Гнездная алопеция – иммунозависимое нерубцовое выпадение волос, сопровождающееся выработкой антител к антигенам волосяного фолликула, с последующим прерыванием фазы роста и выпадением стержня волоса. Данный обзор посвящен клиническому течению, имеющимся клиническим классификациям и трихоскопическим алгоритмам диагностики в практике дерматолога.
________________________________________________
Alopecia areata – immune mediated noncicatrical hair loss, accompanying with production of autoantibodies to the antigens of the hair follicle and subsequent interruption of anagen with further loss of the hair shaft. The review focused on the clinical course with up to day clinical classifications and trichoscopy diagnostic algorithms in the practice of dermatologist.
1. Гаджигороева А.Г. Клиническая трихология. М.: Практическая медицина; 2014: 131–5. / Gadzhigoroeva A.G. Klinicheskaia trikhologiia. M.: Prakticheskaia meditsina; 2014: 131–5. [in Russian]
2. Сербина И.М. Оценка степени тяжести гнездной алопеции. Дерматологія та венерологія. 2014; 4 (66): 65–71. / Serbina I.M. Otsenka stepeni tiazhesti gnezdnoi alopetsii. Dermatologіia ta venerologіia. 2014; 4 (66): 65–71. [in Russian]
3. Safavi K. Prevalence of alopecia areata in the First National Health and Nutrition Examination Survey. Arch Dermatol 1992; 128: 702.
4. Muller SA, Winkelmann RK. Alopecia areata. Arch Dermatol 1963; 88: 290–7.
5. Trueb RM. Haare. Praxis der trichologie. Darmstadt: Steinkopf Verlag, 2003.
6. Walker SA, Rothman S. Alopecia areata: a statistical study and consideration of endocrine influences. J Invest Dermatol 1950; 14: 403–13.
7. Muller SA, Winkelmann RK. Alopecia areata. An evaluation of 736 patients. Arch Dermatol 1963; 88: 290–7.
8. Злотогорский А., Шапиро Д. Трихология. Пер. с англ. Киев: Родовiд, 2013. / Zlotogorskii A., Shapiro D. Trikhologiia. Per. s angl. Kiev: Rodovid, 2013. [in Russian]
9. Werth VP, White WL, Sanchez MR, Franks AG. Incidence of alopecia areata in lupus erythematosus. Arch Dermatol 1992; 128 (3): 368–71.
10. Shelow WV, Еdwards YE, Koo JI. Profile of alopecia areata: a questionaire analysis of patients and family. Br J Dermatol 1992; 31: 186–9.
11. Рахматов А.Б., Джалилов Д.С. Некоторые аспекты патогенеза и лечения гнездной алопеции. Вестн. дерматол и репродукт. здоровья. 2007; 4: 67–70. / Rakhmatov A.B., Dzhalilov D.S. Nekotorye aspekty patogeneza i lecheniia gnezdnoi alopetsii. Vestn. dermatol i reprodukt. zdorov'ia. 2007; 4: 67–70. [in Russian]
12. Bolduc Ch. Alopecia areata. Medscape J 2006: 110 (2): 678–83.
13. Puavilai S, Puavilai G, Charuwichitratana S et al. Prevalence of thyroid diseases in patients with alopecia areata. Int J Dermatol 1994; 33 (9): 632–3.
14. Werth VP, White WL, Sanchez MR, Franks AG. Incidence of alopecia areata in lupus erythematosus. Arch Dermatol 1992; 128 (3): 368–71.
15. Perini GI, Veller Fornasa C, Cipriani R et al. Life events and alopecia areata. Psychother Psychosom 1984; 41 (1): 48–52.
16. Очаговая алопеция: причины, клинические формы, методы лечения. Реф. обзор статьи Ч.Болдуц, Х.Луи, Дж.Шапиро. Клин. иммунология, инфектология, аллергология. 2009; 8 (27). / Ochagovaia alopetsiia: prichiny, klinicheskie formy, metody lecheniia. Ref. obzor stat'i Ch.Bolduts, Kh.Lui, Dzh.Shapiro. Klin. immunologiia, infektologiia, allergologiia. 2009; 8 (27). [in Russian]
17. Sharma VK, Dawn G, Kumar B. Profile of alopecia areata in Northern India. Int J Dermatol 1996; 35 (1): 22–7.
18. Muller SA, Winkelmann RK. Alopecia areata. An evaluation of 736 patients. Arch Dermatol 1963; 88: 290–7.
19. Рук А., Даубер Р. Болезни волос и волосистой части головы. М.: Медицина, 1985. / Ruk A., Dauber R. Bolezni volos i volosistoi chasti golovy. M.: Meditsina, 1985. [in Russian]
20. Iceda T. A new classification of alopecia areata. Dermatologica 1965; 131: 421–45.
21. Суворова К.Н., Гаджигороева А.Г. Гнездная алопеция. Ч. 2. Клиника и диагностика. Вестн. дерматологии и венерологии. 1998; 6: 59–61. / Suvorova K.N., Gadzhigoroeva A.G. Gnezdnaia alopetsiia. Ch. 2. Klinika i diagnostika. Vestn. dermatologii i venerologii. 1998; 6: 59–61. [in Russian]
22. Мавров И.И., Болотная Л.А., Сербина И.М. Основы диагностики и лечения в дерматологии и венерологии: руководство для врачей, интернов, студентов. Харьков: Факт, 2007. / Mavrov I.I., Bolotnaia L.A., Serbina I.M. Osnovy diagnostiki i lecheniia v dermatologii i venerologii: rukovodstvo dlia vrachei, internov, studentov. Khar'kov: Fakt, 2007. [in Russian]
23. Alopecia areata investigational assessment guidelines. Part II. E.Olsen, M.Hordinsky, V.Price et al. J Am Acad Dermatol 2004; 51: 440–7.
