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논문 기본 정보

자료유형
학위논문
저자정보

임슬기 (충남대학교, 忠南大學校 大學院)

지도교수
이영
발행연도
2016
저작권
충남대학교 논문은 저작권에 의해 보호받습니다.

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Background:Alopecia areata (AA) is an autoimmune skin disease that is difficult to manage and treat. The pathogenesis of AA features a T-cell-associated autoimmune process, and systemic immunosuppressive therapies are thus widely prescribed. Methotrexate (MTX) is a folic acid antagonist used in the treatment of inflammatory skin diseases such as psoriasis and atopic dermatitis. However, MTX is seldom used to treat AA. A weekly dose of 7.5?20 mg MTX is termed low-dose methotrexate (LD-MTX), and is a treatment option for AA.
Objectives:To evaluate the efficacy of systemic LD-MTX therapy in AA patients.
Methods: We conducted a retrospective study on patients with AA treated with LD-MTX from January 2008 to August 2015 in our clinic.
Results:A total of 30 patients (16 males and 14 females) aged between 16 and 65 years (mean, 40.23 years) were included. Treatment was administered twice weekly, and the mean maximal dose was 14.3 mg weekly (range:10?17.5 mg). Excellent response (regrowth >50%) was observed in 15 (50%) patients, and good response (regrowth of 25?50%) in 12 (40%). Three patients (10%) exhibited poor response (regrowth < 25%). Common side-effects were elevation of liver enzyme levels (10%) and gastrointestinal discomfort (10%).
Conclusions:This study suggests that LD-MTX may be an effective treatment option for AA.

목차

ABSTRACT 5
I. INTRODUCTION 7
II. MATERIAL AND METHODS 9
III. RESULTS 11
IV. DISCUSSION 13
V. TABLE&FIGURES 17
VI. REFERENCE 21
VII. ABSTRACT IN KOREAN 25

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