ÖzetAmaç: Son y›llarda vitiligoda oksidatif stresin rolü konusunda çok say›da araflt›rma yap›lmaktad›r. Demir ve ferritin inflamasyon ve oksidatif reaksiyonlarda önemli rollere sahiptir, ancak bugüne dek vitiligolu hastalardaki demir metabolizmas› konusunda çok az yay›n bulunmaktad›r. Bu çal›flmada lokalize ve jeneralize vitiligolu hastalar›n serum demir ve ferritin düzeylerinin bir kontrol gurubuyla karfl›laflt›rmal› olarak de¤erlendirilmesi amaçlanm›flt›r. Gereç ve Yöntem: Çal›flma guruplar› son 1 ayd›r sistemik tedavi veya fototerapi uygulanmayan vitiligolu 68 hasta ve yafl/cins uyumlu, tinea pedis, nevus ve keratozlar gibi vitiligo d›fl› deri hastal›¤› olan 72 kontrol bireyinden oluflmaktayd›. Her hasta ve kontrol bireyinden sözlü onay al›nd›ktan sonra kahvalt› öncesinde kan örnekleri al›nd›. Bulgular: Vitiligolu hastalarla kontrol bireyleri aras›nda serum demir ve ferritin düzeyleri aras›nda anlaml› farkl›l›k bulunamad› (p=0,478, p=0,307). Bu parametreler lokalize ve jeneralize vitiligolu hastalar aras›nda farkl›l›k göstermedi (p=0,054, p=0,867). Ayr›ca, serum demir ve ferritin düzeyleri ile hastal›k süreleri aras›nda anlaml› bir ba¤›nt› görülmedi (p=0,382, p=0,485). Sonuç: Sonuçlar›m›z serum demir ve ferritin düzeylerinin vitiligo ve kontrol bireyleri aras›nda benzer oldu¤unu göstermek-tedir. Demir ve ferritinin doku düzeylerinin belirlenece¤i yeni araflt›rmalar bu moleküllerin vitiligodaki olas› rollerine ›fl›k tutabilir. (Türkderm 2010; 44: 153-5) Anahtar Kelimeler: Demir, ferritin, hematolojik parametreler, oksidatif stres, vitiligo
SummaryBackground and Design: In recent years, the role of oxidative stress in vitiligo has been widely investigated. Iron and ferritin have important roles in inflammation and oxidative reactions. However, up to date, there are very limited studies on iron metabolism in patients with vitiligo. In this study, we aimed to investigate serum iron and ferritin levels in patients with localized and generalized vitiligo in comparison with a control group. Material and Method: The study groups comprised 68 patients with vitiligo who did not receive systemic treatment or phototherapy in the preceding month, and 72 age-and sex-matched patients with skin disorders other than vitiligo including tinea pedis, melanocytic nevi, and keratoses. Blood samples for serum iron and ferritin levels were obtained before breakfast, after verbal informed consent. Results: No statistically significant differences were found between vitilligo patients and control population with regard to serum levels of iron and ferritin (p=0.478, p=0.307). Patients with localized and generalized vitiligo were also similar for these parameters (p=0.054, p=0.867). Moreover, serum levels of iron and ferritin did not show any significant correlation with disease duration (p=0.382, p=0.485). Conclusion: Our results showed that serum iron and ferritin levels were similar in patients with vitiligo and control subjects. Further studies determining the skin levels of iron and ferritin may elucidate the probable role of the...