Alopecia Areata in Korea (1982–1994)

    September 2024 in “ The Journal of Dermatology
    Byung In Ro
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    TLDR Alopecia areata was most common in people in their 30s and 40s, with some family history and a higher relapse rate, and larger bald areas responded better to specific immunotherapy.
    The study analyzed 905 patients with alopecia areata (AA) from 1982 to 1994 at Chung Ang University. The incidence of AA was 1.5% among 59,970 out-patients, with a male-to-female ratio of 1.3:1. High incidences were noted in the third (41.8%) and fourth decades (20.0%) of life. Family history was contributory in 11.5% of cases, and the relapse rate was 17.5%. Nearly half of the patients had a solitary lesion, predominantly in the occipital region. Associated diseases included seborrheic dermatitis, atopic dermatitis, and others. Treatment effectiveness for bald patches less than 50 cm² was similar between triamcinolone acetonide injections and DNCB/DPCP immunotherapy, but for larger bald areas, DNCB/DPCP immunotherapy was more effective.
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