1. Association between alopecia areata and retinal diseases: A nationwide population-based cohort study
- Author
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Mu Hong Chen, Tzeng Ji Chen, Ying-Xiu Dai, Y.T. Chang, Sheng-Hsiang Ma, Hui-Chu Ting, and Ying-Hsuan Tai
- Subjects
Retinal Vascular Occlusion ,medicine.medical_specialty ,Alopecia Areata ,business.industry ,Proportional hazards model ,Incidence ,Hazard ratio ,Taiwan ,Retinal ,Retrospective cohort study ,Dermatology ,Disease ,Alopecia areata ,medicine.disease ,Cohort Studies ,chemistry.chemical_compound ,Retinal Diseases ,chemistry ,Risk Factors ,Internal medicine ,medicine ,Humans ,business ,Retrospective Studies ,Retinopathy - Abstract
Background Growing evidence has revealed abnormalities in the retinal structure of patients with alopecia areata (AA). However, the relationship between AA and retinopathy remains unclear. Objective To investigate the association between AA and retinal diseases. Method The study participants were recruited from the National Health Insurance Research Database in Taiwan. We included 9,909 patients with AA and 99,090 matched controls to assess the risk of retinal diseases. A Cox regression model was used for all analyses. Results Compared with the controls, patients with AA had an adjusted hazard ratio (aHR) of 2.96 (95% confidence interval [CI], 2.20–3.98) for retinal diseases. With respect to individual retinal disease, AA patients had a significantly higher risk of developing retinal detachment (aHR, 3.80; 95% CI, 1.97–7.31), retinal vascular occlusion (aHR, 2.14; 95% CI, 1.09–4.19), and retinopathy (aHR 3.18; 95% CI 2.21–4.57) than controls. Limitations This is a retrospective cohort study. Meanwhile, almost all the participating individuals were residents of Taiwan; therefore, the validity of our findings in other demographics remains unclear. Conclusion Patients with AA had a significantly higher risk of retinal disease than the controls. Further studies are needed to clarify the pathophysiology of AA and retinal diseases.
- Published
- 2022