Telogen effluvium in daily practice: Patient characteristics, laboratory parameters, and treatment modalities of 3028 patients with telogen effluvium
| Autor: | Yıldız Hayran, Başak Yalçin, Ahmet Kagan Ozdemir, Ilgaz Genc, Güneş Gür Aksoy, Orhan Sen, Ahu Yorulmaz |
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| Rok vydání: | 2021 |
| Předmět: |
Vitamin
medicine.medical_specialty Alopecia Areata Iron Dermatology Telogen effluvium chemistry.chemical_compound Folic Acid Internal medicine medicine Vitamin D and neurology Humans Vitamin B12 Vitamin D Retrospective Studies medicine.diagnostic_test business.industry Complete blood count Retrospective cohort study Vitamins medicine.disease Vitamin B 12 Zinc Iron-deficiency anemia chemistry Female Thyroid function business |
| Zdroj: | Journal of Cosmetic Dermatology. 21:2610-2617 |
| ISSN: | 1473-2165 1473-2130 |
| DOI: | 10.1111/jocd.14413 |
| Popis: | BACKGROUND Telogen effluvium (TE) is a common form of non-scarring alopecia, characterized by excessive shedding of telogen club hairs. OBJECTIVES The aim of the present study was to investigate patient characteristics, laboratory parameters, and treatment strategies in TE. METHODS Electronic records of 3028 patients were retrospectively analyzed. Demographic and clinical data, as well as serum parameters screening for iron, vitamin B12, vitamin D, folate and zinc deficiencies, thyroid function, and ANA titers, were evaluated. RESULTS In the study group, the most frequently performed test type was serum ferritin level (82.3%), followed by complete blood count (81%), both of which revealed that 6.2% of the patients had iron deficiency anemia. 4.6% of the patients had thyroid dysfunction. In screened patients, vitamin and mineral deficiencies were as follows: vitamin D (72.2%), vitamin B12 (30.7%), folate (4.4%), and zinc (2.1%). Women were more likely to be prescribed vitamin D replacement therapy. Iron replacement was the most frequently ordered treatment, comprising 37.5% of total prescriptions. CONCLUSION To the best of our knowledge, this is the most comprehensive retrospective study having the largest number of patients with TE. Our results will not only help to augment knowledge about TE, but also provide a diagnostic algorithm for the laboratory and clinical workup of patients with TE. |
| Databáze: | OpenAIRE |
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