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The study series consists of three studies with the aim to assess the incidence, prevalence, risk factors, comorbidities and management of patients with alopecia areata in Czech Republic based on the patients and registry of a dermatology clinic of a metropolitan hospital.
The first study will aim to identify the incidence and prevalence of alopecia areata in the dermatology clinic of a metropolitan teaching hospital between 1/1/2011 and 31/12/2020
The second study will assess (1) the epidemiology of autoimmune and atopic diseases in patients with alopecia areata, (2) the presence of possible risk factors responsible for the onset/relapse/exacerbation of alopecia areata, (3) the levels of vitamin D and various autoantibodies,particularly thyroid autoantibodies and (4) the variety, duration, efficacy and safety profile of treatment modalities used in our hospital for the management of alopecia areata from 15/10/2021 to 14/10/2022.
The third study will monitor the monthly oscillations of vitamin D and thyroid-autoantibodies of patients with new-onset/relasping or exacerbating alopecia areata for six months, between 15/10/2021-14/10/2022 in order to observe if changes in levels of vitamin D and thyroid-antiantibodies are associated with severity and prognosis (worsening or improvement) of alopecia areata
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cases | Patients with a confirmed histologic/dermatoscopic diagnosis of Alopecia areata within the study period will be included for analysis. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Exposure of interest | Other | Common autoimmune and atopic conditions consist of atopic dermatitis, allergic rhinitis, asthma, Crohn's disease, ulcerative colitis, Celiac disease, Pernicious anaemia, Type 1 diabetes, Autoimmune thyroiditis (Hashimoto's thyroiditis, Grave's disease, atrophic, unspecified), rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, polymyalgia rheumatica, Systemic lupus erythematosus, Sjogren syndrome, psoriasis, vitiligo, Multiple sclerosis |
| Measure | Description | Time Frame |
|---|---|---|
| The epidemiology of Alopecia areata | The incidence and point prevalence of Alopecia areata within the study cohort during the study period, stratified by age-group and gender | 1/1/2011-31/12/2020 |
| The epidemiology of Alopecia areata | The incidence and point prevalence of Alopecia areata (totalis, universalis, ophiasis, sisaipho, reticularis, diffuse, barbae) within the study cohort during the study period, stratified by age-group and gender | 1/10/2020-30/9/2021 |
| Prevalence of atopic and autoimmune conditions in patients with Alopecia Areata | Prevalence of atopic and autoimmune conditions in patients with Alopecia Areata | 15/10/2021-14/10/2022 |
| Treatments for alopecia areata | Assessment of various treatment modalities used for alopecia areata | 15/10/2021-14/10/2022 |
| Safety and efficacy of treatments in alopecia areata | Assessment of various treatment modalities used for alopecia areata, efficacy, duration of treatment, reported side-effects and relapse rate after withdrawal | 15/10/2021-14/10/2022 |
| Measurement of Thyroid stimulating hormone (TSH) | Measurement of TSH on first visit and once a month for 6 months. Normal values for adults 0.550-4.780 mu/l according to our laboratory. All blood tests will be performed in our laboratory at the day of the visit before any clinical examination | 15/10/2021-14/10/2022 |
| Measure | Description | Time Frame |
|---|---|---|
| Prevalence of atopic and autoimmune conditions in the family history of patients with Alopecia Areata | Prevalence of atopic and autoimmune conditions in parents and siblings of patients with Alopecia Areata | 15/10/2021-14/10/2022 |
| Identification and prevalence of possible exacerbating factors in patients with Alopecia Areata |
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Inclusion Criteria:
Exclusion Criteria:
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Adult and children patients with a dermatologic condition between 1/1/2011-31/12/2020 and for the second study, adults and children with first-onset/relapsing/persistent-untreated alopecia areata visiting our clinic between 15/10/2021 and 14/10/2022 who sign informed consent are eligible.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Teaching Hospital of Royal Vineguards | Prague | 100 00 | Czechia |
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|
| Measurement of free Thyroxine (fT4) |
Measurement of fT4 on first visit and once a month for 6 months. Normal values for adults 11.50-22.70 pmol/l according to our laboratory. All blood tests will be performed in our laboratory at the day of the visit before any clinical examination |
| 15/10/2021-14/10/2022 |
| Measurement of free Triodothyronine (fT3) | Measurement of fT3 on first visit and once a month for 6 months. Normal values for adults 3.50-6.50 pmol/l according to our laboratory. All blood tests will be performed in our laboratory at the day of the visit before any clinical examination | 15/10/2021-14/10/2022 |
