Cancer Risk in Patients with Alopecia Areata: A Nationwide Population-Based Matched Cohort Study

    March 2018 in “ Cancer Medicine
    Chih‐Chiang Chen, Tzeng‐Ji Chen, Han‐Nan Liu, Yi‐Ju Chen
    TLDR Alopecia areata patients have varied cancer risks, with some cancers being lower and others higher.
    The study investigated the cancer risk in patients with alopecia areata (AA) using data from the Taiwan National Health Insurance Research Database, covering 162,499 patients from 1997 to 2013. It found that overall cancer risks in AA patients were slightly decreased, particularly in males (SIR: 0.89). Specific cancers such as nonmelanoma skin cancer, upper GI cancer, liver cancer, and uterine/cervix cancer had significantly lower risks in AA patients. However, AA patients had higher risks for lymphoma, breast cancer, kidney, and urinary bladder cancer, with SIRs of 1.55, 2.93, and 2.95, respectively. Notably, female AA patients under 50 had an even higher risk of breast cancer (SIR: 3.37). The study concluded that cancer risk in AA patients is organ-specific and not linked to underlying autoimmune disorders.
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