High Prevalence of Vitamin D Deficiency in Patients With Basal Cell Nevus Syndrome

OBJECTIVES To evaluate vitamin D status in patients with basal cell nevus syndrome (BCNS) who practice photoprotection because of their genetic predisposition to skin cancer and to determine risk factors for deficiency. DESIGN Retrospective cohort study. SETTING Academic medical centers. PATIENTS Fo...

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Veröffentlicht in:Archives of dermatology (1960) 2010-10, Vol.146 (10), p.1105-1110
Hauptverfasser: Tang, Jean Y, Wu, Angela, Linos, Eleni, Parimi, Neeta, Lee, Wayne, Aszterbaum, Michelle, Asgari, Maryam M, Bickers, David R, Epstein, Ervin H
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container_end_page 1110
container_issue 10
container_start_page 1105
container_title Archives of dermatology (1960)
container_volume 146
creator Tang, Jean Y
Wu, Angela
Linos, Eleni
Parimi, Neeta
Lee, Wayne
Aszterbaum, Michelle
Asgari, Maryam M
Bickers, David R
Epstein, Ervin H
description OBJECTIVES To evaluate vitamin D status in patients with basal cell nevus syndrome (BCNS) who practice photoprotection because of their genetic predisposition to skin cancer and to determine risk factors for deficiency. DESIGN Retrospective cohort study. SETTING Academic medical centers. PATIENTS Forty-one ambulatory patients with BCNS who participated in a 2-year chemoprevention clinical trial. Population-based controls (n = 360) were selected and matched by age, sex, Fitzpatrick skin type, and season/geography. MAIN OUTCOME MEASURES Levels of 25-hydroxyvitamin D (25[OH]D) and vitamin D deficiency (defined as a 25[OH]D level of ≤20 ng/mL). RESULTS Twenty-three patients with BCNS (56%) were vitamin D deficient. Patients with BCNS had mean 25(OH)D levels below those of the general population (−3 ng/mL; P = .02) and were 3 times more likely to be vitamin D deficient (56% vs 18%; P 
doi_str_mv 10.1001/archdermatol.2010.247
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DESIGN Retrospective cohort study. SETTING Academic medical centers. PATIENTS Forty-one ambulatory patients with BCNS who participated in a 2-year chemoprevention clinical trial. Population-based controls (n = 360) were selected and matched by age, sex, Fitzpatrick skin type, and season/geography. MAIN OUTCOME MEASURES Levels of 25-hydroxyvitamin D (25[OH]D) and vitamin D deficiency (defined as a 25[OH]D level of ≤20 ng/mL). RESULTS Twenty-three patients with BCNS (56%) were vitamin D deficient. Patients with BCNS had mean 25(OH)D levels below those of the general population (−3 ng/mL; P = .02) and were 3 times more likely to be vitamin D deficient (56% vs 18%; P &lt; .001). Levels of 25(OH)D were lower in patients who were overweight (−3.0 ng/mL; P = .04) and who had blood collected in the winter compared with the summer (−7.1 ng/mL; P &lt; .001). CONCLUSION Patients with BCNS may be at increased risk for vitamin D deficiency, depending on their adherence to photoprotection practices. TRIAL REGISTRATION clinicaltrials.gov Identifier: NCT00023621Arch Dermatol" year="2010" volume="146" issueno="10" page="1105-1110"--&gt;</description><identifier>ISSN: 0003-987X</identifier><identifier>ISSN: 2168-6068</identifier><identifier>EISSN: 1538-3652</identifier><identifier>EISSN: 2168-6084</identifier><identifier>DOI: 10.1001/archdermatol.2010.247</identifier><identifier>PMID: 20956641</identifier><identifier>CODEN: ARDEAC</identifier><language>eng</language><publisher>Chicago, IL: American Medical Association</publisher><subject>Adult ; Basal Cell Nevus Syndrome - blood ; Basal Cell Nevus Syndrome - complications ; Biological and medical sciences ; Cohort Studies ; Dermatology ; Epidemiology ; Female ; General aspects ; Genetics ; Humans ; Male ; Medical sciences ; Prevalence ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Retrospective Studies ; Risk factors ; Skin cancer ; Skin Neoplasms - blood ; Skin Neoplasms - complications ; Tumors of the skin and soft tissue. Premalignant lesions ; Vitamin D ; Vitamin D - analogs &amp; derivatives ; Vitamin D - blood ; Vitamin D Deficiency - blood ; Vitamin D Deficiency - epidemiology ; Vitamin D Deficiency - etiology ; Vitamin deficiency</subject><ispartof>Archives of dermatology (1960), 2010-10, Vol.146 (10), p.1105-1110</ispartof><rights>2015 INIST-CNRS</rights><rights>Copyright American Medical Association Oct 2010</rights><rights>2010 American Medical Association. 