Association between Family History and Male Androgenetic Alopecia with Female Pattern Hair Loss
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Background: Male androgenetic alopecia (MAGA) is often accompanied by female pattern hair loss (FPHL). However, the risk factors related to MAGA with FPHL are unclear. Objective: To investigate demographic and laboratory factors related to MAGA with FPHL. Methods: This retrospective case-control study was performed in a single tertiary care center for MAGA with FPHL between March 2012 and September 2021. Eligible patients were males >12 years old diagnosed with androgenetic alopecia by a dermatologist. The patients were subdivided into MAGA with FPHL and MAGA without FPHL groups. Comorbidities as well as demographic, laboratory, and disease-specific variables were compared between the two groups. Data analysis was conducted between October 2021 and February 2022. The independent samples t-test, Mann–Whitney U test, and chi-squared test were used to assess the factors that contributed to MAGA with FPHL. Results: Of 469 patients with MAGA, 309 (65.9%) had FPHL, which was a much higher rate than previously reported. Among the variables, only matrilineal (odds ratio, 1.605; 95% confidence interval, 1.014~2.541) and maternal history (odds ratio, 4.705; confidence interval, 1.632~13.559) of androgenetic alopecia were significantly associated with MAGA with FPHL. In the MAGA with FPHL group, a significant positive correlation was noted between body mass index and the type F score (r=0.114, p=0.025). Conclusion: In this case-control study, patients with MAGA and a maternal history of androgenetic alopecia were at risk of FPHL. Therefore, early screening may benefit these
Abstract
Background: Male androgenetic alopecia (MAGA) is often accompanied by female pattern hair loss (FPHL). However, the risk factors related to MAGA with FPHL are unclear. Objective: To investigate demographic and laboratory factors related to MAGA with FPHL. Methods: This retrospective case-control study was performed in a single tertiary care center for MAGA with FPHL between March 2012 and September 2021. Eligible patients were males >12 years old diagnosed with androgenetic alopecia by a dermatologist. The patients were subdivided into MAGA with FPHL and MAGA without FPHL groups. Comorbidities as well as demographic, laboratory, and disease-specific variables were compared between the two groups. Data analysis was conducted between October 2021 and February 2022. The independent samples t-test, Mann–Whitney U test, and chi-squared test were used to assess the factors that contributed to MAGA with FPHL. Results: Of 469 patients with MAGA, 309 (65.9%) had FPHL, which was a much higher rate than previously reported. Among the variables, only matrilineal (odds ratio, 1.605; 95% confidence interval, 1.014~2.541) and maternal history (odds ratio, 4.705; confidence interval, 1.632~13.559) of androgenetic alopecia were significantly associated with MAGA with FPHL. In the MAGA with FPHL group, a significant positive correlation was noted between body mass index and the type F score (r=0.114, p=0.025). Conclusion: In this case-control study, patients with MAGA and a maternal history of androgenetic alopecia were at risk of FPHL. Therefore, early screening may benefit these
참고문헌 (35)
- Hamilton JB, "Patterned loss of hair in man; types and incidence", Ann N Y Acad Sci, 53, pp.708~728 (1951)
- Rhodes T, "Prevalence of male pattern hair loss in 18-49 year old men", Dermatol Surg, 24, pp.1330~1332 (1998)
- Paik JH, "The prevalence and types of androgenetic alopecia in Korean men and women", Br J Dermatol, 145, pp.95~99 (2001)
- Wang TL, "Prevalence of androgenetic alopecia in China : a community-based study in six cities", Br J Dermatol, 162, pp.843~847 (2010)
- 이원수, "Characteristics of Androgenetic Alopecia in Asian", Annals of Dermatology, 24(3), pp.243~252 (2012), 대한피부과학회[DOI]
- Orentreich N, "Pathogenesis of alopecia", J Soc Cosmet Chem, 11, pp.479~499 (1960)
- Messenger AG, "The control of hair growth : an overview", J Invest Dermatol, 101(1 Suppl), pp.4~ (1993)
