Low levels of Vitamin D linked to chronic rhinosinusitis; says study
A significantly lower vitamin D level is associated with CRS, irrespective of presence or absence of nasal polyposis in adults residing at high altitudes, suggests the findings of a recent study. Vitamin D is an independent predictive factor for CRS, opined authors in their paper published in the European Archives of Oto-Rhino-Laryngology .
Chronic rhinosinusitis (CRS) is an inflammatory disease of nasal mucosa and sinuses. The CRS is a multifactorial disease with unknown etiologic and pathophysiologic aspects. The proposed etiologies for this disease include anatomic factors, infectious causes, fungal allergies, immunological disorders, biofilms, gastroesophageal reflux disease, and genetic causes . The final result of all these pathophysiological factors is a chronic inflammation in the sinonasal mucosa .
One of the recently proposed factors that may have some roles in the pathophysiology of CRS is 25-hydroxyl vitamin D (OH-VitD) deficiency. The role of VitD, which has a structure similar to that of steroids, has been suggested as an immunomodulator agent. Accordingly, the deficiency of this vitamin has been identified as an etiologic factor in many chronic inflammatory diseases, including inflammatory bowel disease, multiple sclerosis, allergic rhinitis, and asthma . Low serum 25-OH-VitD levels also have been related to airway hyperresponsiveness, impaired pulmonary function, increased frequency of asthma exacerbation, and decreased responsiveness to corticosteroids.
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