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斑秃儿童甲状腺功能障碍、哮喘、过敏性鼻炎和湿疹之间的关联。

Association among Thyroid Dysfunction, Asthma, Allergic Rhinitis and Eczema in Children with Alopecia Areata.

作者信息

Ghaffari Javad, Rokni Ghasem Rahmatpour, Kazeminejad Armaghan, Abedi Hosein

机构信息

Infectious Disease Research Center with Focus on Nosocomial Infection, Bou-Ali Sina Hospital, Mazandaran University of Medical Sciences, Sari, Iran.

Mazandaran University of Medical Sciences, Sari, Iran.

出版信息

Open Access Maced J Med Sci. 2017 Jun 11;5(3):305-309. doi: 10.3889/oamjms.2017.050. eCollection 2017 Jun 15.

DOI:10.3889/oamjms.2017.050
PMID:28698747
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5503727/
Abstract

BACKGROUND

Alopecia areata is a non-scarring hair loss, which typically starts quickly. Atopy is one of the possible predisposing risk factors for this condition.

AIM

This study aimed to evaluate the prevalence of thyroid disease, atopic dermatitis and allergic diseases in children with alopecia areata and compare the results with healthy individuals.

METHODS

This case-control study was conducted on 50 patients with alopecia areata, diagnosed by a dermatologist, and 150 healthy individuals as the control group. Participants filled the questionnaires, and necessary tests were performed.

RESULTS

In this study, the mean age of the participants was 2.55 ± 14.26 and 3.19 ± 11.92 in the case and control groups, respectively. Prevalence of asthma was 22% in the case group and 12.5% in control group (P = 0.109). Also, allergic rhinitis and eczema were observed in 20% and 22% of the subjects of the case group, whereas they were reported to be 8% and 10% in the control group (PV = 0.03 and 0.175, respectively). Moreover, 28% and 8% of the participants in the case and control groups had a family history of atopy and allergic disorders, respectively (P = 0.046). A significant difference was observed between the two groups regarding gender, type of delivery and contact with animals.

CONCLUSIONS

According to the results of this study, a significant association was observed between the prevalence of alopecia areata and atopic conditions, such as allergic rhinitis and history of atopic dermatitis.

摘要

背景

斑秃是一种非瘢痕性脱发,通常起病迅速。特应性是该疾病可能的诱发危险因素之一。

目的

本研究旨在评估斑秃患儿甲状腺疾病、特应性皮炎和过敏性疾病的患病率,并将结果与健康个体进行比较。

方法

本病例对照研究选取了50例经皮肤科医生诊断为斑秃的患者作为病例组,150名健康个体作为对照组。参与者填写问卷,并进行必要的检查。

结果

本研究中,病例组和对照组参与者的平均年龄分别为2.55±14.26岁和3.19±11.92岁。病例组哮喘患病率为22%,对照组为12.5%(P = 0.109)。此外,病例组中20%和22%的受试者患有过敏性鼻炎和湿疹,而对照组报告的患病率分别为8%和10%(P值分别为0.03和0.175)。此外,病例组和对照组分别有28%和8%的参与者有特应性和过敏性疾病家族史(P = 0.046)。两组在性别、分娩方式和与动物接触方面存在显著差异。

结论

根据本研究结果,观察到斑秃患病率与特应性疾病如过敏性鼻炎和特应性皮炎病史之间存在显著关联。

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本文引用的文献

1
The Frequency of Autoimmune Thyroid Disease in Alopecia Areata and Vitiligo Patients.斑秃和白癜风患者自身免疫性甲状腺疾病的发生率
Biomed Res Int. 2015;2015:435947. doi: 10.1155/2015/435947. Epub 2015 Aug 18.
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Association of Vitiligo and Alopecia Areata With Atopic Dermatitis: A Systematic Review and Meta-analysis.白癜风和斑秃与特应性皮炎的相关性:系统评价和荟萃分析。
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Overview of alopecia areata.斑秃概述。
J Investig Dermatol Symp Proc. 2013 Dec;16(1):S13-5. doi: 10.1038/jidsymp.2013.4.
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World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects.《世界医学协会赫尔辛基宣言:涉及人类受试者的医学研究伦理原则》
JAMA. 2013 Nov 27;310(20):2191-4. doi: 10.1001/jama.2013.281053.
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Is atopy and autoimmunity more prevalent in patients with alopecia areata? A comparative study.斑秃患者是否更常伴有特应性和自身免疫?一项对比研究。
J Eur Acad Dermatol Venereol. 2012 Jun;26(6):720-3. doi: 10.1111/j.1468-3083.2011.04152.x. Epub 2011 Jun 21.
6
Comorbidity profiles among patients with alopecia areata: the importance of onset age, a nationwide population-based study.斑秃患者的合并症特征:发病年龄的重要性——一项全国范围内基于人群的研究。
J Am Acad Dermatol. 2011 Nov;65(5):949-56. doi: 10.1016/j.jaad.2010.08.032. Epub 2011 May 25.
7
Alopecia areata and autoimmunity: a clinical study.斑秃与自身免疫:一项临床研究。
Indian J Dermatol. 2008;53(2):70-4. doi: 10.4103/0019-5154.41650.
8
Serum T helper 1 cytokine levels are greater in patients with alopecia areata regardless of severity or atopy.斑秃患者的血清辅助性 T 细胞 1 细胞因子水平无论严重程度或特应性如何均较高。
Clin Exp Dermatol. 2010 Jun;35(4):409-16. doi: 10.1111/j.1365-2230.2009.03523.x. Epub 2009 Oct 23.
9
History of atopy or autoimmunity increases risk of alopecia areata.特应性或自身免疫病史会增加斑秃的风险。
J Am Acad Dermatol. 2009 Oct;61(4):581-91. doi: 10.1016/j.jaad.2009.04.031. Epub 2009 Jul 16.
10
The prevalence of nasal symptoms attributed to allergies in the United States: findings from the burden of rhinitis in an America survey.美国归因于过敏的鼻部症状患病率:美国一项鼻炎负担调查的结果
Allergy Asthma Proc. 2008 Nov-Dec;29(6):600-8. doi: 10.2500/aap.2008.29.3179.