PROFILE OF ALOPECIA AREATA: A QUESTIONNAIRE ANALYSIS OF PATIENT AND FAMILY

    William V. R. Shellow, JOEL E. EDWARDS, John Koo
    TLDR Alopecia areata often starts before age 20, is more common in women, and may have a genetic link with other autoimmune diseases.
    The study analyzed responses from 800 patients with alopecia areata (AA), revealing that 28% were men and 72% were women. Among these patients, 50% had localized alopecia, 30% had alopecia totalis, and 20% had alopecia universalis, with 48% experiencing onset before age 20. A strong family history was noted in 42% of cases, with 333 additional family members affected. Many patients and relatives also had atopic diseases, and associated autoimmune diseases like vitiligo and thyroid disease were consistent with previous findings. While insulin-dependent diabetes mellitus (IDDM) was not increased in patients, it was significantly higher in relatives, suggesting a genetic link where AA expression might prevent IDDM development.
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