Association Between LDL-C and Androgenetic Alopecia Among Female Patients in a Specialty Alopecia Clinic

    January 2024 in “ Cutis
    Shivali Devjani
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    TLDR Higher bad cholesterol levels are linked to more severe female pattern hair loss.
    The study "Association Between LDL-C and Androgenetic Alopecia Among Female Patients in a Specialty Alopecia Clinic" examined the relationship between female pattern hair loss (FPHL) severity and abnormal cholesterol levels. The study involved a retrospective chart review of 54 female patients diagnosed with FPHL, with an average age of 59 years. The severity of FPHL was measured using the Sinclair scale. The study found that patients with abnormal low-density lipoprotein cholesterol (LDL-C) levels had significantly higher Sinclair scale scores compared to those with normal levels (2.43 vs 1.91; P=.01). There were no significant differences in other variables such as patient age, age at onset of AGA, history of polycystic ovary syndrome, or statin use between patients with abnormal and normal LDL-C levels. The study suggests a significant association between abnormal LDL-C and hair loss severity in FPHL patients. The mechanism of this association is not well understood but may be related to the homology between cholesterol and androgens.
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