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P15
PREVALENCE OF AUTOANTIBODIES IN CHILDREN WITH PATCHY AND TOTAL ALOPECIA AREATA
Yanovich O, Vorontsova T
Department of Immunoendocrinology, Research Clinical Institute of Radiation
Medicine & Endocrinology, Minsk, Belarus
The aim of the study was to estimate the prevalence of autoantibodies in children
with alopecia areata (AA) from Belarus. All patients were divided into two
groups depending on the clinical forms of alopecia areata (AA): 1 - children
with patchy AA (n = 72); 2 - patients with total AA (n = 28). Autoantibodies
to thyroidperoxidase (AB-TPO) and thyroglobulin (AB-TG) were measured by radioimmunoassay
using Medipan diagnostica kits. Autoantibodies to DNA (AT-DNA) were detected
by immunoprecipitation assay. Specific autoantibodies to hair follicles were
detected by Western-blotting. Specific autoantibodies to hair follicles were
noted significantly often at patchy AA (n = 42) - 62,0±7,5 % in comparison
to total AA (n = 24) - 27,0±9,1 % (p < 0,05). Prevalence of AB-TPO
was more frequent in patients with patchy AA in comparison to children with
total AA but increase was not significant (10,5±3,6 % vs. 3,8±1,8
%). From the other side the frequency of both AB-TPO and AB-DNA were significantly
higher in the patients with patchy AA in comparison to the group with total
AA (7.7±3.1 % vs. 0 %, p < 0.05). Patients with patchy AA had a significantly
increased prevalence of AB-TG than in group with total AA (8.9±3.3%
vs. 0%, p<0.05). The frequency of positive AB-DNA in group 1 (11.5%) was
almost the same as in the group 2 (9%). Our study showed an increase of frequency
of specific and non-specific autoantibodies in children with patchy AA in comparison
to group with total AA.
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