masterThesis
Descripción de hallazgos clínicos, paraclínicos e histológicos en mujeres con pérdida de pelo de patrón femenino en el servicio de consulta externa Méderi año 2016-2017
Fecha
2018Autor
Salcedo Rodríguez, Gina Marcela
Institución
Resumen
ABSTRACT
Objective: To describe the clinical, paraclinical and histological characteristics of the patients with female pattern hair loss aged 18 years or older who attend the outpatient clinic of the University Hospital “Mayor - Barrios Unidos Méderi” from April 2016 to March 2017.
Methodology: Case series, based on the review of medical records of patients with diagnosis of female pattern hair loss from April 2016 until March 2017.
Results: Six patients presented with a diagnosis of female pattern hair loss. All patients were from the department of Cundinamarca (Colombia). More than 50% of the patients were between the ages of 50 to 59 years. 50% had a personal history of hypertension and 16.6% of hypothyroidism. None admitted to and had knowledge of a family history of alopecia. At physical examination 50% presented with thinning hair, and 33.3% of miniaturized follicles, and 16.6% didn’t show any evident morphological changes. On the other hand, all patients had a negative hair-pull test, and just 33.3% showed a receding hairline. Finally, 66.6% of the patients presented with diffuse alopecia. Regarding the paraclinical findings, 100% presented DHEAS (dehydroepiandrosterone) and testosterone levels within normal range. 33.3% had low or insufficient vitamin D and ferritin levels. TSH was within normal range in 66.6% of the patients and within subclinical hypothyroidism range in 33%. 83.3% of the biopsy reports revealed a diagnosis of androgenetic alopecia, only one patient, which corresponds to 16.6%, had alopecia as the only diagnosis.
Conclusion: In this study, as in previous studies, a greater incidence of alopecia was found in menopausal women, and an association with high blood pressure, hypothyroidism and vitamin D and ferritin deficiency was evidenced. A study with a larger population is needed in order to establish a connection between these findings and female pattern alopecia.