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斑秃的发病机制、遗传学及医学治疗进展

Update on the pathogenesis, genetics and medical treatment of patterned hair loss.

作者信息

Schweiger Eric S, Boychenko Olga, Bernstein Robert M

机构信息

Bernstein Medical-Center for Hair Restoration, New York, NY 10022, USA.

出版信息

J Drugs Dermatol. 2010 Nov;9(11):1412-9.

PMID:21061765
Abstract

Androgenic alopecia (AGA), or pattern hair loss, is a common condition that affects both men and women has been gradually increasing. The discovery of the androgen receptor (AR) gene and related genes has expanded the knowledge on the genetics of hair loss. These basic science studies, combined with more recent clinical studies, have led to a better understanding of the pathogenesis of AGA in both men and women. These genetic advances have also led to the development of a new screening test for AGA. Recently, in addition to the two currently approved U.S. Food and Drug Administration (FDA) medications (minoxidil and finasteride), a novel device was FDA-approved for the treatment of hair loss, the laser hair comb. Further studies are needed to verify the accuracy and validity of the genetic screening test and the efficacy of the laser hair comb.

摘要

雄激素性脱发(AGA),即型脱发,是一种常见病症,影响着男性和女性,且发病率一直在逐渐上升。雄激素受体(AR)基因及相关基因的发现拓展了对脱发遗传学的认识。这些基础科学研究,再加上近期的临床研究,使人们对男性和女性AGA的发病机制有了更深入的了解。这些遗传学进展还促成了一种针对AGA的新型筛查测试的开发。最近,除了美国食品药品监督管理局(FDA)目前批准的两种药物(米诺地尔和非那雄胺)外,一种新型设备——激光生发梳也获得了FDA批准用于治疗脱发。还需要进一步研究来验证基因筛查测试的准确性和有效性以及激光生发梳的疗效。

相似文献

1
Update on the pathogenesis, genetics and medical treatment of patterned hair loss.斑秃的发病机制、遗传学及医学治疗进展
J Drugs Dermatol. 2010 Nov;9(11):1412-9.
2
Current management of androgenetic alopecia in men.男性雄激素性脱发的当前治疗方法。
Eur J Dermatol. 1999 Dec;9(8):606-9.
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Management of androgenetic alopecia.雄激素性脱发的管理。
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Common hair loss disorders.常见的脱发疾病。
Am Fam Physician. 2003 Jul 1;68(1):93-102.
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Hair loss in women.女性脱发
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Therapeutic hotline. Genetic variations in the androgen receptor gene and finasteride response in women with androgenetic alopecia mediated by epigenetics.治疗热线。雄激素受体基因的遗传变异与女性雄激素性脱发中表遗传学介导的非那雄胺反应。
Dermatol Ther. 2011 Mar-Apr;24(2):296-300. doi: 10.1111/j.1529-8019.2011.01407.x.
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Hair loss, insulin resistance, and heredity in middle-aged women. A population-based study.中年女性的脱发、胰岛素抵抗与遗传。一项基于人群的研究。
J Cardiovasc Risk. 2003 Jun;10(3):227-31. doi: 10.1097/01.hjr.0000070200.72977.c6.
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Long-term treatment with finasteride 1 mg decreases the likelihood of developing further visible hair loss in men with androgenetic alopecia (male pattern hair loss).非那雄胺1毫克长期治疗可降低雄激素性脱发(男性型脱发)男性进一步出现明显脱发的可能性。
Eur J Dermatol. 2008 Jul-Aug;18(4):400-6. doi: 10.1684/ejd.2008.0436. Epub 2008 Jun 23.
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Female-patterned alopecia in teenage brothers with unusual histologic features.具有不寻常组织学特征的青少年兄弟中的女性型脱发。
J Cutan Pathol. 2006 Nov;33(11):741-8. doi: 10.1111/j.1600-0560.2006.00543.x.
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Current understanding of androgenetic alopecia. Part II: clinical aspects and treatment.雄激素性脱发的当前认识。第二部分:临床方面与治疗
Eur J Dermatol. 2000 Jul-Aug;10(5):410-7.

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