Estimation of Serum Aldosterone, Free Testosterone, and DHEA-S and Scalp Androgen and Aldosterone Receptors in Female Androgenetic Alopecia: Is the Mystery Solved?

    Noha Nagui, Naglaa S. Zaki, Amany Z. El-Ramly, Laila A. Rashed, Tahany R. Elias, Eman Shaalan
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    TLDR High aldosterone and free testosterone levels link to female hair loss; testing aldosterone may predict hypertension risk.
    This study investigated the role of aldosterone, free testosterone, and DHEA-S in female androgenetic alopecia (AGA). The study found that serum levels of aldosterone and free testosterone were significantly higher in female patients with AGA compared to controls. Additionally, levels of aldosterone and aldosterone receptors were significantly higher in skin biopsy specimens taken from involved areas in comparison with non-involved areas and controls, indicating the suggested role of these hormones and their receptors in the pathogenesis of AGA. The study recommends routinely determining aldosterone levels in AGA to identify patients prone to development of hypertension and further studies to verify the mechanism by which aldosterone and its receptor induce AGA.
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