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. Author manuscript; available in PMC: 2018 Oct 1.
Published in final edited form as: Am J Clin Dermatol. 2017 Oct;18(5):663–679. doi: 10.1007/s40257-017-0285-x

Table 4.

Studies of iron and alopecia areata [57, 58, 68, 7074]

Study Year Study type (Sample origin) Demographics (AA cases) Sample Size Total (Detail) Measures and outcomes
Dastgheib et al.[57] 2014 Case- control (Not described) Sex: 16F
Age: 26.63 ± 8.53
Country: Iran
43 (16 AA cases and 27 sex- and age- matched healthy controls) No difference in serum or hair iron levels in AA vs. healthy controls
Gonul et al. [72] 2009 Case- control (Not described) Sex: 29M/14F
Age: 29.1 ± 13.4
Country: Turkey
79 (43 AA cases and 36 healthy sex and age-matched controls) Low** ferritin levels detected in 4/43 patients; low** iron levels detected in 8/43 patients; No difference between AA and control groups for ferritin and iron levels
Tzellos et al. [73] 2009 Case-report Sex: 1 M
Age: 18
Country: Greece
1 AA Normal serum ferritin levels
Esfandiarpour et al. [74] 2008 Case- control (Not described) Sex: 29M/23F
Age: 23.52 ± 14.42
Country: Iran
115 (52 AA cases and 63 age-matched healthy controls recruited from blood donors) No difference in serum ferritin levels or serum iron levels in AA vs. controls
Kantor et al. [68] 2003 Case- control (Hospital- based) Sex: 24F
Age: AA: 34.9 (27.5, 42.3); AT/AU: 53.1 (39.6, 66.6)
Country: USA
35 (17 AA, 7 AT/AU cases and 11 controls having neither of the common mutations in the HFE-1 gene for hereditary hemochromatosis) Serum ferritin levels in AA (24.9 ng/mL [95% CI: 17.2, 32.6]) vs. controls (59.5 ng/mL [40.8, 78.1]) (P < 0.05); No difference in serum ferritin in AT/AU vs. controls
White et al. [71] 1994 Case-series Sex: 9M/21F
Age: 31.36 ± 17.34
Country: Scotland
30 AA 14/21 females and 1/9 males were iron deficient*, 20/21 females and 2/9 males had serum ferritin ≤30 μg/L
Boffa et al. [70] 1995 Case-series Sex: 11M/21F
Age: 44.31 ± 14.71
Country: England
32 AA No evidence of iron deficiency* in male AA patients; prevalence of iron deficiency in AA females comparable to normal population
Mussalo- Rauhamaa et al. [58] 1986 Case- control (Not described) Sex: 8M/19F
Age: 29 ± 11 Country: Finland
27 AA cases compared to normal Finnish population reference values No difference in serum iron levels in AA vs. normal population

AA alopecia areata, AT alopecia totalis, AU alopecia universalis

*

Iron deficiency defined as serum ferritin ≤ 15 μg/L

**

Threshold serum cut-offs not provided

Age given as mean ± standard deviation or mean (95% CI)