Dermatoloji kliniğinde görülen alopesi areatalı hastaların klinik ve epidemiyolojik özellikleri
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Dosyalar
Tarih
2010
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Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Alopesi areata; skarsız kıl kaybı alanları ile karakterize bir hastalık olup değişik klinik formlarda saptanabilir. Yerli ve yabancı literatürde hastalığın epidemiyelojisi ile ilgili farklı veriler sunulmuştur. Bu çalışmada Bolu bölgesindeki olguların epidemiyelojik verilerinin saptanması ve literatürle karşılaştırılması amaçlandı. Gereç ve Yöntem: Çalışmaya Ocak 2003-Temmuz 2008 tarihleri arasında Dermatoloji polikliniğine başvuran alopesi areatalı 144 hasta dahil edildi. Tüm hastalarda yaş, cinsiyet, aile öyküsü, hastalık süresi, lezyonun lokalizasyonu, atak sayısı, eşlik eden hastalık ve uygulanan tedaviye alınan cevap gibi klinik ve demografik veriler kaydedildi. Sonuçlar literatürdeki diğer çalışmalarla karşılaştırıldı. Bulgular: Hastaların 50’si (% 34,78) kadın, 94’ü (% 65,22) ise erkekti. Hastaların yaş ortalaması 26,72 yıl (standart sapma 12,91 yıl; dağılım 3-61 yıl) idi. Hastalar yaşlarına göre 6 ayrı kategoriye ayrıldıklarında, kadın hastaların daha çok ikinci dekadta (yaş aralığı 11-20 yıl), erkeklerin ise üçüncü dekadta (yaş aralığı 21-30 yıl) toplandığı gözlendi. Tanı hastaların 123’ünde alopesi areata, yedisinde alopesi üniversalis, altısında ise alopesi totalis idi. Tüm hastalarda en sık tutulum bölgesi saçlı deri olup bunu erkeklerde sakal, kadınlarda ise kaş tutulumu izlemekteydi. Yedi hastada (bir erkek, altı kadın) eşlik eden otoimmün hastalık olarak tiroidit ve vitiligo mevcuttu. Sonuç: Hastalarımızın klinik karakteristik özellikleri ve demografik verileri Türkiye’de yapılan diğer çalışmalarla uyumlu idi. Ancak bu sonuçlar yabancı tıbbi literatürde yayınlanmış çalışmalardan oldukça farklılık göstermekteydi. Çalışmamızın toplumumuzda alopesia areata ile ilgili epidemiyolojik verilerin oluşturulmasına katkı sağlayabileceğini düşünmekteyiz.
Aim: Alopecia areata is characterized by nonscarring hair loss and may be determined in several clinical forms. Distinct data’s have been reported in national and foreign medical literature about the epidemiology of this disease. The aim of this study was to determine the epidemiologic data’s of patients localized in Bolu and compare these data’s with literature. Material and Methods: The study population consisted of 144 patients with alopecia areata seen in dermatology outpatient clinic between January 2003 and July 2008. Clinical and demographic parameters such as age, gender, family history, duration, extent and localization, number of attacks, associated diseases and response to the treatment were recorded in all patients. The results were compared with other studies reported in the literature. Results: There were 50 female (35,78 %) and 94 male (65,22 %) patients. The average age of patients was 26,72 years (standard deviation 12,91 years; range 3 to 61 years). According to the classification of the patients into six age subgroups, the highest frequency was observed at the second decade (age range 11-20 years) in female patients, and third decade (age range 21-30 years) in male patients. The diagnosis was alopecia areata in 123 patients, alopecia universalis in seven patients, and alopecia totalis in six patients. The most commonly involved area in all patients was scalp, that was followed by beard involvement in male and eyebrow involvement in female patients. Seven patients (one male, 6 female) had tyroiditis and vitiligo as an asscoiated autoimmune disease. Conclusion: Clinical characteristic features and demographic data’s of our patients were consistent with other studies reported from Turkey. However these results appeared quite different from the studies published in foreign medical literature. We conclude that our study might contribute to generate epidemiological data’s about alopecia areata in our population.
Aim: Alopecia areata is characterized by nonscarring hair loss and may be determined in several clinical forms. Distinct data’s have been reported in national and foreign medical literature about the epidemiology of this disease. The aim of this study was to determine the epidemiologic data’s of patients localized in Bolu and compare these data’s with literature. Material and Methods: The study population consisted of 144 patients with alopecia areata seen in dermatology outpatient clinic between January 2003 and July 2008. Clinical and demographic parameters such as age, gender, family history, duration, extent and localization, number of attacks, associated diseases and response to the treatment were recorded in all patients. The results were compared with other studies reported in the literature. Results: There were 50 female (35,78 %) and 94 male (65,22 %) patients. The average age of patients was 26,72 years (standard deviation 12,91 years; range 3 to 61 years). According to the classification of the patients into six age subgroups, the highest frequency was observed at the second decade (age range 11-20 years) in female patients, and third decade (age range 21-30 years) in male patients. The diagnosis was alopecia areata in 123 patients, alopecia universalis in seven patients, and alopecia totalis in six patients. The most commonly involved area in all patients was scalp, that was followed by beard involvement in male and eyebrow involvement in female patients. Seven patients (one male, 6 female) had tyroiditis and vitiligo as an asscoiated autoimmune disease. Conclusion: Clinical characteristic features and demographic data’s of our patients were consistent with other studies reported from Turkey. However these results appeared quite different from the studies published in foreign medical literature. We conclude that our study might contribute to generate epidemiological data’s about alopecia areata in our population.
Açıklama
Anahtar Kelimeler
Alopesi Areata, Epidemiyoloji, Otoimmün Hastalık, Alopecia Areata, Epidemiologi, Autoimmune Disease
Kaynak
Göztepe Tıp Dergisi
WoS Q Değeri
Scopus Q Değeri
N/A
Cilt
25
Sayı
2