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DESIGN Retrospective cohort study. SETTING Academic medical centers. PATIENTS Forty-one ambulatory patients with BCNS who participated in a 2-year chemoprevention clinical trial. Population-based controls (n = 360) were selected and matched by age, sex, Fitzpatrick skin type, and season/geography. MAIN OUTCOME MEASURES Levels of 25-hydroxyvitamin D (25[OH]D) and vitamin D deficiency (defined as a 25[OH]D level of ≤20 ng/mL). RESULTS Twenty-three patients with BCNS (56%) were vitamin D deficient. Patients with BCNS had mean 25(OH)D levels below those of the general population (−3 ng/mL; P = .02) and were 3 times more likely to be vitamin D deficient (56% vs 18%; P &lt; .001). Levels of 25(OH)D were lower in patients who were overweight (−3.0 ng/mL; P = .04) and who had blood collected in the winter compared with the summer (−7.1 ng/mL; P &lt; .001). CONCLUSION Patients with BCNS may be at increased risk for vitamin D deficiency, depending on their adherence to photoprotection practices. TRIAL REGISTRATION clinicaltrials.gov Identifier: NCT00023621Arch Dermatol" year="2010" volume="146" issueno="10" page="1105-1110"--&gt;</description><subject>Adult</subject><subject>Basal Cell Nevus Syndrome - blood</subject><subject>Basal Cell Nevus Syndrome - complications</subject><subject>Biological and medical sciences</subject><subject>Cohort Studies</subject><subject>Dermatology</subject><subject>Epidemiology</subject><subject>Female</subject><subject>General aspects</subject><subject>Genetics</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Prevalence</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Retrospective Studies</subject><subject>Risk factors</subject><subject>Skin cancer</subject><subject>Skin Neoplasms - blood</subject><subject>Skin Neoplasms - complications</subject><subject>Tumors of the skin and soft tissue. Premalignant lesions</subject><subject>Vitamin D</subject><subject>Vitamin D - analogs &amp; derivatives</subject><subject>Vitamin D - blood</subject><subject>Vitamin D Deficiency - blood</subject><subject>Vitamin D Deficiency - epidemiology</subject><subject>Vitamin D Deficiency - etiology</subject><subject>Vitamin deficiency</subject><issn>0003-987X</issn><issn>2168-6068</issn><issn>1538-3652</issn><issn>2168-6084</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkU1v1DAQhi0EosvCD-AAspAQpxTHjuP4ggRboEgVVHzfrLEz6bpK4mInK-2_x6tdlsLJ45ln3pnRS8iTkp2WjJUvIbp1i3GAKfSnnOU0r9QdsiilaApRS36XLBhjotCN-nlCHqR0ndt40_D75IQzLeu6Khfk87m_WtPLiBvocXRIQ0e_-wkGP9Izeoaddz7ntzT_L2HK8ZToDz-t6RtI0NMV9j39iJs50S_bsY1hwIfkXgd9wkeHd0m-vXv7dXVeXHx6_2H1-qKAqpFTYa1o0cq2cqiV7bCttOtywLiyrLVaK2dB2kY6FHWNSgmpkFlm60qXrtViSV7tdW9mO2Dr8moRenMT_QBxawJ4829l9GtzFTZGKCWlElngxUEghl8zpskMPrl8EIwY5mSU1IJXO3RJnv1HXoc5jvm6HZQXUg3LkNxDLoaUInbHVUpmdp6Z256ZnWcme5b7nt6-49j1x6QMPD8AkBz0XYTR-fSXEzzP5zJzj_ccDHCsVpyXgovfxBOsrQ</recordid><startdate>20101001</startdate><enddate>20101001</enddate><creator>Tang, Jean Y</creator><creator>Wu, Angela</creator><creator>Linos, Eleni</creator><creator>Parimi, Neeta</creator><creator>Lee, Wayne</creator><creator>Aszterbaum, Michelle</creator><creator>Asgari, Maryam M</creator><creator>Bickers, David R</creator><creator>Epstein, Ervin H</creator><general>American Medical Association</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20101001</creationdate><title>High Prevalence of Vitamin D Deficiency in Patients With Basal Cell Nevus Syndrome</title><author>Tang, Jean Y ; Wu, Angela ; Linos, Eleni ; Parimi, Neeta ; Lee, Wayne ; Aszterbaum, Michelle ; Asgari, Maryam M ; Bickers, David R ; Epstein, Ervin H</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a485t-bb3deb5d4ce97bfed49cf7bf027b0db997cba5b85ce366e77357e0b0b6491cd93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adult</topic><topic>Basal Cell Nevus Syndrome - blood</topic><topic>Basal Cell Nevus Syndrome - complications</topic><topic>Biological and medical sciences</topic><topic>Cohort Studies</topic><topic>Dermatology</topic><topic>Epidemiology</topic><topic>Female</topic><topic>General