| Measurement of Thyroid peroxidase autoantibodies (TPOAbs) | Measurement of TPOAbs on first visit and once a month for 6 months. Normal values for adults <60 kU/l according to our laboratorypmol/l. All blood tests will be performed in our laboratory at the day of the visit before any clinical examination | 15/10/2021-14/10/2022 |
| Measurement of thyreoglobulin autoantibodies (TgAbs) | Measurement of TgAbs on first visit and once a month for 6 months. Normal values for adults <4.5 kIUl/l according to our laboratory. All blood tests will be performed in our laboratory at the day of the visit before any clinical examination | 15/10/2021-14/10/2022 |
| Measurement of anti TSH receptor antibodies (TRAbs) | Measurement of TRAbs on first visit and once a month for 6 months. Normal values for adults <1.22 Ul/l according to our laboratory. All blood tests will be performed in our laboratory at the day of the visit before any clinical examination | 15/10/2021-14/10/2022 |
| Measurement of Vitamin D levels | Measurement of Vitamin D levels on first visit and once a month for 6 months. Normal values for adults are 75.0-250.0 nmol/l acording to our laboratory. All blood tests will be performed in our laboratory at the day of the visit before any clinical examination | 15/10/2021-14/10/2022 |
Identification of possible risk factors occuring within 6 months from the onset/relapse/worsening of alopecia areata, according to patient history |
| 15/10/2021-14/10/2022 |
| ID | Term |
|---|---|
| D000506 | Alopecia Areata |
| C537055 | Alopecia universalis |
| C531609 | Diffuse alopecia |
| D001327 | Autoimmune Diseases |
| D006111 | Graves Disease |
| C562768 | Hypothyroidism, Autoimmune |
| D003922 | Diabetes Mellitus, Type 1 |
| D003093 | Colitis, Ulcerative |
| D015212 | Inflammatory Bowel Diseases |
| D003424 | Crohn Disease |
| D001172 | Arthritis, Rheumatoid |
| D004314 | Down Syndrome |
| D003876 | Dermatitis, Atopic |
| D012221 | Rhinitis, Allergic, Perennial |
| D014820 | Vitiligo |
| D011565 | Psoriasis |
| D013167 | Spondylitis, Ankylosing |
| D009103 | Multiple Sclerosis |
| D000086382 | COVID-19 |
| D007239 | Infections |
| D000752 | Anemia, Pernicious |
| ID | Term |
|---|---|
| D000505 | Alopecia |
| D007039 | Hypotrichosis |
| D006201 | Hair Diseases |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D007154 | Immune System Diseases |
| D005094 | Exophthalmos |
| D009916 | Orbital Diseases |
| D005128 | Eye Diseases |
| D006042 | Goiter |
| D013959 | Thyroid Diseases |
| D004700 | Endocrine System Diseases |
| D006980 | Hyperthyroidism |
| D003920 | Diabetes Mellitus |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D003092 | Colitis |
| D005759 | Gastroenteritis |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
| D003108 | Colonic Diseases |
| D007410 | Intestinal Diseases |
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D012216 | Rheumatic Diseases |
| D003240 | Connective Tissue Diseases |
| D008607 | Intellectual Disability |
| D019954 | Neurobehavioral Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D000015 | Abnormalities, Multiple |
| D000013 | Congenital Abnormalities |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D025063 | Chromosome Disorders |
| D030342 | Genetic Diseases, Inborn |
| D012873 | Skin Diseases, Genetic |
| D003872 | Dermatitis |
| D017443 | Skin Diseases, Eczematous |
| D006969 | Hypersensitivity, Immediate |
| D006967 | Hypersensitivity |
| D065631 | Rhinitis, Allergic |
| D012220 | Rhinitis |
| D009668 | Nose Diseases |
| D012140 | Respiratory Tract Diseases |
| D012130 | Respiratory Hypersensitivity |
| D010038 | Otorhinolaryngologic Diseases |
| D017496 | Hypopigmentation |
| D010859 | Pigmentation Disorders |
| D017444 | Skin Diseases, Papulosquamous |
| D000089183 | Axial Spondyloarthritis |
| D025242 | Spondylarthropathies |
| D025241 | Spondylarthritis |
| D013166 | Spondylitis |
| D013122 | Spinal Diseases |
| D001847 | Bone Diseases |
| D000844 | Ankylosis |
| D020278 | Demyelinating Autoimmune Diseases, CNS |
| D020274 | Autoimmune Diseases of the Nervous System |
| D003711 | Demyelinating Diseases |
| D011024 | Pneumonia, Viral |
| D011014 | Pneumonia |
| D012141 | Respiratory Tract Infections |
| D014777 | Virus Diseases |
| D018352 | Coronavirus Infections |
| D003333 | Coronaviridae Infections |
| D030341 | Nidovirales Infections |
| D012327 | RNA Virus Infections |
| D008171 | Lung Diseases |
| D000749 | Anemia, Megaloblastic |
| D000748 | Anemia, Macrocytic |
| D000740 | Anemia |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D014806 | Vitamin B 12 Deficiency |
| D014804 | Vitamin B Deficiency |
| D001361 | Avitaminosis |
| D003677 | Deficiency Diseases |
| D044342 | Malnutrition |
| D009748 | Nutrition Disorders |
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