138 Calcium and vitamin d status in lupus children in jakarta, indonesia

• Published in: Lupus science & medicine 2017-03, Vol.4 (Suppl 1), p.A63
• Main Authors: Kurniati, N, Parwoto, BT, Indriyani, N, Muktiarti, D
• Format: Article
• Language: English
• ISSN: 2053-8790
• DOI: 10.1136/lupus-2017-000215.138

Background and AimsOsteopenia and subsequent osteoporosis are complications faced by children living with lupus on steroid therapy. Calcium and vitamin D have been embedded in the management protocol early in therapy.AimTo evaluate calcium and vitamin D level in children with lupus.MethodsLupus patient recruited if their age 5–18 years old, on steroid therapy at least 5 month. Lupus diagnosis, follow up record and SLEDAI score were retrieved from medical record. Subjects have DXA-scanning to determine bone density and plasma level for 25-hydroxyvitamin D and calcium at the latest visit. Daily intake of calcium and vitamin D was determined from 3 day food diary.ResultsThere were 16 patient included, 14 were girls and average age 13.3 years. Duration of steroid use was 27.75+17.4 month with the last SLEDAI score of mild and moderate flare on 9 subjects. Subjects received 400 mg calcium and vitamin D3 200 IU (5 mcg) daily. Average Calcium intake was 587.58+213.29 mg (RDA 1300 mg/day) and vitamin D 2.9 mcg daily(RDA 15 mcg/day). Plasma level of 25-OHD was 19.3+5.4 ng/ml (normal level 36–108) and calcium was 8.69+0.5 mg/dl (normal level 8.5–10.2). DXA results showed 7 subjects with Z-score lumbal