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KMID : 0371620080230020101
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Journal of Wonkwang Medical Science
2008 Volume.23 No. 2 p.101 ~ p.106
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Clinical and Descriptive Epidemiological Study of Alopecia Areata
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Lee Yong-Ho
Ha Hun-Yong
Lee Dong-Cho
Kim Mi-Gyoung
Seo Phil-Seung
Kim Nam-Song
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Abstract
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Background: We embarked on this research in order to gain fundamental information and knowledge on the key differences in the effectiveness of various treatments and factors, such as key clinical conditions and demographic traits through the descriptive research-based procedures, on patients with alopecia areata.
Methods: Based on the comprehensive data of 95 patients with verifiable treatment records out of 126 alopecia areata patients who have visited the department of dermatology of Wonkwang University Hospital from January 2004 to October 2008, We examined the significance tests through the analysis of frequency and range of the differences in the effectiveness of various treatments using demographic traits and medical treatments.
Results: In terms of the treatment effectiveness, 64.8% of the male patients and 71.4% of the female patients showed the full recovery, with virtually no significant clinical data difference. In terms of the age group variations, 71.8% of the patients in 20’s and under and 85.2% of the patients in 30’s showed the full recovery, and 58.6% of 40’s showed only partial recovery, rendering this difference quite significant.(p＜0.05). There was a noticeable difference in effectiveness of various treatments.(p＜0.01). Through the steroid pulse therapy, 100% of the patients fully recovered, 77.8% through the DPCP(Diphencyprone) method, 73.8% through the minoxidil application treatment, 65.2% through the steroid injection treatment, and finally 33.3% of the steroid application treatment fully recovering from the hair loss.
Conclusion: In terms of the effectiveness, the steroid pulse therapy were most dominant and clear treatment, followed by DPCP treatment, the minoxidil application treatment, the steroid injection treatment, and the steroid application treatment in this order. In terms of the distribution of the gender factor of the observed patients, the number of female patients was far smaller than that of male patients, and tremendous barriers and challenges lie in the quest to make a conclusive finding through the use of the raw data of hospital patients. As such, a variety of rigorous and dynamic clinical research endeavors and the large sample of patients are necessary and strongly recommended at this point.
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KEYWORD
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Descriptive epidemiology, Alopecia areata, Treatment method, Treatment effectiveness
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