Kadar 25(OH)D pada Pasien Lupus Eritematosus Sistemik di Indonesia

Authors

  • Kereun Yobelium Witan Fakutas Kedokteran dan Ilmu Kesehatan, Universitas Kristen Krida Wacana, Jakarta, Indonesia
  • Elli Arsita Departemen Ilmu Penyakit Dalam, Fakultas Kedokteran dan Ilmu Kesehatan, Universitas Kristen Krida Wacana, Jakarta, Indonesia
  • Todung Donald Aposan Silalahi Departemen Ilmu Penyakit Dalam, Fakultas Kedokteran dan Ilmu Kesehatan, Universitas Kristen Krida Wacana, Jakarta, Indonesia

DOI:

https://doi.org/10.36452/jkdoktmeditek.v28i2.2267

Keywords:

defisiensi vitamin D, Indonesia, lupus eritematosus sistemik

Abstract

Vitamin D memiliki peran dalam sistem kekebalan tubuh, terutama sistem imun adaptif dalam toleransi diri dan menghasilkan antibodi pada pasien dengan autoimun. Defisiensi vitamin D merupakan hal yang sering ditemukan pada pasien Lupus Eritematosus Sistemik (LES). Hal ini dapat dikarenakan pantangan terhadap paparan sinar matahari, insufisiensi ginjal, penggunaan obat–obatan yang menurunkan regulasi reseptor vitamin D, dan penggunaan sunscreen. Tujuan penulisan ilmiah ini adalah untuk mengetahui kadar vitamin D pada pasien LES di Indonesia. Data didapatkan dari jurnal penelitian yang diambil melalui Google Scholar, Proquest, Pubmed, dan Science Direct. Hasil pencarian didapatkan 4 artikel yang mengambil lokasi penelitian di Malang, 2 artikel di Jakarta, dan 1 artikel di Yogyakarta. Simpulannya adalah bahwa 63,74% pasien LES di Indonesia memiliki defisiensi kadar vitamin D yang disebabkan oleh kurangnya paparan sinar matahari, warna kulit, penggunaan sunblock, memiliki manifestasi klinis nefritis, penggunaan obat–obatan (kortikosteroid dan anti malaria), Indeks Masa Tubuh (IMT) di atas normal, kurangnya konsumsi makanan yang mengandung vitamin D, dan konsumsi suplemen vitamin D yang tidak adekuat.

References

Handono K, Kalim H, Nurdiana, Susianti H, Wahono CS, Hasanah D, et al. Vitamin D dan autoimunitas. Malang: UB Press; 2018.

Umar M, Sastry KS, Chouchane AI. Role of vitamin D beyond the skeletal function: a review of the molecular and clinical studies. Int J Mol Sci. 2018;19(6):1–28.

Pike JW, Meyer MB, Lee SM, Onal M, Benkusky NA. The vitamin D receptor: contemporary genomic approaches reveal new basic and translational insights. J Clin Invest. 2017;127(4):1146–54.

Sirajudeen S, Shah I, Al Menhali A. A narrative role of vitamin d and its receptor: with current evidence on the gastric tissues. Int J Mol Sci. 2019;20(15).

Rosen CJ, Adams JS, Bikle DD, Black DM, Demay MB, Manson JAE, et al. The nonskeletal effects of vitamin D: an endocrine society scientific statement. Endocr Rev. 2012;33(3):456–92.

Littlejohns TJ, Henley WE, Lang IA, Annweiler C, Beauchet O, Chaves PHM, et al. Vitamin D and the risk of dementia and Alzheimer disease. Neurology. 2014;83(10):920–8.

Sherwood L. Fisiologi manusia dari sel ke sistem. 8th ed. Jakarta: Penerbit Buku Kedokteran EGC; 2017.

Alamri F, Alshahrani F, Al-Saleh Y, Saeedi MY, Almalki MH, Al-Daghri N, et al. Optimum sun exposure times for vitamin D status correction in Saudi Arabia. Eur J Prev Med. 2015;3(5):147–54.

Parva NR, Tadepalli S, Singh P, Qian A, Joshi R, Kandala H, et al. Prevalence of vitamin D deficiency and associated risk factors in the US population (2011-2012). Cureus. 2018;10(6).

Paramita, Louisa M. Berbagai manfaat vitamin D. Cermin Dunia Kedokt [Internet]. 2017 [cited 2021 Jul];44(10):736–40. Available from: https://indonesianjournalofclinicalpathology.org/index.php/patologi/article/view/1265/985

Pangestu Y, Setiati S, Setiyohadi B, Sukmana N. Prevalence and factors associated with vitamin D deficiency in systemic lupus erythematosus patients. Indones J Rheumatol. 2013;4(1):231073.

