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Relationship of Hair Regrowth Pattern in Alopecia Areata Patches According to DIMT Classification with Treatment Modalities and Patch Size: A Retrospective Cross-Sectional Analysis

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초록

Background: The morphology of hair regrowth in alopecia areata (AA) patches could be classified into four types, namely diffuse, irregular, marginal, and targetoid patterns, ac- cording to the DIMT classification. However, factors affecting hair regrowth patterns have not been investigated. Objective: We investigated whether the DIMT-classified hair regrowth patterns of AA patches are associated with treatment modality and patch size. Methods: We conducted a retrospective, cross-sectional study of 152 AA patches with hair regrowth. Results: The associations between the diffuse pattern and patch size >2 cm ( =0.006; odds ratio [OR]: 0.36, 95% confidence interval [CI]: 0.17~0.74), between the irregular pat- tern and triamcinolone acetonide intralesional injection ( <0.001; OR: 274.87, 95% CI: 25.75~2,933.56), between the marginal pattern and systemic and topical corticosteroid ( =0.018; OR: 4.89, 95% CI: 1.31~18.27), and between the targetoid pattern and patch size >2 cm ( =0.028; OR: 2.50, 95% CI: 1.10~5.68) were statistically significant. Conclusion: Treatment modalities and patch size are the factors affecting hair regrowth patterns in AA patches.

Abstract

Background: The morphology of hair regrowth in alopecia areata (AA) patches could be classified into four types, namely diffuse, irregular, marginal, and targetoid patterns, ac- cording to the DIMT classification. However, factors affecting hair regrowth patterns have not been investigated. Objective: We investigated whether the DIMT-classified hair regrowth patterns of AA patches are associated with treatment modality and patch size. Methods: We conducted a retrospective, cross-sectional study of 152 AA patches with hair regrowth. Results: The associations between the diffuse pattern and patch size >2 cm ( =0.006; odds ratio [OR]: 0.36, 95% confidence interval [CI]: 0.17~0.74), between the irregular pat- tern and triamcinolone acetonide intralesional injection ( <0.001; OR: 274.87, 95% CI: 25.75~2,933.56), between the marginal pattern and systemic and topical corticosteroid ( =0.018; OR: 4.89, 95% CI: 1.31~18.27), and between the targetoid pattern and patch size >2 cm ( =0.028; OR: 2.50, 95% CI: 1.10~5.68) were statistically significant. Conclusion: Treatment modalities and patch size are the factors affecting hair regrowth patterns in AA patches.

참고문헌 (9)

  1. Lee H, "Morphological classification system of hair regrowth patterns in alopecia areata patches : DIMT classification", J Eur Acad Dermatol Venereol, 33, pp.e96~ (2019)
  2. Li J, "Clinical observations in alopecia areata : implications and hypotheses", Australas J Dermatol, 57, pp.e29~ (2016)
  3. Finner AM, "Alopecia areata : clinical presentation, diagnosis, and unusual cases", Dermatol Ther, 24, pp.348~354 (2011)
  4. Lee H, "Method for describing patterns and distributions of alopecia areata which may be helpful for patient characterization and predicting prognosis", J Dermatol, 46, pp.739~740 (2019)
  5. Eckert J, "The pathogenesis of alopecia areata", Br J Dermatol, 80, pp.203~210 (1968)
  6. Del Río E, "Targetoid hair regrowth in alopecia areata : the wave theory", Arch Dermatol, 134, pp.1042~1043 (1998)
  7. Delorenze LM, "Concentric polycyclic regrowth pattern in alopecia areata", Int J Trichology, 8, pp.35~37 (2016)
  8. Tan RS, "Letter : circular regrowth in alopecia areata", Br J Dermatol, 92, pp.233~234 (1975)
  9. Vestey JP, "Natural history of severe alopecia areata", Br J Dermatol, 117, pp.531~ (1987)

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