Atopic Dermatitis
Conditions
Keywords
Atopic dermatitis, vitamin D
Brief summary
The purpose of this study is to determine whether oral vitamin D supplementation improves the clinical severity of atopic dermatitis in children. In addition, this study plans to evaluate the effects of vitamin D supplementation on several key aspects of the immune system of children with atopic dermatitis.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Atopic dermatitis diagnosed according to Hanifin and Rajka criteria * Age 2 - 17 years * SCORAD 10 - 103
Exclusion criteria
* Active skin infection * History of underlying illness causing immunosuppression within the past 2 years * Immunosuppressors taken within the past month * Parathyroid disease * Sarcoidosis * Acute or chronic renal disease * Hyper or hypocalcemia * Thyroid disease * Osteomalacia or Paget's disease of bone * Malabsorption * Use of VD supplements (\> 400 IU daily) or fish oil supplements in the past month * Treatment for known VD deficiency in the last 6 months * Treatment with moderate or high potency topical corticosteroids, oral or topical antibiotics, oral antivirals, immune enhancers, or topical calcineurin inhibitors in the past 7 days * Phototherapy in the past month * Autoimmune disease or immunodeficiency * Planned trip to sunny climate during the 6-week study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in SCORAD index | baseline and 6 weeks | Change in Scoring Atopic Dermatitis (SCORAD) index after 6 weeks of vitamin D3 (VD3) supplementation or placebo in children with atopic dermatitis. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Changes in Th2 immunity | baseline and 6 weeks | Eosinophil blood counts, serum IgE, Th2 lymphocytes among stimulated PBMCs, serum CCL17, CCL22, and CCL27. |
| Change in dendritic cell-mediated tolerance and regulatory T cells | baseline and 6 weeks | Number and phenotype of blood dendritic cells and number of regulatory T cells. |
| Vitamin D receptor single nucleotide polymorphisms | baseline and 6 weeks | Effect of VDR SNPs on the VD3 response. |
| Change in epidermal protein expression | 6 weeks | Gene expression of epidermal proteins by PCR obtained from lesional and non-lesional tape stripping samples. |
| Effect of VD3 supplementation on immunity to Staphylococcus aureus | baseline and 6 weeks | Serum cathelicidin levels, S. aureus skin carriage, and specific IgE to staphylococcal enterotoxins. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Number of participants with adverse events | 6 weeks | Adverse events of atopic dermatitis patients with VD3 and placebo |
Countries
Chile