Evaluation of serum thyroid hormones in female patients with melasma

Zhwan Amjad Kamal, A. M. D. Elethawi
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Abstract

Background & Objectives: Melasma is an acquired hyperpigmented patches dispersed symmetrically on body parts that are exposed to sun, mostly on face of female patients. The precise etiology is obscure, but it has numerous hazards such as; ultra violet exposure, genetic factors, hormonal imbalances like thyroid hormone abnormalities. In this study we aimed to evaluate serum thyroid hormones levels in melasma patients. Methods: A complete of 51 female patients with melasma were enrolled during this study over a period of six months. The cases were clinically diagnosed and examined by Wood’s light, then sent for thyroid hormone levels assessment and the finding were reported. Results: In the current study 51 females with melasma. Their ages ranged between (19-46) years, with (59.9%) between (28-38) years. The duration of melasma was from 6 months to 9 years. Thirty-eight of them were married and had pregnancy. Thyroid stimulating hormone levels were high in 22 of them (43.1%), 20 out of 22 cases that was had high levels of thyroid stimulating hormone had dermal type of melasma by Wood’s lamp examination and their p-value was significant (0.001). Conclusion: We found significantly high levels of thyroid stimulating hormone in cases of melasma mainly among those of dermal type.
女性黄褐斑患者血清甲状腺激素的测定
背景与目的:黄褐斑是一种获得性色素沉着的斑块,对称分布于暴露在阳光下的身体部位,多见于女性患者的面部。确切的病因尚不清楚,但它有许多危害,如;紫外线照射,遗传因素,荷尔蒙失衡,比如甲状腺激素异常。在这项研究中,我们旨在评估黄褐斑患者血清甲状腺激素水平。方法:在这项为期6个月的研究中,总共招募了51名女性黄褐斑患者。这些病例在伍德的灯光下进行了临床诊断和检查,然后进行了甲状腺激素水平评估,并报告了结果。结果:本研究51例女性黄褐斑。年龄在19 ~ 46岁之间,28 ~ 38岁之间占59.9%。黄褐斑持续时间6个月~ 9年。其中38人已婚并怀孕。其中促甲状腺激素水平高的22例(43.1%),伍德氏灯检查促甲状腺激素水平高的22例中有20例为真皮型黄褐斑,p值有显著性差异(0.001)。结论:黄褐斑患者中促甲状腺激素水平明显增高,以真皮型为主。
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