Plasma Zinc Levels in Males with Androgenetic Alopecia as Possible Predictors of the Subsequent Conservative Therapy’s Effectiveness

Androgenic alopecia (AGA) is the most common type of progressive hair loss in man. The search for reliable predictors of the conservative treatment’s effectiveness is an urgent problem today. Forty-eight patients with AGA, stages I–IV by the Norwood–Hamilton scale, were treated for 4 months with 5%...

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Main Authors: Irina N. Kondrakhina, Dmitry A. Verbenko, Alexander M. Zatevalov, Eugenia R. Gatiatulina, Alexandr A. Nikonorov, Dmitrij G. Deryabin, Alexey A. Kubanov
Format: Article
Language:English
Published: MDPI AG 2020-05-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/10/5/336
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author Irina N. Kondrakhina
Dmitry A. Verbenko
Alexander M. Zatevalov
Eugenia R. Gatiatulina
Alexandr A. Nikonorov
Dmitrij G. Deryabin
Alexey A. Kubanov
author_facet Irina N. Kondrakhina
Dmitry A. Verbenko
Alexander M. Zatevalov
Eugenia R. Gatiatulina
Alexandr A. Nikonorov
Dmitrij G. Deryabin
Alexey A. Kubanov
author_sort Irina N. Kondrakhina
collection DOAJ
description Androgenic alopecia (AGA) is the most common type of progressive hair loss in man. The search for reliable predictors of the conservative treatment’s effectiveness is an urgent problem today. Forty-eight patients with AGA, stages I–IV by the Norwood–Hamilton scale, were treated for 4 months with 5% topical minoxidil joints with corrections for trace element and vitamin imbalances. In most cases, the positive therapy’s effect was shown in the parietal but not in the occipital area, whereas that effect was observed in others. The attempts to associate the therapy’s effectiveness with initially defined genetic, hormonal, and metabolic parameters showed the absence of differences between groups with positive and negative outcomes. Among the studied nutrient parameters (Zn, Cu, Mg, Ca, Fe, and Se, as well as vitamins B12, E, D, and folic acid), differences between these groups was shown in zinc content only. The starting point from a zinc plasma level above 10 µmol/L likely provides the success of the subsequent conservative therapy and correlates with an increase in the hair density and diameter in the parietal area. The integral predictive value of the Zn plasma level was assessed as 72.3% (positive predictive value: −88%; and negative predictive value: −55%).
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spelling doaj.art-e367741a9e0f437380bae1564d1013dd2023-11-20T01:33:53ZengMDPI AGDiagnostics2075-44182020-05-0110533610.3390/diagnostics10050336Plasma Zinc Levels in Males with Androgenetic Alopecia as Possible Predictors of the Subsequent Conservative Therapy’s EffectivenessIrina N. Kondrakhina0Dmitry A. Verbenko1Alexander M. Zatevalov2Eugenia R. Gatiatulina3Alexandr A. Nikonorov4Dmitrij G. Deryabin5Alexey A. Kubanov6State Research Center of Dermatovenereology and Cosmetology, Korolenko St., 3, bldg 6, 107076 Moscow, RussiaState Research Center of Dermatovenereology and Cosmetology, Korolenko St., 3, bldg 6, 107076 Moscow, RussiaG.N. Gabrichevsky Research Institute for Epidemiology and Microbiology, Admiral Makarov Sr., 10, 125212 Moscow, RussiaAll-Russian Research Institute of Medicinal and Aromatic Plants (VILAR), Grina St., 7, 117216 Moscow, RussiaState Research Center of Dermatovenereology and Cosmetology, Korolenko St., 3, bldg 6, 107076 Moscow, RussiaState Research Center of Dermatovenereology and Cosmetology, Korolenko St., 3, bldg 6, 107076 Moscow, RussiaState Research Center of Dermatovenereology and Cosmetology, Korolenko St., 3, bldg 6, 107076 Moscow, RussiaAndrogenic alopecia (AGA) is the most common type of progressive hair loss in man. The search for reliable predictors of the conservative treatment’s effectiveness is an urgent problem today. Forty-eight patients with AGA, stages I–IV by the Norwood–Hamilton scale, were treated for 4 months with 5% topical minoxidil joints with corrections for trace element and vitamin imbalances. In most cases, the positive therapy’s effect was shown in the parietal but not in the occipital area, whereas that effect was observed in others. The attempts to associate the therapy’s effectiveness with initially defined genetic, hormonal, and metabolic parameters showed the absence of differences between groups with positive and negative outcomes. Among the studied nutrient parameters (Zn, Cu, Mg, Ca, Fe, and Se, as well as vitamins B12, E, D, and folic acid), differences between these groups was shown in zinc content only. The starting point from a zinc plasma level above 10 µmol/L likely provides the success of the subsequent conservative therapy and correlates with an increase in the hair density and diameter in the parietal area. The integral predictive value of the Zn plasma level was assessed as 72.3% (positive predictive value: −88%; and negative predictive value: −55%).https://www.mdpi.com/2075-4418/10/5/336androgenic alopeciazincminoxidiltrace elementshormoneshair follicles
spellingShingle Irina N. Kondrakhina
Dmitry A. Verbenko
Alexander M. Zatevalov
Eugenia R. Gatiatulina
Alexandr A. Nikonorov
Dmitrij G. Deryabin
Alexey A. Kubanov
Plasma Zinc Levels in Males with Androgenetic Alopecia as Possible Predictors of the Subsequent Conservative Therapy’s Effectiveness
Diagnostics
androgenic alopecia
zinc
minoxidil
trace elements
hormones
hair follicles
title Plasma Zinc Levels in Males with Androgenetic Alopecia as Possible Predictors of the Subsequent Conservative Therapy’s Effectiveness
title_full Plasma Zinc Levels in Males with Androgenetic Alopecia as Possible Predictors of the Subsequent Conservative Therapy’s Effectiveness
title_fullStr Plasma Zinc Levels in Males with Androgenetic Alopecia as Possible Predictors of the Subsequent Conservative Therapy’s Effectiveness
title_full_unstemmed Plasma Zinc Levels in Males with Androgenetic Alopecia as Possible Predictors of the Subsequent Conservative Therapy’s Effectiveness
title_short Plasma Zinc Levels in Males with Androgenetic Alopecia as Possible Predictors of the Subsequent Conservative Therapy’s Effectiveness
title_sort plasma zinc levels in males with androgenetic alopecia as possible predictors of the subsequent conservative therapy s effectiveness
topic androgenic alopecia
zinc
minoxidil
trace elements
hormones
hair follicles
url https://www.mdpi.com/2075-4418/10/5/336
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