Sharquie Khalifa E, Al-Bayati Ansam A, Al-Hameed Al-Hussaini A, Al-Hilo Maytham M
Department of Dermatology and Venereology, College of Medicine, University of Baghdad, Baghdad, Iraq.
Saudi Med J. 2002 Oct;23(10):1257-60.
The aim of this study was to estimate glycosylated hemoglobin, fasting blood sugar and lipid profile in patients with premature grayness of hair.
This study was carried out from October 1999 and May 2000, at the Dermatology and Venereology Outpatient Clinic of Baghdad Teaching Hospital, Iraq. Sixty patients with premature grayness of hair and 20 healthy individuals were included in this study. The levels of glycosylated hemoglobin, fasting blood sugar, serum triglyceride, total serum cholesterol, high-density lipoprotein-cholesterol, and atherogenic index were assessed for both patients and control.
The mean level of glycosylated hemoglobin in patients with premature grayness of hair was 4.84 +/- 0.46, and the mean level of fasting blood sugar in patients with premature grayness of hair was 83.25 +/- 8.67. Both these parameters were significantly higher in patients with premature grayness of hair than that of the control. Also, it was found that these parameters were positively correlated to the severity of the disease. The level of high-density lipoprotein-cholesterol was significantly lower in patients with premature grayness of hair compared to control.
The discovery of elevated glycosylated hemoglobin in patients with premature grayness of hair was similar to what has been reported in diseases with possible auto-immune etiology such as vitiligo. These changes together with the well-documented association between premature grayness of hair and autoimmune diseases can support the autoimmune etiology of premature grayness of hair.
本研究旨在评估头发早白患者的糖化血红蛋白、空腹血糖和血脂水平。
本研究于1999年10月至2000年5月在伊拉克巴格达教学医院皮肤科和性病门诊进行。本研究纳入了60例头发早白患者和20例健康个体。对患者和对照组的糖化血红蛋白、空腹血糖、血清甘油三酯、总血清胆固醇、高密度脂蛋白胆固醇和动脉粥样硬化指数水平进行了评估。
头发早白患者的糖化血红蛋白平均水平为4.84±0.46,头发早白患者的空腹血糖平均水平为83.25±8.67。头发早白患者的这两个参数均显著高于对照组。此外,还发现这些参数与疾病严重程度呈正相关。与对照组相比,头发早白患者的高密度脂蛋白胆固醇水平显著降低。
头发早白患者糖化血红蛋白升高的发现与白癜风等可能具有自身免疫病因的疾病中所报道的情况相似。这些变化以及头发早白与自身免疫性疾病之间充分记录的关联可以支持头发早白的自身免疫病因。