aspects</topic><topic>Genetics</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Prevalence</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Retrospective Studies</topic><topic>Risk factors</topic><topic>Skin cancer</topic><topic>Skin Neoplasms - blood</topic><topic>Skin Neoplasms - complications</topic><topic>Tumors of the skin and soft tissue. Premalignant lesions</topic><topic>Vitamin D</topic><topic>Vitamin D - analogs &amp; derivatives</topic><topic>Vitamin D - blood</topic><topic>Vitamin D Deficiency - blood</topic><topic>Vitamin D Deficiency - epidemiology</topic><topic>Vitamin D Deficiency - etiology</topic><topic>Vitamin deficiency</topic><toplevel>online_resources</toplevel><creatorcontrib>Tang, Jean Y</creatorcontrib><creatorcontrib>Wu, Angela</creatorcontrib><creatorcontrib>Linos, Eleni</creatorcontrib><creatorcontrib>Parimi, Neeta</creatorcontrib><creatorcontrib>Lee, Wayne</creatorcontrib><creatorcontrib>Aszterbaum, Michelle</creatorcontrib><creatorcontrib>Asgari, Maryam M</creatorcontrib><creatorcontrib>Bickers, David R</creatorcontrib><creatorcontrib>Epstein, Ervin H</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Archives of dermatology (1960)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tang, Jean Y</au><au>Wu, Angela</au><au>Linos, Eleni</au><au>Parimi, Neeta</au><au>Lee, Wayne</au><au>Aszterbaum, Michelle</au><au>Asgari, Maryam M</au><au>Bickers, David R</au><au>Epstein, Ervin H</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>High Prevalence of Vitamin D Deficiency in Patients With Basal Cell Nevus Syndrome</atitle><jtitle>Archives of dermatology (1960)</jtitle><addtitle>Arch Dermatol</addtitle><date>2010-10-01</date><risdate>2010</risdate><volume>146</volume><issue>10</issue><spage>1105</spage><epage>1110</epage><pages>1105-1110</pages><issn>0003-987X</issn><issn>2168-6068</issn><eissn>1538-3652</eissn><eissn>2168-6084</eissn><coden>ARDEAC</coden><abstract>OBJECTIVES To evaluate vitamin D status in patients with basal cell nevus syndrome (BCNS) who practice photoprotection because of their genetic predisposition to skin cancer and to determine risk factors for deficiency. DESIGN Retrospective cohort study. SETTING Academic medical centers. PATIENTS Forty-one ambulatory patients with BCNS who participated in a 2-year chemoprevention clinical trial. Population-based controls (n = 360) were selected and matched by age, sex, Fitzpatrick skin type, and season/geography. MAIN OUTCOME MEASURES Levels of 25-hydroxyvitamin D (25[OH]D) and vitamin D deficiency (defined as a 25[OH]D level of ≤20 ng/mL). RESULTS Twenty-three patients with BCNS (56%) were vitamin D deficient. Patients with BCNS had mean 25(OH)D levels below those of the general population (−3 ng/mL; P = .02) and were 3 times more likely to be vitamin D deficient (56% vs 18%; P &lt; .001). Levels of 25(OH)D were lower in patients who were overweight (−3.0 ng/mL; P = .04) and who had blood collected in the winter compared with the summer (−7.1 ng/mL; P &lt; .001). CONCLUSION Patients with BCNS may be at increased risk for vitamin D deficiency, depending on their adherence to photoprotection practices. TRIAL REGISTRATION clinicaltrials.gov Identifier: NCT00023621Arch Dermatol" year="2010" volume="146" issueno="10" page="1105-1110"--&gt;</abstract><cop>Chicago, IL</cop><pub>American Medical Association</pub><pmid>20956641</pmid><doi>10.1001/archdermatol.2010.247</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
Basal Cell Nevus Syndrome - blood
Basal Cell Nevus Syndrome - complications
Biological and medical sciences
Cohort Studies
Dermatology
Epidemiology
Female
General aspects
Genetics
Humans
Male
Medical sciences
Prevalence
Public health. Hygiene
Public health. Hygiene-occupational medicine
Retrospective Studies
Risk factors
Skin cancer
Skin Neoplasms - blood
Skin Neoplasms - complications
Tumors of the skin and soft tissue. Premalignant lesions
Vitamin D
Vitamin D - analogs & derivatives
Vitamin D - blood
Vitamin D Deficiency - blood
Vitamin D Deficiency - epidemiology
Vitamin D Deficiency - etiology
Vitamin deficiency
title High Prevalence of Vitamin D Deficiency in Patients With Basal Cell Nevus Syndrome
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