PMID- 28761286 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200930 IS - 1013-9087 (Print) IS - 2005-3894 (Electronic) IS - 1013-9087 (Linking) VI - 29 IP - 4 DP - 2017 Aug TI - House Dust Mite Sensitization Is Inversely Associated with Plasma 25-Hydroxyvitamin D3 Levels in Patients with Severe Atopic Dermatitis. PG - 400-406 LID - 10.5021/ad.2017.29.4.400 [doi] AB - BACKGROUND: The relationship between atopic dermatitis (AD) and low vitamin D levels has been studied. Emerging evidence has implicated vitamin D as a critical regulator of immunity, playing a role in both the innate and cell-mediated immune systems. However, the effect of vitamin D on house dust mite (HDM) sensitization in patients with AD has not been established. OBJECTIVE: We investigated the association between vitamin D levels and HDM sensitization according to AD severity. METHODS: In total, 80 patients (43 men and 37 women) with AD were included. We classified AD severity using Rajka and Langeland scores. Laboratory tests included serum 25-hydroxyvitamin D3, total immunoglobulin E (IgE), and specific IgE antibody titer against Dermatophagoides farinae and D. pteronyssinus. RESULTS: There were no differences in vitamin D levels between the mild or moderate AD and severe AD groups. In the severe AD group, high HDM sensitization group had lower serum vitamin D levels compared to low HDM sensitization group with statistical significance. In addition, a significant negative correlation was found between vitamin D levels and HDM sensitization in the severe AD group. CONCLUSION: Our results demonstrate that low vitamin D levels may link to high HDM sensitization in patients with the severe AD. Further elucidation of the role of vitamin D in HDM sensitization may hold profound implications for the prevention and treatment of AD. FAU - Jang, Yong Hyun AU - Jang YH AD - Department of Dermatology, Kyungpook National University School of Medicine, Daegu, Korea. FAU - Sim, Hyun Bo AU - Sim HB AD - Department of Dermatology, Kyungpook National University School of Medicine, Daegu, Korea. FAU - Moon, Sun Young AU - Moon SY AD - Department of Dermatology, Kyungpook National University School of Medicine, Daegu, Korea. FAU - Lee, Weon Ju AU - Lee WJ AD - Department of Dermatology, Kyungpook National University School of Medicine, Daegu, Korea. FAU - Lee, Seok-Jong AU - Lee SJ AD - Department of Dermatology, Kyungpook National University School of Medicine, Daegu, Korea. FAU - Jin, Meiling AU - Jin M AD - Department of Pharmacology, Kyungpook National University School of Medicine, Daegu, Korea. FAU - Kim, Sang-Hyun AU - Kim SH AD - Department of Pharmacology, Kyungpook National University School of Medicine, Daegu, Korea. FAU - Kim, Do Won AU - Kim DW AD - Department of Dermatology, Kyungpook National University School of Medicine, Daegu, Korea. LA - eng PT - Journal Article DEP - 20170621 PL - Korea (South) TA - Ann Dermatol JT - Annals of dermatology JID - 8916577 PMC - PMC5500703 OTO - NOTNLM OT - Atopic dermatitis OT - Dermatophagoides farinae OT - Dermatophagoides pteronyssinus OT - Sensitization OT - Vitamin D COIS- CONFLICTS OF INTEREST: The authors have nothing to disclose. EDAT- 2017/08/02 06:00 MHDA- 2017/08/02 06:01 PMCR- 2017/08/01 CRDT- 2017/08/02 06:00 PHST- 2016/07/18 00:00 [received] PHST- 2016/08/31 00:00 [accepted] PHST- 2017/08/02 06:00 [entrez] PHST- 2017/08/02 06:00 [pubmed] PHST- 2017/08/02 06:01 [medline] PHST- 2017/08/01 00:00 [pmc-release] AID - 10.5021/ad.2017.29.4.400 [doi] PST - ppublish SO - Ann Dermatol. 2017 Aug;29(4):400-406. doi: 10.5021/ad.2017.29.4.400. Epub 2017 Jun 21.