Relationship between androgenic alopecia and white matter hyperintensities in apparently healthy subjects.

A healthy brain is essential for living a longer and fuller life. Detecting asymptomatic white matter hyperintensities (WMHs) may be clinically important in terms of treatment and prognostic evaluation. WMHs in brain may reflect brain aging. Androgenic alopecia (AGA) is associated with significant c...

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Publicado en:Brain Imaging & Behavior Vol. 14; no. 2; pp. 527 - 534
Autor principal: Ata Korkmaz, Hatice Ayca
Formato: Journal Article
Publicado: Springer Nature Apr2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2020
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      pub: Springer Nature
      place: New York, New York
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        atl: Relationship between androgenic alopecia and white matter hyperintensities in apparently healthy subjects.
      aug:
        au: Ata Korkmaz, Hatice Ayca
        affil: Department of Radiology, University of Health Science, Kanuni Research and Education Hospital, Trabzon, Turkey
      sug:
        subj:
          Brain Pathology
          Alopecia Pathology
          Alopecia Metabolism
          Magnetic Resonance Imaging Methods
          Aged
          Male
          Research Subjects
          Adult
          Aging
          Prognosis
          Risk Factors
          Middle Age
          Brain Metabolism
          Hamilton Rating Scale for Depression
          Impact of Events Scale
          Aged: 65+ years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
      ab: A healthy brain is essential for living a longer and fuller life. Detecting asymptomatic white matter hyperintensities (WMHs) may be clinically important in terms of treatment and prognostic evaluation. WMHs in brain may reflect brain aging. Androgenic alopecia (AGA) is associated with significant cardiovascular risk factors that also have a negative impact on brain aging. The main purpose of present study was to know whether alopecia might provide predictive information of WMHs that may be considered as a surrogate marker of cerebral small vessel disease which is related to arteriolosclerosis and vascular risk factors. From January 2017 to March 2018, 256 cases were enrolled consecutively. Patients under 18 years old, older than 90 years old, known to be affected by neurodegenerative diseases, demyelinating disorders or stroke and/or a brain tumor, were excluded from the study. A 4-point cerebral white matter Magnetic Resonance Imaging (MRI) hyperintensities scoring system, the Fazekas scale, was used to evaluate brain aging. Presence of AGA was evaluated with inspection according to Hamilton-Norwood classification system (grade I to VII). Two hundred eleven (82%) of individuals had mild alopecia (grade I, II, III), 28 (11%) had moderate alopecia (grade IV, V) and 17 (7%) had severe alopecia (grade VI, VII). Frequency of abnormal WMHs was significantly higher in patients with AGA compared to the without AGA. Hypertension (HT) (95% confidence interval [CI]: 1.873-9.487, p < 0.001) and the AGA (95% CI: 2.989-12.916, p < 0.0001) were independent determinants of abnormal WMHs. AGA may be regarded as a surrogate marker of asymptomatic WMHs which is related to arteriolosclerosis and vascular risk factors that has a significant impact on people's life.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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