN J, 1985, J CLIN INVEST, V76, P1536
[5]   Up-regulation of the parathyroid calcium-sensing receptor after burn injury in sheep: A potential contributory factor to postburn hypocalcemia [J].
Murphey, ED ;
Chattopadhyay, N ;
Bai, M ;
Kifor, O ;
Harper, D ;
Traber, DL ;
Hawkins, HK ;
Brown, EM ;
Klein, GL .
CRITICAL CARE MEDICINE, 2000, 28 (12) :3885-3890