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高尿酸血症与男性雄激素性脱发相关:一项横断面病例对照研究。

Hyperuricemia is associated with androgenetic alopecia in men: A cross-sectional case-control study.

作者信息

Ma Jingwen, Sheng Youyu, Lao Zhengyin, Zhao Jun, Yang Qinping

机构信息

Department of Dermatology, Huashan Hospital, Fudan University, Shanghai, China.

Health Management Center, Huashan Hospital, Fudan University, Shanghai, China.

出版信息

J Cosmet Dermatol. 2020 Nov;19(11):3122-3126. doi: 10.1111/jocd.13401. Epub 2020 Apr 12.

Abstract

BACKGROUND

Early androgenetic alopecia (AGA) is patterned hair loss occurring before 30 years. Early AGA is frequently reported in men and carries the risk of obesity, metabolic syndrome, and cardiovascular diseases. Hyperuricemia used to be a minor component of metabolic syndrome. Recently, increasing number of studies has proved that hyperuricemia is an independent risk factor for many cardiovascular diseases and psoriasis. However, none of these studies have examined the relationship between hyperuricemia and AGA.

AIMS

To determine the association between hyperuricemia and AGA in men.

METHODS

A cross-sectional case-control study was conducted. The medical charts and photographs of men with a clinical diagnosis of AGA were reviewed. The clinical and laboratory data of AGA and control groups were compared.

RESULTS

Men with AGA (n = 1312) had higher mean uric acid level (6.25 mg/dL vs 5.97 mg/dL; P < .001) and higher prevalence of hyperuricemia (25.0% vs 15.6%; P < .001) than those without AGA (n = 2624). There was no statistically significant association between AGA severity and hyperuricemia (P = .295).

CONCLUSIONS

Men with early AGA have a higher prevalence of hyperuricemia.

摘要

背景

早发性雄激素性脱发(AGA)是指30岁之前出现的型态性脱发。早发性AGA在男性中较为常见,且存在肥胖、代谢综合征和心血管疾病的风险。高尿酸血症曾是代谢综合征的一个次要组成部分。最近,越来越多的研究证明高尿酸血症是许多心血管疾病和银屑病的独立危险因素。然而,这些研究均未探讨高尿酸血症与AGA之间的关系。

目的

确定男性高尿酸血症与AGA之间的关联。

方法

进行了一项横断面病例对照研究。回顾了临床诊断为AGA的男性的病历和照片。比较了AGA组和对照组的临床及实验室数据。

结果

与无AGA的男性(n = 2624)相比,AGA男性(n = 1312)的平均尿酸水平更高(6.25mg/dL对5.97mg/dL;P <.001),高尿酸血症患病率更高(25.0%对15.6%;P <.001)。AGA严重程度与高尿酸血症之间无统计学显著关联(P = 0.295)。

结论

早发性AGA男性的高尿酸血症患病率较高。

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