D Vitamini ve Yorgunluk; Bir Tüberküloz Olgusunda

D vitamini aktif metabolitlerine güneþ ýþýðý ile dönüþür. D vitamini serum düzeyinin azaldýðý durumlarda çeþitli hastalýklar ortaya çýkabilir. Tüberküloz ile güneþ ýþýðý arasýndaki iliþki yüzyýllardýr fark edilmiþtir ve tüberkülozda kullanýlan ilk tedavi yöntemi olmuþtur. D vitamini eksikliðinde yorgunluk genellikle ilk þikâyettir. Tüberküloz tanýsý ile antitüberküloz tedavi baþlanan ancak yorgunluk þikâyeti devam eden hastamýzda D vitamini eksikliði tesbit edildi. Yorgunluk Þiddet Skalasý, D vitamini tedavisi öncesi ve sonrasý hesaplandý ve tedavi sonrasý yorgunluk þiddetinin azaldýðý görüldü. Hastalar ve hekimler tarafýndan genellikle gözardý edilen yorgunluk semptomunun ölçülmesinin tedaviye cevabýnýn deðerlendirilmesine katký saðlayacaðýna inanýyoruz.

Vitamin D and Fatigue; in a Case with Tuberculosis

Vitamin D is converted into its active metabolites by sunlight. Several illnesses may occur when the serum level of Vitamin D is decreased. The association between tuberculosis and sunlight has been known for hundreds of years, and sunlight was the first method used for the treatment of tuberculosis. Fatigue is often an early complaint of Vitamin D deficiency. We found Vitamin D deficiency in one patient who was initiated on an anti-tuberculosis treatment following a diagnosis of tuberculosis on her persistent complaint of fatigue. The Severity of Fatigue Scale was used to evaluate pre- and post-treatment fatigue scores for Vitamin D therapy, indicating an improvement in the severity of fatigue following the treatment. We believe that the assessment of fatigue, which is usually underestimated by patients and healthcare professionals a like, is probably due to the lack of any attempt to measure it, but would contribute to the evaluation of the treatment response.