Bone health, vitamin D and lupus

Reumatol Clin. 2015 Jul-Aug;11(4):232-6. doi: 10.1016/j.reuma.2014.10.001. Epub 2014 Dec 2.
[Article in English, Spanish]

Abstract

The prevalence of vitamin D deficiency and insufficiency among patients with systemic lupus erythematosus is high. This is likely due to photoprotection measures in addition to intrinsic factors of the disease. Low levels of vitamin D increase the risk of low bone mineral density and fracture. Vitamin D deficiency could also have undesirable effects on patients' immune response, enhancing mechanisms of loss of tolerance and autoimmunity. Vitamin D levels should be periodically monitored and patients should be treated with the objective of reaching vitamin D levels higher than 30-40 ng/ml.

Keywords: Lupus eritematoso sistémico; Osteoporosis; Systemic lupus erythematosus; Vitamin D; Vitamina D.

Publication types

  • Review

MeSH terms

  • Cardiovascular Diseases / etiology
  • Dietary Supplements
  • Humans
  • Lupus Erythematosus, Systemic / complications*
  • Lupus Erythematosus, Systemic / immunology
  • Osteoporosis / etiology*
  • Vitamin D / therapeutic use
  • Vitamin D Deficiency / drug therapy
  • Vitamin D Deficiency / etiology*
  • Vitamins / therapeutic use

Substances

  • Vitamins
  • Vitamin D