Evidence map›Paper›PMID 41912161›Full record

ArticleDermatology practical & conceptual2026

Risk Factors for Pediatric Alopecia Areata: Clinical and Biochemical Findings from a Case - Control Study.

Seçil Yigen İritaş

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Article in Dermatology practical & conceptual, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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1 author.

Seçil Yigen İritaşPendik State Hospital, Department of Dermatology and Venereal Diseases, Istanbul, Turkey.

Funding

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6 · The paper itself

Abstract

introductionAlopecia areata (AA) is an immune-mediated, non-scarring hair loss disorder that can begin in childhood. Data on comorbidities and biochemical risk factors in pediatric AA remain limited.

objectivesTo compare clinical comorbidities and biochemical parameters in pediatric patients with AA versus healthy controls.

methodsThis retrospective, matched case-control study included 200 pediatric AA patients and 400 age- and sex-matched healthy controls. Clinical characteristics and comorbidities were obtained from patient records. Hemoglobin, ferritin, vitamin B12, and thyroid-stimulating hormone (TSH) levels were analyzed. Independent predictors were identified using multivariable logistic regression.

resultsVitiligo (3.5% vs. 0.5%; P=0.008), allergic asthma (9.5% vs. 3.8%; P=0.007), and attention-deficit/hyperactivity disorder (ADHD) (3.5% vs. 0.5%; P=0.008) were significantly more frequent in the AA group, whereas atopic dermatitis was more common but not statistically significant. Hemoglobin levels were comparable. Serum vitamin B12 [233.5 (192.7-270.0) vs. 356.7 (318.7-396.8) pg/mL; P<0.001] and ferritin [14.4 (6.5-22.3) vs. 19.4 (11.6-27.0) ng/mL; P<0.001] were significantly lower, and TSH levels were also reduced (3.40 ± 1.48 vs. 3.71 ± 1.50 mIU/L; P=0.017). Multivariable analysis identified low vitamin B12 (OR = 0.964, 95% CI: 0.958-0.970; P<0.001) and low ferritin (OR = 0.965, 95% CI: 0.944-0.988; P=0.003) as independent risk factors.

conclusionsPediatric AA is associated with vitiligo, asthma, ADHD, and reduced levels of ferritin, vitamin B12, and TSH. These findings underscore the importance of comprehensive clinical and biochemical evaluation in pediatric AA.

Identifiers

PMID41912161
PMCPMC12952808

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