Ocular comorbidities and its relation to clinical and dermoscopic features in patients with alopecia areata: a case-control study

Background Alopecia Areata (AA) is considered a systemic autoimmune disease that can be associated with several comorbidities. Several ocular alterations have been previously reported in patients with AA. Previous studies about ocular findings in AA are controversial. Objective To study the ocular c...

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Main Authors: Eman R. M. Hofny, Ahmed F. Omar, Walaa M. Abdel Megeed, Ayman M. Mahran
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-01-01
Series:Journal of the Egyptian Women’s Dermatologic Society
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Online Access:https://journals.lww.com/10.4103/jewd.jewd_39_23
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author Eman R. M. Hofny
Ahmed F. Omar
Walaa M. Abdel Megeed
Ayman M. Mahran
author_facet Eman R. M. Hofny
Ahmed F. Omar
Walaa M. Abdel Megeed
Ayman M. Mahran
author_sort Eman R. M. Hofny
collection DOAJ
description Background Alopecia Areata (AA) is considered a systemic autoimmune disease that can be associated with several comorbidities. Several ocular alterations have been previously reported in patients with AA. Previous studies about ocular findings in AA are controversial. Objective To study the ocular comorbidities in patients with AA and evaluate dermoscopic features of AA in relation to such comorbidities. Patients and methods 65 patients with the clinical diagnosis of AA and 33 age and sex-matched volunteers were included in this case control study. Each patient was subjected to history taking, clinical examination, dermoscopic evaluation, and ophthalmological examination. Results Ocular findings were significantly higher in AA patients (90.8%) versus controls (60.6%). Errors of refraction were the commonest ocular findings in AA patients (89.2%). Other ocular findings (anterior segment changes, increased IOP, fundus changes, madarosis) could be detected in a respectable percentage of AA patients. The commonest dermoscopic findings in patients were broken hair (55.4%), vellus hair (52.3%) and black dots (40%). Broken hair and black dots were significantly higher in patchy multiple AA. However, vellus hair was significantly higher in patchy localized AA. No significant relation between ocular and dermoscopic findings could be detected. Conclusion Ocular comorbidities, especially errors of refraction are common in AA patients. Dermoscopic findings are not predictive of such comorbidities.
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spelling doaj-art-82f5b5ceccc84cbab8ab98eef99b0d0d2025-01-04T14:14:58ZengWolters Kluwer Medknow PublicationsJournal of the Egyptian Women’s Dermatologic Society2090-25652024-01-01211596610.4103/jewd.jewd_39_23Ocular comorbidities and its relation to clinical and dermoscopic features in patients with alopecia areata: a case-control studyEman R. M. HofnyAhmed F. OmarWalaa M. Abdel MegeedAyman M. MahranBackground Alopecia Areata (AA) is considered a systemic autoimmune disease that can be associated with several comorbidities. Several ocular alterations have been previously reported in patients with AA. Previous studies about ocular findings in AA are controversial. Objective To study the ocular comorbidities in patients with AA and evaluate dermoscopic features of AA in relation to such comorbidities. Patients and methods 65 patients with the clinical diagnosis of AA and 33 age and sex-matched volunteers were included in this case control study. Each patient was subjected to history taking, clinical examination, dermoscopic evaluation, and ophthalmological examination. Results Ocular findings were significantly higher in AA patients (90.8%) versus controls (60.6%). Errors of refraction were the commonest ocular findings in AA patients (89.2%). Other ocular findings (anterior segment changes, increased IOP, fundus changes, madarosis) could be detected in a respectable percentage of AA patients. The commonest dermoscopic findings in patients were broken hair (55.4%), vellus hair (52.3%) and black dots (40%). Broken hair and black dots were significantly higher in patchy multiple AA. However, vellus hair was significantly higher in patchy localized AA. No significant relation between ocular and dermoscopic findings could be detected. Conclusion Ocular comorbidities, especially errors of refraction are common in AA patients. Dermoscopic findings are not predictive of such comorbidities.https://journals.lww.com/10.4103/jewd.jewd_39_23alopecia areatadermoscopyocular co-morbidities
spellingShingle Eman R. M. Hofny
Ahmed F. Omar
Walaa M. Abdel Megeed
Ayman M. Mahran
Ocular comorbidities and its relation to clinical and dermoscopic features in patients with alopecia areata: a case-control study
Journal of the Egyptian Women’s Dermatologic Society
alopecia areata
dermoscopy
ocular co-morbidities
title Ocular comorbidities and its relation to clinical and dermoscopic features in patients with alopecia areata: a case-control study
title_full Ocular comorbidities and its relation to clinical and dermoscopic features in patients with alopecia areata: a case-control study
title_fullStr Ocular comorbidities and its relation to clinical and dermoscopic features in patients with alopecia areata: a case-control study
title_full_unstemmed Ocular comorbidities and its relation to clinical and dermoscopic features in patients with alopecia areata: a case-control study
title_short Ocular comorbidities and its relation to clinical and dermoscopic features in patients with alopecia areata: a case-control study
title_sort ocular comorbidities and its relation to clinical and dermoscopic features in patients with alopecia areata a case control study
topic alopecia areata
dermoscopy
ocular co-morbidities
url https://journals.lww.com/10.4103/jewd.jewd_39_23
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AT walaamabdelmegeed ocularcomorbiditiesanditsrelationtoclinicalanddermoscopicfeaturesinpatientswithalopeciaareataacasecontrolstudy
AT aymanmmahran ocularcomorbiditiesanditsrelationtoclinicalanddermoscopicfeaturesinpatientswithalopeciaareataacasecontrolstudy