Jana Kalachand, Bade Arun Shivajirao, Jain Sachin Kumar, Aggarwal Ramesh, Dutta Aditya
Departments of Medicine, Postgraduate Institute of Medical Education and Research, Dr. Ram Manohar Lohia Hospital, New Delhi, India.
Department of Medicine, Lady Hardinge Medical College and Associated Smt. S.K. Hospital, New Delhi, India.
J Family Med Prim Care. 2014 Jan;3(1):77-9. doi: 10.4103/2249-4863.130331.
Alopecia Universalis is an autoimmune disorder which sometimes may be associated with other autoimmune diseases like vitiligo, atopic dermatitis and endocrine disorders like hypothyroidism. In less than 2% of cases it may be associated with nephrotic syndrome although the underlying etiology has not been reported. We report here one similar case that had alopecia universalis beginning at the age of 17 years and simultaneously developed hyperuricemia. His son also developed alopecia universalis and renal stones at an early age of 10 years. The case represents one of the rare forms of alopecia namely alopecia universalis in two generations of the same family. Apart from this the case highlights the presence of renal stones probably due to hyperuricemia in both the generations which invokes a need to investigate any association of hyperuricemia with alopecia universalis.
普秃是一种自身免疫性疾病,有时可能与其他自身免疫性疾病如白癜风、特应性皮炎以及内分泌紊乱如甲状腺功能减退有关。在不到2%的病例中,它可能与肾病综合征有关,尽管尚未报道其潜在病因。我们在此报告一例类似病例,该患者17岁开始出现普秃,同时并发高尿酸血症。他的儿子在10岁时也早早出现了普秃和肾结石。该病例代表了普秃这种罕见的脱发形式在同一家族的两代人中出现。除此之外,该病例还凸显了两代人都可能因高尿酸血症而出现肾结石的情况,这引发了对高尿酸血症与普秃之间任何关联进行研究的必要性。