Incidence and remission rates of self-reported hidradenitis suppurativa - A prospective cohort study conducted in Danish blood donors.

BACKGROUND: A large discrepancy between physician-diagnosed and self-reported Hidradenitis suppurativa (HS) exists. Knowledge regarding incidence and remission rates of self-reported HS is missing, but may help bridge the gap in understanding between these two phenotypes. OBJECTIVES: To determine the incidence and remission rates of self-reported HS, and to what degree these are affected by sex, smoking and BMI. METHODS: A prospective cohort of 23 930 Danish blood donors. Information on self-reported HS, symptom-localisation, sex, age, BMI and smoking status was collected at baseline and study termination. Self-reported HS fulfilled clinical obligatory diagnostic criteria. Cox proportional hazards regression analyses were conducted for both incidence and remission rates providing a hazard ratio (HR) of risk for each variable in the regression. RESULTS: Incidence rate of self-reported HS was 10.8/1000 person-years (95% confidence interval (CI): 9.9-11.7), decreasing as a function of numbers of areas affected. Female BMI points above 25 (HR = 1.11, 95% CI: 1.09-1.13), male BMI points above 25 (HR = 1.07, 95% CI: 1.04-1.11), active smoking (HR = 1.72, 95% CI: 1.15-2.57), male sex (HR = 0.55, 95% CI: 0.45-0.67) and years of age above 25 (HR = 0.97, 95% CI: 0.96-0.97) were all statistically associated with the development of self-reported HS. Remission rate of self-reported HS was 256.7/1000 person-years (95% CI: 223.9-292.6), decreasing as a function of numbers of affected areas. Symptoms in ≥3 areas (HR = 0.54, 95% CI: 0.34-0.85), active smoking (HR = 0.49, 95% CI: 0.32-0.76) and female weight loss (every percentage drop in BMI: HR = 1.07, 95% CI: 1.05-1.11) all significantly affected the remission rate. CONCLUSIONS: Both incidence and remission rates of self-reported HS are high, indicating that many with self-reported HS are unlikely to be diagnosed, as they to a higher degree experience mild transient HS symptoms.

The effect of dietary energy and protein concentration and feeding level on feed utilization and body composition of carp (Cyprinus carpio L.).

A three factorial designed feeding experiment with common carp (Cyprinus carpio L.) was carried out in an intensive experimental rearing system. Fish (initial body weight 200 g) were fed on two different levels of dietary energy (16 and 18 MJ DE/kg DM), two different levels of protein (320 and 420 g CP/kg DM) and also two different feeding intensities (100% and 75% of the maximum intake). The experiment was terminated when fish reached a mean body weight of 1300 g. Growth, feed utilization and nutrient composition of the whole body and fillet were observed. The highest growth was obtained when the fish were fed on the diet containing high dietary energy and high dietary protein with satiation feeding. High dietary energy, high dietary protein and restriction of feed intake improved feed conversion ratios. High dietary energy, low dietary protein and restrictive feeding increased energy utilization. Low dietary protein and restrictive feeding resulted in better protein utilization. Fish fed with high dietary energy contained more fat and less protein in their carcasses. A lower fat content but higher protein and higher ash content in fish carcasses was shown when fish were fed with a diet high in protein and fed restrictively.

The effect of large doses of vitamin C and magnesium on stress responses in common carp, Cyprinus carpio.

1. Plasma magnesium, cortisol, lactate and ascorbic acid were examined in common carp subjected to various dietary treatments and following handling stress. 2. Under conditions of satisfied dietary magnesium and ascorbate requirements, plasma cortisol concentration after stress increased less pronouncedly than in fish fed large doses of ascorbate and/or magnesium. 3. Plasma lactate increased significantly in all groups after stress, although the increase seemed to be more severe (detrimental) in fish on large doses of ascorbate, either as ascorbic acid (AA) or ascorbic monophosphate Mg salt (AP). 4. Large doses of dietary ascorbate, both AA and AP, resulted in a significant increase of total ascorbate concentration in kidney and hepatopancreas of carp in comparison to pre-experimental level. 5. Kidney total ascorbate concentration decreased by 10-23% in all groups but one in which fish fed diet supplemented with AA displayed a significant increase (30%) of tissue ascorbate. The opposite trend was found in hepatopancreas of AA group with 21.5% ascorbate depletion. 6. The present results suggest that plasma cortisol and kidney (steroidogenesis site) and hepatopancreas ascorbate concentration responses to stress may not be related. Our results also do not support the hypothesis of the primary role of the high concentration of ascorbate in the kidney inhibiting steroidogenesis.

Magnesium status in freshwater fish, common carp (Cyprinus carpio, L.) and the dietary protein-magnesium interaction.

Common carp juveniles were fed for 9 weeks one of the eight semipurified diets containing graded levels of magnesium, 0.08, 0.6, 1.1, 3, 2 g Mg kg(-1) and 25 or 44% protein.Fish growth and feed utilization were significantly affected by both Mg and protein levels in the diets. Significant interaction between these two studied variables existed in relation to the fish performance as well as to mean deposition rate of several minerals in common carp body. The fish fed diets containing 0.08 g Mg kg(-1) had reduced growth and developed deficiency signs such as muscle flaccidity and skin hemorrhages.Results indicated that a minimum Mg level of 0.6 g Mg kg(-1) was required to elevate plasma and bone magnesium content and to reduce the whole body Ca concentration (hypercalcinosis symptom). Further increase of dietary Mg up to 3.2 g Mg kg(-1) improved growth rate of fish insignificantly, but the deposition rate of dietary Mg fell to as low as 7.4 and 10.7 percent in low- and high-protein diet fed fish, respectively. In Mg-deficient fish, considerable amount of magnesium was absorbed via extra-oral routes, however, this way of the covering magnesium need becomes insufficient in fast growing fish.