keratin.com, hair loss, baldness, alopecia, disease, and treatment information

alopecia areata in families, male to female ratio, and first onset expression

Hair Biology
Diagnosis / Decisions
Androgenetic Alopecia Biology
Androgenetic Alopecia Clinical Patterns
Androgenetic Alopecia Treatments
Hair Restoration
Alopecia Areata
Effluviums
Scarring Alopecias
Inflammatory Alopecias
Other Alopecias
Hair Shaft Defects
Infectious Hair Disease
Hirsutism / Hypertrichosis
Hair Color
Hair Cosmetics
Bits and Pieces
Immunology
Discussion Forums
Personal / Site Information


Table of references on alopecia areata prevalence in families

It has long been suspected that genes play a role in development of alopecia areata. To support this claim, many dermatologists point to statistics that show alopecia areata occurs much more frequently in genetically related individuals. This suggests certain genes passed from generation to generation in a family can make offspring more susceptible towards developing alopecia areata. Below is a list of medical journal reports that suggest how frequently someone with alopecia areata can claim a family history of the condition. The source of the data is also given as it may be that family prevalence changes with different regions of the world.

PERCENTAGE WITH FAMILY HISTORY GEOGRAPHIC POSITION CITATION
3% UK Barber 1921
11% UK Price 1928
20% UK Brown 1929
20% France Sabouraud 1929
19% UK Anderson 1950
Not significant Spain Saenz 1963
10% USA Muller 1963
3.4% Italy Olivetti 1965
6.3% Portugal Bastos 1967
25% UK Cunliffe 1969
17% Sweden Gip 1969
27% USA Sauder 1980
24% UK Friedman 1981b
11% Belgium De Weert 1984
6.6% Germany Lutz 1988
18% Netherlands De Waard van der Spek 1989
11.4% Germany Gollinck 1992
16% Germany Van der Steen 1992
42% USA Shellow 1992
11.5% Korea Ro 1995
12.4% children age 16 or less India Sharma 1996


Table of references on stress as a factor for people with alopecia areata

Some, but by no means all, dermatologists claim that alopecia areata can be influenced, or even induced, by stress. It is not hard to see why when there are so many medical reports which seem to support this claim. However, there is a significant problem with almost all the studies below in that they do not compare stress levels in people with alopecia areata to the general population or a control group. Finally, one must also bear in mind the question - which comes first, stress which induces alopecia areata or alopecia areata which induces stress? Note: Many of the studies report just a few cases and do not provide statistical information.

PERCENTAGE WITH STRESS CITATION
69% in children Brown 1929
* Peck 1948
* Kaplan 1952
* Ledo-Dunipe 1952
90% Panconesi 1955
* Mantellass 1956
* Obermayer 1956
Not significant MacAlpine 1958
* Reinhold 1960
* Swift 1961
* De Gossely 1965
22% Gip 1969
* Feldman 1973
* Ferraro 1979
70% De Weert 1984
* Perini 1984
29% De Waard van der Spek 1989
74% Colon 1991
6.7% Not significant Van der Steen 1992
* Koo 1994
* Attah-Johnson 1995
* Koblenzer 1995


Table of references for the male to female ratio of people affected with alopecia areata

Alopecia areata is suspected by many dermatologists be an autoimmune disease. In most other forms of autoimmune disease many more women than men are affected. For example, with Systemic Lupus Erythematosus, 10 women are affected for every one man (Ollier 1992). We might expect a similar bias for alopecia areata but not all research groups can demonstrate one.

FEMALE:MALE RATIO GEOGRAPHIC POSITION CITATION
1:1 UK Freshwater 1915
1:1.6 UK Barber 1921
2:1 France Sabouraud 1929
1:1.3 UK Orr 1924
1:3 USA Price 1928
1.4:1 UK Brown 1929
1:1 USA Walker 1950
1:1 USA Muller 1963
1:3 Portugal Bastos 1967
2:1 Belgium De Weert 1984
2:1 UK Friedman 1985
2:1 Germany Gollinck 1992
1:1 USA Safavi 1995
1:1.3 Korea Ro 1995
1.4:1 children age 16 or less India Sharma 1996


Table of references for age bias in the first expression of alopecia areata

The first onset of alopecia areata can occur in any decade of life but it is generally regarded as most likely to first develop in younger individuals. However, looking at the statistical reports on the subject there seems to be a steady increase through time of alopecia areata first developing later in life. Is the change simply a result of different data collection methods or something more significant?

PERCENTAGE FIRST EXPRESSION GEOGRAPHIC POSITION CITATION
72% age 20 or less UK Freshwater 1915
56% age 20 or less UK Barber 1921
53% age 20 or less UK Orr 1924
57% age 20 or less UK Brown 1929
44% age 20 or less UK Anderson 1950
35% age 20 or less Spain Lopez 1951
27% age 20 or less USA Muller 1963
32.5% age 20 or less Portugal Bastos 1967
35% age 20 or less Sweden Gip 1969
30% age 20 or less USA Safavi 1995
23.9% age 16 or less India Sharma 1996

Top of the page

Copyright ©. All Rights Reserved
http://www.keratin.com
Top of the page