24. Finner A.M. Alopecia areata: Clinical presentation, diagnosis, and unusual cases. Dermatol Ther 2011; 24: 348–54.
25. Al-Salam F.A. Alopecia areata. Gulf J Dermatol Venereol 2013; 20 (2): 1–16.
________________________________________________
1. Gadzhigoroeva A.G. Klinicheskaia trikhologiia. M.: Prakticheskaia meditsina; 2014: 131–5. [in Russian]
2. Serbina I.M. Otsenka stepeni tiazhesti gnezdnoi alopetsii. Dermatologіia ta venerologіia. 2014; 4 (66): 65–71. [in Russian]
3. Safavi K. Prevalence of alopecia areata in the First National Health and Nutrition Examination Survey. Arch Dermatol 1992; 128: 702.
4. Muller SA, Winkelmann RK. Alopecia areata. Arch Dermatol 1963; 88: 290–7.
5. Trueb RM. Haare. Praxis der trichologie. Darmstadt: Steinkopf Verlag, 2003.
6. Walker SA, Rothman S. Alopecia areata: a statistical study and consideration of endocrine influences. J Invest Dermatol 1950; 14: 403–13.
7. Muller SA, Winkelmann RK. Alopecia areata. An evaluation of 736 patients. Arch Dermatol 1963; 88: 290–7.
8. Zlotogorskii A., Shapiro D. Trikhologiia. Per. s angl. Kiev: Rodovid, 2013. [in Russian]
9. Werth VP, White WL, Sanchez MR, Franks AG. Incidence of alopecia areata in lupus erythematosus. Arch Dermatol 1992; 128 (3): 368–71.
10. Shelow WV, Еdwards YE, Koo JI. Profile of alopecia areata: a questionaire analysis of patients and family. Br J Dermatol 1992; 31: 186–9.
11. Rakhmatov A.B., Dzhalilov D.S. Nekotorye aspekty patogeneza i lecheniia gnezdnoi alopetsii. Vestn. dermatol i reprodukt. zdorov'ia. 2007; 4: 67–70. [in Russian]
12. Bolduc Ch. Alopecia areata. Medscape J 2006: 110 (2): 678–83.
13. Puavilai S, Puavilai G, Charuwichitratana S et al. Prevalence of thyroid diseases in patients with alopecia areata. Int J Dermatol 1994; 33 (9): 632–3.
14. Werth VP, White WL, Sanchez MR, Franks AG. Incidence of alopecia areata in lupus erythematosus. Arch Dermatol 1992; 128 (3): 368–71.
15. Perini GI, Veller Fornasa C, Cipriani R et al. Life events and alopecia areata. Psychother Psychosom 1984; 41 (1): 48–52.
16. Ochagovaia alopetsiia: prichiny, klinicheskie formy, metody lecheniia. Ref. obzor stat'i Ch.Bolduts, Kh.Lui, Dzh.Shapiro. Klin. immunologiia, infektologiia, allergologiia. 2009; 8 (27). [in Russian]
17. Sharma VK, Dawn G, Kumar B. Profile of alopecia areata in Northern India. Int J Dermatol 1996; 35 (1): 22–7.
18. Muller SA, Winkelmann RK. Alopecia areata. An evaluation of 736 patients. Arch Dermatol 1963; 88: 290–7.
19. Ruk A., Dauber R. Bolezni volos i volosistoi chasti golovy. M.: Meditsina, 1985. [in Russian]
20. Iceda T. A new classification of alopecia areata. Dermatologica 1965; 131: 421–45.
21. Suvorova K.N., Gadzhigoroeva A.G. Gnezdnaia alopetsiia. Ch. 2. Klinika i diagnostika. Vestn. dermatologii i venerologii. 1998; 6: 59–61. [in Russian]
22. Mavrov I.I., Bolotnaia L.A., Serbina I.M. Osnovy diagnostiki i lecheniia v dermatologii i venerologii: rukovodstvo dlia vrachei, internov, studentov. Khar'kov: Fakt, 2007. [in Russian]
23. Alopecia areata investigational assessment guidelines. Part II. E.Olsen, M.Hordinsky, V.Price et al. J Am Acad Dermatol 2004; 51: 440–7.
24. Finner A.M. Alopecia areata: Clinical presentation, diagnosis, and unusual cases. Dermatol Ther 2011; 24: 348–54.
25. Al-Salam F.A. Alopecia areata. Gulf J Dermatol Venereol 2013; 20 (2): 1–16.
Авторы
А.М.Балтабаев*1, Б.С.Ниязов2, М.К.Балтабаев1, Дж.Дж.Токталиев1
1. Кыргызско-российский славянский университет Министерства образования и науки Кыргызской Республики. 720000, Кыргызстан, Бишкек, ул. Киевская, д. 44;
2. Кыргызский государственный медицинский институт переподготовки и повышения квалификации. 720040, Кыргызстан, Бишкек, ул. Боконбаева, д. 144-А
*alijon.baltabayev@gmail.com
________________________________________________
A.M.Baltabaev*1, B.S.Niyazov2, M.K.Baltabaev1, Dj.Dj.Toktaliev1
1. Kyrgyz Russian Slavic University. 720000, Kyrgyzstan, Bishkek, ul. Kievskaia, d. 44;
2. Kyrgyz state medical Institute of retraining and advanced training. 720040, Kyrgyzstan, Bishkek, ul. Bokonbaeva, d. 144-А
*alijon.baltabayev@gmail.com