Vitamin D Eksikliği ve Karpal Tünel Sendromu Arasındaki İlişkinin Değerlendirilmesi

Year 2019, Volume: 3 Issue: 3, 98 - 103, 03.12.2019

Ümit Yalçın

Abstract

ÖZ

Amaç: Vitamin D eksikliğinin
diyabet, infeksiyonlar, otoimmün hastalıklar, kanser ve kardiyovasküler
hastalıklar gibi pek çok sağlık sorunu ile ilişkili olduğu yönünde önemli
kanıtlar bulunmasına rağmen Karpal Tünel Sendromu (KTS) ve diğer periferik
mononöropatiler ile ilişkisini inceleyen çok az çalışma mevcuttur. Bu
çalışmamızda vitamin D eksikliğinin KTS ile ilişkili olup olmadığını
araştırdık.

Araçlar ve Yöntem: Klinik
olarak KTS ön tanısı konmuş 241 hasta değerlendirildi. Bu hastaların dosyaları
retrospektif olarak incelendi. Tüm hastaların KTS açısından
elektronörofizyolojik (ENMG) değerlendirmesi yapıldı. Vitamin D düzeyleri
25-hidroksi-kolekalsiferol ( 25(OH)D ) düzeyine bakılarak değerlendirildi.

Bulgular: 241
hastanın 13’ünde ( %5.4) ağır, 46’sında ( %19.1) orta ve 32’sinde ( %13.3)
hafif KTS saptandı. Karpal tünel sendromu olan ve olmayan grupta 25(OH)D
vitamin değeri anlamlı (p=0.118) farklılık göstermedi.

Sonuç: Çalışmamızda
KTS ve derecesi ile vitamin D düzeyleri arasında anlamlı bir ilişki bulmadık.
Vitamin D düzeyi ile ilgili birçok alanda çalışma olduğunu görsek de, KTS ile
ilişkini inceleyen çok az sayıda çalışma vardır. Vitamin D düzeyinin KTS
patogenezindeki potansiyel rolünü anlayabilmek için daha çok çalışmaya ihtiyaç
vardır.

Keywords

Karpal tünel sendromu, vitamin D, nöropatİ

Supporting Institution

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Project Number

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Thanks

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Assessment of the Relationship between Vitamin D Deficiency and Carpal Tunnel Syndrome

Abstract

ABSTRACT

Purpose: Although
there is substantial evidence that vitamin D deficiency is associated with many
health problems such as diabetes, infections, autoimmune diseases, cancer and
cardiovascular diseases, very few studies have examined the association with
Carpal Tunnel Syndrome (CTS) and other peripheral mononeuropathies work is
available. We investigated whether vitamin D
deficiency is associated with CTS.

Materials and Methods: 241 patients with clinically diagnosed CTS were
evaluated.  The files of these patients were
retrospectively reviewed. Electro
neurophysiological (ENMG) evaluation was performed for all patients in terms of
CTS. Vitamin D levels were assessed by
25-hydroxy-cholalciferol (25(OH)D) levels.

Results: In 13 of 241
patients (5.4%) severe, in 46 patients (19.1%) moderate and 32 of them (13.3%)
mild level of CTS was detected. The 25(OH)D
vitamin level in patients with and without carpal tunnel syndrome did not
differ significantly (p=0.118).

Conclusion: In our
study, we did not find a significant relationship between KTS levels and
vitamin D levels. Although there are many studies
related to vitamin D levels, there are very few studies that have investigated
the relationship with CTS. More studies are needed
to understand the potential role of vitamin D in the pathogenesis of CTS.

 

Keywords

Carpal tunnel syndrome, vitamin D, neuropathy

Project Number

yok

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