новая публикация о лечении женской алопеции железом из Тайваня - жд был в 70% (Hb 120 g/L, ферритин 5.1 ng/mL), чем раньше было начато лечение в течение 6 мес. и выше ферритин при лечении, тем лучше женщины субьективно отзывались про отрастание новых волос, доктора рекомендуют повышать гемоглобин более 130 г/л и ферритин более 60:
Iron deficiency (ID) was defined as serum ferritin level <60 ng/mL. The hair condition, ferritin, and Hb levels were monitored every 3 months after supplementation.
A total of 155 patients were recruited. The etiologies of FA were diverse; the top five etiologies were nutrient deficiencies (83.9%), autoimmune (14.8%) and thyroid (7.7%) diseases, psychological stress (12.3%), and coronavirus disease 2019 (COVID-19) vaccination (6.5%). ID accounted for 70.3% of cases. The disease duration was an important prognostic factor for the improvement of serum ferritin. Patients with subjective improvement of hair regrowth also had more increase of ferritin levels after iron supplementation. The corresponding ferritin level for female anemia (Hb 12.0 g/dL) was 5.1 ng/mL, lower than the adequate level for hair growth (40-60 ng/mL), the corresponding Hb level of which was 13.1-13.8 g/dL.
We suggest to redefine the serum ferritin level ≥60 ng/mL, with the corresponding Hb ≥130 g/L as the normal range for early diagnosis. Initiation of iron supplementation within 6 months would result in a better prognosis.
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Tzu Chi Med J. 2023 Aug 22;35(4):322-328.
Diagnosis and treatment of female alopecia: Focusing on the iron deficiency-related alopecia
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