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Prevalence of Low Serum Vitamin D Levels in Patients Presenting With Androgenetic Alopecia: A Review.

Zainab Zubair, Ketan Kantamaneni, Krishi Jalla, Mahvish Renzu, Rahul Jena et al.
Review Cureus 2021 20 件の引用
PubMed DOI CC-BY PDF
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Study Design

研究タイプ
review
介入
Prevalence of Low Serum Vitamin D Levels in Patients Presenting With Androgenetic Alopecia: A Review. vitamin D supplementation (oral); calcipotriol (topical vitamin D analogue)
比較対照
Placebo
効果の方向
Positive
バイアスリスク
High

Abstract

The role of vitamin D receptor (VDR) has been well established and extensively studied in the hair cycle. Its deficiency is also closely linked to several types of alopecia, including alopecia areata, telogen effluvium, and androgenetic alopecia (AGA). Since there is limited research on the correlation between androgenetic alopecia and low serum vitamin D levels, our review aims to find relevant articles and comprehensively present them. A review of the literature was performed to gain insight into AGA. Specifically, PubMed and Google Scholar databases were searched to identify any relevant articles with a focus on androgenetic alopecia, male pattern baldness, and serum vitamin D levels. References within the included articles were also reviewed and taken into the study if found appropriate. All articles that met the inclusion criteria were analyzed for demographics, clinical, laboratory, radiographic, treatment, and outcomes data. We found 13 relevant studies that elucidated the relationship between low serum vitamin D levels and androgenetic alopecia and included them in the review. We concluded that serum vitamin D might be a possible parameter for diagnosing the onset and severity of AGA. Vitamin D supplementation has proven to be useful in the regrowth of hair in non-human subjects. Vitamin D could be a valid therapeutic approach, such as topical vitamin D (calcipotriol) seems to be a good treatment option to regrow hair follicles and prevent miniaturization of follicles due to androgenetic alopecia.

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Tables

Table 1

PublicationType of studyYear of publicationNumber of patients (N=?)Probability (p=?)Research questionConclusion
Fawzi et al. [20]  Case control study2016N=20P=0.000To assess VDRs in the skin and blood of AA and AGA patients.  Serum and tissue VDR were lower in patients with AGA than controls.
Sanke et al. [21]  Case control study2020N=50P<0.001To find a correlation between serum vitamin D levels and the severity of AGA.  Significant correlation between vitamin D deficiency and AGA.
Kondrakhina et al. [22]Cross sectional study2020N=50P<0.001To estimate plasma element content and vitamin status in patients with AGA.  Multiple micronutrient deficiencies are present in patients with AGA.
Conic et al. [23]  Author manuscript2019N=73P=0.051To evaluate vitamin D status in scarring and non-scarring alopecia.  Serum vitamin D was low in AGA patients.
Jun Zhao et al. [24]Case control study2020N=777P=0.0005To evaluate the serum vitamin D status in Chinese patients with AGA.  Association between serum 25(OH)D levels and AGA in a Chinese population.  
Sarac et al. [25]  Case control study2018N=58P=0.01To determine the role of vitamin D in hair lossPatients with AGA were vitamin D deficient.
Danane et al. [26]Longitudinal Follow up2021N=50P value not defined.To measure the vitamin D levels in men with premature AGA and to demonstrate its relationship with the severity of the disease.  Significant correlation between vitamin D deficiency and the severity of AGA.  
El-Tahlawy et al. [27]Case control study2021N=30P=0.02To measure serum vitamin D and serum ferritin levels in patients with male pattern hair loss.  Vitamin D was statistically significantly lower in patients with AGA.  
      Narang et al. [28]      Prospective study      2017    N=22    P<0.009To study the efficacy of calcipotriol lotion 0.005% in AA and correlate its outcome with serum vitamin D levels.   Hair growth was observed to be better in patients with low serum vitamin D levels.
Nichols et al. [29]Case series2017    N=10  For THC: P=0.014 For HMI: P=0.003To evaluate the effectiveness of a novel oral supplement containing vitamin D.This novel supplement may be a useful adjunct in the treatment of AGA.  
    Bilke et al. [31]      Animal study      2006      N/A      N/ATo evaluate if new hair cycle has started in the VDR null mice.Lack of VDR causes disruption of hair follicle structure during the first catagen resulting in failure of subsequent hair follicle cycling.   
    Mady et al. [33]    Animal study    2016    N/A    N/AThe role for 1,25-dihydroxyvitamin D3 and/or calcium in hair follicle cycling by evaluation of alopecia in calbindin-D9kknockout pups.In calbindin-D9kknockout pups, a maternal vitamin D-deficient/low-calcium diet leads to transient non-cicatricial alopecia.  

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