Vitamin D Levels in Children Presenting with Breath-Holding Spells: An Example of A University Hospital

Authors : Rojan İPEK, Celal VARAN

Pages : 758-763

Doi:10.31020/mutftd.1331209

View : 30 | Download : 33

Publication Date : 2023-09-28

Article Type : Research Paper

Abstract :Aim: This study aimed to examine the vitamin D levels in children who experience breath-holding spells insert ignore into journalissuearticles values(BHS); and to compare these levels with those of a healthy control group. The goal was to establish a connection between BHS and vitamin D levels. Method: The records of 98 patients, who presented to the Pediatric Neurology and Pediatric Cardiology polyclinics of Adıyaman University Training and Research Hospital between December 2019 and October 2022, were retrospectively reviewed. Fifty-two patients who did not meet the inclusion criteria were excluded. The study included forty-six patients with BHS whose laboratory results were assessed and a healthy control group of fifty-three individuals. Fe, serum iron binding capacity, ferritin, vitamin B12, and vitamin D levels were measured in all patients. Results: The study group comprised 46 patients insert ignore into journalissuearticles values(female/male ratio = 1.4);, consisting of 27 girls insert ignore into journalissuearticles values(58.6%); and 19 boys insert ignore into journalissuearticles values(41.3%);. Within our patient cohort, 39 individuals insert ignore into journalissuearticles values(84.8%); were diagnosed with cyanotic-type spells, three insert ignore into journalissuearticles values(6.5%); with pallid-type spells, and four insert ignore into journalissuearticles values(8.7%); with mixed-type spells. For patients experiencing BHS, a comprehensive analysis was conducted on parameters including complete blood count, iron levels, iron-binding capacity, ferritin levels, vitamin B12, and vitamin D levels. Although no significant correlation was identified with vitamin D levels in this study, noteworthy connections were established with lower hemoglobin levels, decreased vitamin B12 levels, and reduced ferritin levels. Moreover, upon exclusion of patients exhibiting low vitamin B12 values from the analysis, a statistically significant relationship emerged between iron deficiency anemia and the occurrence of BHS insert ignore into journalissuearticles values(p<0.05);. Conclusion: The study results suggest no significant correlation between low vitamin D levels and BHS, which generally have a favorable prognosis. However, considering the potential connections between iron deficiency anemia and vitamin B2 levels, it is advisable to assess these factors routinely.
Keywords : Katılma nöbeti, Çocuk, Vitamin D