额部纤维性脱发高频超声亚临床表现的横断面分析。

IF 2.4 4区 医学 Q2 ACOUSTICS
Priscila Giavedoni, Florencia Vera-Morandini, Irene Fuertes de Vega, Andrea Combalia, Carolina Fernández-Quiroga, Sebastián Podlipnik, Ximena Wortsman
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引用次数: 0

摘要

目的:额部纤维化性脱发(FFA)具有进行性病程;量化每次就诊的变化可能很复杂。高频超声(HFUS)已被用于评估毛囊形态和头皮血管化。本研究的目的是评估FFA患者的HFUS特征,其次是研究HFUS在评估疾病活动性方面的有用性。方法:2018年1 - 6月进行前瞻性研究。纳入确诊FFA的患者。回顾性分析高通量成像及其与临床表现的相关性。结果:15例AFF女性患者(中位年龄:65岁)符合研究标准。对75张超声图像进行分析。萎缩区真皮明显变薄(0.7 mm;0.3-1.2 mm范围)与健康部位相比。额发生长区毛囊数量减少,毛囊小型化。HFUS多普勒超声发现26.6%的患者有亚临床炎症。结论:HFUS可以通过定量评估皮肤萎缩和毛囊的小型化和萎缩来表征FFA。此外,它还可以诊断亚临床炎症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Cross-Sectional Analysis of Subclinical Findings Using High-Frequency Ultrasound in Frontal Fibrosing Alopecia.

Objectives: Frontal fibrosing alopecia (FFA) has a progressive course; quantifying changes at each visit can be complex. High-frequency ultrasound (HFUS) has been used to assess hair follicle morphology and scalp vascularization. The objectives of the study are to evaluate HFUS characteristics of patients with FFA and, secondarily, to study the usefulness of HFUS in assessing disease activity.

Methods: Prospective study between January and June 2018. Patients with confirmed FFA were included. A retrospective analysis of HFUS imaging and its correlation with clinical presentation was performed.

Results: Fifteen AFF female patients (median age: 65 years) met the study criteria. A total of 75 ultrasound images were analyzed. The atrophic region exhibited significant dermis thinning (0.7 mm; 0.3-1.2 mm range) compared to healthy sites. Frontal hair growth area showed reduced follicle number and miniaturization. HFUS Doppler ultrasound identified subclinical inflammation in 26.6% of patients.

Conclusions: HFUS allows the characterization of FFA by quantitatively assessing dermal atrophy and the miniaturization and shrinkage of hair follicles. In addition, it allows the diagnosis of subclinical inflammation.

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来源期刊
CiteScore
5.10
自引率
4.30%
发文量
205
审稿时长
1.5 months
期刊介绍: The Journal of Ultrasound in Medicine (JUM) is dedicated to the rapid, accurate publication of original articles dealing with all aspects of medical ultrasound, particularly its direct application to patient care but also relevant basic science, advances in instrumentation, and biological effects. The journal is an official publication of the American Institute of Ultrasound in Medicine and publishes articles in a variety of categories, including Original Research papers, Review Articles, Pictorial Essays, Technical Innovations, Case Series, Letters to the Editor, and more, from an international bevy of countries in a continual effort to showcase and promote advances in the ultrasound community. Represented through these efforts are a wide variety of disciplines of ultrasound, including, but not limited to: -Basic Science- Breast Ultrasound- Contrast-Enhanced Ultrasound- Dermatology- Echocardiography- Elastography- Emergency Medicine- Fetal Echocardiography- Gastrointestinal Ultrasound- General and Abdominal Ultrasound- Genitourinary Ultrasound- Gynecologic Ultrasound- Head and Neck Ultrasound- High Frequency Clinical and Preclinical Imaging- Interventional-Intraoperative Ultrasound- Musculoskeletal Ultrasound- Neurosonology- Obstetric Ultrasound- Ophthalmologic Ultrasound- Pediatric Ultrasound- Point-of-Care Ultrasound- Public Policy- Superficial Structures- Therapeutic Ultrasound- Ultrasound Education- Ultrasound in Global Health- Urologic Ultrasound- Vascular Ultrasound
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