Squance ML, Reeves GEM, Tran HA. Vitamin D levels are associated with expression of SLE, but not flare frequency. Int J Rheumatol. 2014;2014:11–5.

Wei R, Christakos S. Mechanisms underlying the regulation of innate and adaptive immunity by vitamin D. Nutrients. 2015;7(10):8251–60.

Dirks NF, Ackermans MT, Lips P, de Jongh RT, Vervloet MG, de Jonge R, et al. The when, what & how of measuring vitamin D metabolism in clinical medicine. Nutrients. 2018;10(4):1–16.

Ross AC, Manson JAE, Abrams SA, Aloia JF, Brannon PM, Clinton SK, et al. The 2011 report on dietary reference intakes for calcium and vitamin D from the Institute of Medicine: what clinicians need to know. J Clin Endocrinol Metab. 2011;96(1):53–8.

Holick MF, Binkley NC, Bischoff-Ferrari HA, Gordon CM, Hanley DA, Heaney RP, et al. Evaluation, treatment, and prevention of vitamin D deficiency: an endocrine society clinical practice guideline. J Clin Endocrinol Metab. 2011;96(7):1911–30.

Hassanalilou T, Khalili L, Ghavamzadeh S, Shokri A, Payahoo L, Bishak YK. Role of vitamin D deficiency in systemic lupus erythematosus incidence and aggravation. Autoimmun Highlights [Internet]. 2018 [cited 2021 Jul];9(1):1–10. Available from: https://doi.org/10.1007/s13317-017-0101-x

Islam MA, Khandker SS, Alam SS, Kotyla P, Hassan R. Vitamin D status in patients with systemic lupus erythematosus (SLE): a systematic review and meta-analysis. Autoimmun Rev [Internet]. 2019 [cited 2021 Feb];18(11):102392. Available from: https://doi.org/10.1016/j.autrev.2019.102392

Guan SY, Cai HY, Wang P, Lv TT, Liu LN, Mao YM, et al. Association between circulating 25-hydroxyvitamin D and systemic lupus erythematosus: a systematic review and meta-analysis. Int J Rheum Dis. 2019;22(10):1803–13.

Handono K, Puspitasari L, Rudijanto A, Wahono S, Kalim H. Vitamin D serum level and disease activity in patients with systemic lupus erythematosus. Int J Pharm Sci Invent. 2013;2(2):35–40.

Handono K, Gani AA, Ekawati M, Wahono S. Serum level of vitamin D and autoantibodies level in systemic lupus erythematosus ( SLE ) patients. J Pharm Biol Sci. 2012;3(4):16–20.

Suzan R. Korelasi antara asupan vitamin D dengan kadar 25(Oh)D serum pada pasien lupus eritematosus sistemik perempuan dewasa. Jambi Med J Jurnal Kedokt dan Kesehatan. 2018;6(1):56–67.

Daramatasia W. Rendahnya kadar vitamin D berpengaruh pada jumlah Th 17 pasien lupus eritematosus sistemik. J Ilm Kesehat Media Husada. 2013;02:19–27.

Susanto H, Soebadi B, Ernawati DiS, Pamardiati AE, Hendarti HT, Hernawan I, et al. Serum vitamin D/25(OH)D associated with toll-like receptor (TLR) 2 expression of immune cells in the saliva of systemic lupus erythematosus: a preliminary study. J Oral Med Oral Surg. 2021;27(2):22–6.

Handono K, Tanuwijaya LK, Fitri LE, Kalim H. The Correlation between Serum Concentration of Vitamin D with Vitamin D Receptor Expression and Disease Activity in Indonesian Patients with Systemic Lupus Erythematosus: Preliminary Study. J Trop Life Sci. 2014;4(2):113–8.

Setiati S, Alwi I, Sudoyo AW, Simadibrata M, Setyohadi B, Syam AF, et al. Buku ajar ilmu penyakit dalam jilid III. VI. Jakarta Pusat: Interna Publishing; 2017.

World Health Organization. Global solar UV index: a pratical guide. 2002 [cited 2021 Agu];28. Available from: https://www.who.int/uv/publications/en/UVIGuide.pdf

Published

2022-05-07

How to Cite

Witan, K. Y., Arsita, E., & Silalahi, T. D. A. (2022). Kadar 25(OH)D pada Pasien Lupus Eritematosus Sistemik di Indonesia. Jurnal Kedokteran Meditek, 28(2), 193–198. https://doi.org/10.36452/jkdoktmeditek.v28i2.2267

Issue

Section

Tinjauan Pustaka