- Sawaya ME, "Different levels of 5alpha-reductase type I and II, aromatase, and androgen receptor in hair follicles of women and men with androgenetic alopecia", J Invest Dermatol, 109, pp.296~300 (1997)
- Norwood OT, "Male pattern baldness : classification and incidence", South Med J, 68, pp.1359~1365 (1975)
- Olsen EA, "Current and novel methods for assessing efficacy of hair growth promoters in pattern hair loss", J Am Acad Dermatol, 48, pp.253~262 (2003)
- Ramos PM, "Female pattern hair loss : a clinical and pathophysiological review", An Bras Dermatol, 90, pp.529~543 (2015)
- Ludwig E, "Classification of the types of androgenetic alopecia(common baldness)occurring in the female sex", Br J Dermatol, 97, pp.247~254 (1977)
- Olsen EA, "Female pattern hair loss", J Am Acad Dermatol, 45(3Suppl), pp.S70~S80 (2001)
- Olsen EA, "The midline part : an important physical clue to the clinical diagnosis of androgenetic alopecia in women", J Am Acad Dermatol, 40, pp.106~109 (1999)
- Sinclair R, "The reliability of horizontally sectioned scalp biopsies in the diagnosis of chronic diffuse telogen hair loss in women", J Am Acad Dermatol, 51, pp.189~199 (2004)
- Lee WS, "A new classification of pattern hair loss that is universal for men and women : basic and specific(BASP)classification", J Am Acad Dermatol, 57, pp.37~46 (2007)
- Lee WS, "Analysis of familial factors using the basic and specific(BASP)classification in Korean patients with androgenetic alopecia", J Am Acad Dermatol, 65, pp.40~47 (2011)
- Kim BJ, "Modified basic and specific(BASP)classification for pattern hair loss", Int J Dermatol, 59, pp.60~65 (2020)
- Trüeb RM, "Female pattern baldness in men", J Am Acad Dermatol, 29, pp.782~783 (1993)
- Yeo IK, "An epidemiological study of androgenic alopecia in 3114 Korean patients", Clin Exp Dermatol, 39, pp.25~29 (2014)
- Kerkemeyer KL, "Female pattern hair loss in men : a distinct clinical variant of androgenetic alopecia", J Am Acad Dermatol, 85, pp.260~262 (2021)
- Redler S, "Investigation of the male pattern baldness major genetic susceptibility loci AR", EDA2R and 20p11 in female pattern hair loss, 2012, pp.166, 1314~1318
- Brockschmidt FF, "Susceptibility variants on chromosome 7p21. 1 suggest HDAC9 as a new candidate gene for male-pattern baldness", Br J Dermatol, 165, pp.1293~1302 (2011)
- Heilmann S, "Androgenetic alopecia : identification of four genetic risk loci and evidence for the contribution of WNT signaling to its etiology", J Invest Dermatol, 133, pp.1489~1496 (2013)
- Li R, "Six novel susceptibility loci for early-onset androgenetic alopecia and their unexpected association with common diseases", PLoS Genet, 8, pp.e1002746~ (2012)
- Nuwaihyd R, "Investigation of four novel male androgenetic alopecia susceptibility loci : no association with female pattern hair loss", Arch Dermatol Res, 306, pp.413~418 (2014)
- Liang B, "Evaluation of susceptibility genes", loci associated with male androgenetic alopecia(MAGA)for female-pattern hair loss in a Chinese Han population and a brief literature review, 2021, pp.27, e933424~
- Lee S, "Variation in male sex hormone levels among the pattern subtypes of hair loss in patients with androgenetic alopecia", J Dermatol, 45, pp.240~241 (2018)
- Narad S, "Hormonal profile in Indian men with premature androgenetic alopecia", Int J Trichology, 5, pp.69~72 (2013)
- Blakemore J, "Aromatase: contributions to physiology and disease in women and men", Physiology(Bethesda), 31, pp.258~269 (2016)
- Kang YR, "Expression level of prostaglandin D2 receptor 2 regulates hair regression", J Invest Dermatol, 139, pp.1824~1828 (2019)
- Garza LA, "Prostaglandin D2 inhibits hair growth and is elevated in bald scalp of men with androgenetic alopecia", Sci Transl Med, 4, pp.126~ (2012)
- Zhu H, "Expression and regulation of lipocalin-type prostaglandin D synthase in rat testis and epididymis", Biol Reprod, 70, pp.1088~1095 (2004)
- Yi SM, "Gender-specific association of androgenetic alopecia with metabolic syndrome in a middle-aged Korean population", Br J Dermatol, 167, pp.306~313 (2012)
- 전명수, "Quality of Life with Alopecia Areata versus Androgenetic Alopecia Assessed Using Hair Specific Skindex-29", Annals of Dermatology, 30(3), pp.388~391 (2018), 대한피부과학회
