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Vitamin D Deficiency

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The aim of our study at the Dubai Bone and Joint center was to determine the prevalence of Vitamin D deficiency (< 20 ng/dl) among patients with fibromyalgia or muscle pain in a musculoskeletal clinic in the United Arab Emirates. In a recently published paper we showed that non-specific muscle pains among Arab and Indian-Pakistani populations may indicate vitamin deficiency and prompt treatment can result in resolution of symptoms. Vitamin D deficiency is a common problem in Middle Eastern as well as Bangladeshi, Indian and Pakistani populations. Vitamin D deficiency is highly prevalent in Emirati women and appears largely attributable to insufficient sunlight exposure. It is associated with increased bone turnover. Fibromyalgia as well as non specific muscle diseases are associated with Vitamin D deficiency. However, this relationship between vitamin D deficiency and muscle pain or fibromyalgia is more consistent among people of African, Indo-Pakistani, or aboriginal origins, as well as veiled populations rather than a Caucasian population. Consecutive patients who were diagnosed with fibromyalgia and/or non-specific musculoskeletal pain (ICD- 9 729.1) were screened for Vitamin D deficiency as well hypothyroidism. Patients who had inflammatory arthritis or myositis were excluded from the study. Data on age, race, style of dress and other diagnoses was also collected. The patients who had severe Vitamin D deficiency (< 15 ng/dl) were treated with either high dose Vitamin D3 injections (600, 000 IU Im single dose) or oral Vitamin D3 tablets 50,000 IU weekly for eight weeks. Patients with levels between 16-20 ng /dl were treated with Alpha calcidiol 1 mg daily with followup in one month. Patients were seen at follow-up one month after treatment with Vitamin D injection, or two months after Vitamin D tablets. Improvement was only assessed by a simple questionnaire: Muscle pain 1 Gone 2 Much better 3 Slightly better 4 Same. Lab tests were repeated at the follow up visit.

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This web site is run by an Arthritis Specialist based in Dubai, United Arab Emirates. On this site you will find news about the latest in arthritis, information about research results in the field, tips and information and diet and exercise, and much more.

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