关键词: Alopecia androgenetic alopecia dermoscopy trichoscopy

来  源:   DOI:10.4103/ijt.ijt_31_22   PDF(Pubmed)

Abstract:
UNASSIGNED: Androgenetic alopecia (AGA) is a progressive loss of terminal hairs in a specific pattern distribution related to androgen. The dermoscopy of hair and scalp, known as trichoscopy, is a noninvasive method for diagnosing alopecia and other hair and scalp disorders.
UNASSIGNED: This study aims to report the correlation between the severity of males with AGA based on Hamilton-Norwood\'s scale with the clinical characteristics found in trichoscopy.
UNASSIGNED: This study included 40 patients aged 25-58 years who visited the dermatology outpatient clinic in a tertiary health facility in Indonesia. Clinical diagnosis was determined through history taking, physical examination, and trichoscopy. Based on Hamilton-Norwood\'s criteria, patients were divided into two groups: early and late stage. Parameters examined in trichoscopy include yellow dots, white dots, peripilar sign, vellus hair, hair diameter diversity, single-hair follicles, and empty follicles. The Chi-square test and Fisher\'s exact test were used to analyze the statistical significance between the groups.
UNASSIGNED: All participants presented with hair diameter diversity, vellus hair, and empty follicles (100%). None of the study participants had yellow dots. White dots and single-hair follicles were seen in 32 (80%) and 30 cases (75%), respectively. In the late-stage group, these features were more prevalent. Peripilar sign was found in 25 participants (62.50%), and it was more common in the early-stage group. No significant association was found between disease severity and trichoscopy features.
UNASSIGNED: The most common trichoscopy findings in particular order were hair diameter diversity, vellus hair, and empty follicles, followed by white dots, single-hair follicles, and peripilar signs. No significant association between alopecia severity and trichoscopy parameters was observed. Studies with a larger number of participants, including a control group, should be conducted to yield more significant results.
摘要:
雄激素性脱发(AGA)是在与雄激素相关的特定模式分布中,末端毛发的进行性丧失。头发和头皮的皮肤镜检查,被称为三角镜检查,是诊断脱发和其他头发和头皮疾病的非侵入性方法。
本研究旨在报告基于Hamilton-Norwood的量表的男性AGA严重程度与在内窥镜检查中发现的临床特征之间的相关性。
这项研究包括40名年龄在25-58岁的患者,他们在印度尼西亚一家三级医疗机构的皮肤科门诊就诊。临床诊断是通过病史确定的,体检,和内窥镜检查.根据汉密尔顿-诺伍德的标准,患者分为早期和晚期两组。在内窥镜检查中检查的参数包括黄点,白点,外周体征,毫毛,头发直径的多样性,单毛囊,和空毛囊。采用卡方检验和Fisher精确检验分析组间的统计学意义。
所有参与者都表现出头发直径的多样性,毫毛,和空卵泡(100%)。研究参与者都没有黄点。白点和单发毛囊32例(80%)和30例(75%),分别。在后期组,这些特征更为普遍。在25名参与者(62.50%)中发现了周征,在早期组更为常见。在疾病严重程度和三镜检查特征之间没有发现显着关联。
最常见的滴镜检查结果,尤其是头发直径的多样性,毫毛,和空毛囊,接着是白点,单毛囊,和外周标志。未观察到脱发严重程度与毛镜检查参数之间的显着关联。有更多参与者的研究,包括一个对照组,应该进行以产生更显著的结果。
公众号