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维生素 D 在脱发中的作用:简短综述。

Role of vitamin D in hair loss: A short review.

机构信息

Venkat Center for Skin and Plastic Surgery, Bengaluru, India.

出版信息

J Cosmet Dermatol. 2021 Nov;20(11):3407-3414. doi: 10.1111/jocd.14421. Epub 2021 Sep 22.

Abstract

BACKGROUND

Vitamin D, a vitamin and hormone, plays an important role in dermatology and dermatotherapeutics, due to its anti-inflammatory and immunomodulatory properties, and regulation of keratinocyte differentiation and proliferation. It also affects the hair cycle, and its role in hair loss is under constant research.

OBJECTIVES

This review aims to give a brief overview of vitamin D biology within the hair follicle, role in the etiopathogenesis, and rationale for supplementation in various alopecias.

METHODS

A PubMed literature search was performed to review relevant current literature and studies investigating the role of vitamin D in the etiopathogenesis, as a supplement and a potential therapeutic modality in hair loss.

RESULTS AND CONCLUSION

Vitamin D is intricately involved in various signaling pathways of growth and differentiation of hair follicles. Most studies show an inverse relationship between serum vitamin D levels and non-scarring alopecias such as telogen effluvium, androgenetic alopecia, alopecia areata, and trichotillomania. Vitamin D deficiency is also associated with scarring alopecia. However, conclusive studies to demonstrate the benefit of vitamin D administration in correcting hair loss and managing these conditions are lacking. Hence, further studies are needed before vitamin D can be routinely recommended as a treatment modality in these conditions.

摘要

背景

维生素 D 是一种维生素和激素,由于其具有抗炎和免疫调节特性,以及对角质形成细胞分化和增殖的调节作用,在皮肤科和皮肤治疗学中起着重要作用。它还影响毛发周期,其在脱发中的作用正在不断研究中。

目的

本综述旨在简要概述维生素 D 在毛囊中的生物学特性、在发病机制中的作用,以及在各种脱发症中补充维生素 D 的原理。

方法

通过 PubMed 文献检索,回顾了研究维生素 D 在发病机制中的作用、作为补充剂以及在脱发治疗中的潜在治疗方法的相关当前文献和研究。

结果和结论

维生素 D 参与了毛囊生长和分化的各种信号通路。大多数研究表明,血清维生素 D 水平与非瘢痕性脱发(如休止期脱发、雄激素性脱发、斑秃和拔毛癖)呈负相关。维生素 D 缺乏也与瘢痕性脱发有关。然而,目前还缺乏确凿的研究来证明维生素 D 给药在纠正脱发和治疗这些疾病方面的益处。因此,在维生素 D 可以常规推荐为这些疾病的治疗方法之前,还需要进一步的研究。

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