Severe androgenetic alopecia as a proxy of metabolic syndrome in male psoriatic patients older than 59 years View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2014-05

AUTHORS

Vincent Descamps, Emmanuel Mahé, François Maccari, Edouard Begon, Hugues Barthelemy, Ziad Reguiai, Nathalie Bénéton, Eric Estève, Guillaume Chaby, Mireille Ruer-Mulard, Henry-Georges Steiner, Domitille Thomas-Beaulieu, Martine Avenel-Audran, Catherine Goujon-Henry, Michele-Lea Sigal, Khaled Ezzedine, Alain Beauchet

ABSTRACT

BACKGROUND: Whereas several studies have underlined the association between severe psoriasis and metabolic syndrome (MetS), the association of androgenetic alopecia (AGA) and MetS have yielded inconsistent results. OBJECTIVE: To investigate the relationship between AGA and the components of MetS in a population of psoriatic male patients. METHODS: A non-interventional, cross-sectional, multicenter study was conducted in France. A standardized questionnaire was completed, including information on components of MetS and other possible risk factors. MetS was defined in this study as a combination of three or more of the four components of MetS: waist circumference, hyperlipidemia, diabetes mellitus and hypertension. In addition, a standardized simplified Norwood classification limited into 5 grades (0-4) was used. RESULTS: In a total of 1073 male patients, hypertension, high waist circumference, diabetes mellitus and hyperlipidemia were observed in 28%, 59%, 11%, and 31%, respectively. In age-adjusted multivariate analysis, severe AGA (grade 3-4 versus grade 0) was associated with the presence of at least one component of MetS. By groups of age, a statistically significant association of severe AGA and MetS was demonstrated in patients over 59 years. Severe AGA was also associated with a first degree familial history of major cardiovascular event in patients older than 59 years. CONCLUSIONS: Our study, based on a simplified but stringent definition of MetS, confirmed the link between severe AGA and individual components of MetS in psoriatic patients. This argues for careful follow-up with regular screening in male psoriatic patients with severe AGA in order to early detect determinants of MetS. More... »

PAGES

356-360

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1684/ejd.2014.2346

DOI

http://dx.doi.org/10.1684/ejd.2014.2346

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1078935004

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/24979347


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