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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 5.

Studies of B vitamins (folate and vitamin B12) and alopecia areata [72, 73, 7881]

Study Year Study type (Sample origin) Demographics (AA cases) Sample Size Total (Detail) Measures and outcomes
Yousefi et al.[78] 2014 Case- control (Hospital- based) Sex: 12M/17F
Age: 24.79 ± 11.93
Country: Iran
61 (29 AA cases and 32 sex- and age-matched healthy controls recruited amongst patients’ family members) RBC folate (median ng/mL/cells (range): AA 167.5 (52.5– 500) vs. controls: 285.5 (97.5–662) (P < 0.0001); Negative correlation between SALT score and RBC folate levels (r = −0.41, P = 0.03)
Ertugrul et al.[79] 2013 Case- control (Hospital- based) Sex: 46M/29F
Age: 29.2 ± 12.5
Country: Turkey
129 (75 AA cases and 54 controls who had no dermatologic or systemic disease history) No difference in serum folic acid, vitamin B12, homocysteine, or holotranscobalamin levels in AA vs. 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) No difference in serum folate or vitamin B12 in AA vs. controls
Kalkan et al.[80] 2013 Case- control (Hospital- based) Sex: 78M/58F
Age: 32.27 ± 9.525
266 (136 AA cases and 130 age- and gender-matched controls) Greater prevalence of MTHFR C677T polymorphisms (CT/TT vs. CC genotype) amongst AA vs. controls (P < 0.05)
Serum Vitamin B12 (pg/mL): CT/TT: 276.28 ± 99.761 vs. CC: 283.94 ± 135.795 (P = 0.748)
Serum folate (ng/mL): CT/TT: 8.36 ± 2.442 vs. CC: 7.76 ± 2.146 (P = 0.198
Zafad et al.[81] 2007 Case-report Sex: 1M
Age: 24
Country: Morocco
1 AA Patient diagnosed with pernicious anemia associated with hemolytic anemia at age 16 and developed AA at age 24
Tzellos et al. [73] 2009 Case-report Sex: 1M
Age: 18
Country: Greece
1 AA Low serum vitamin B12 (76.8 pg/ml, reference 240–900 pg/mL); normal folate levels

AA alopecia areata, CI confidence interval, OR odds ratio, RBC red blood cell, SALT severity of alopecia tool

*

Normal serum vitamin B12 range 240–900 pg/ml

Age given as mean ± standard deviation