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        "resumen" => "<span class="elsevierStyleSectionTitle">Background and objectives</span><p class="elsevierStyleSimplePara elsevierViewall">The relationship between androgenetic alopecia and cardiovascular disease has been studied by some authors in the past&#44; although the results of epidemiological studies have been variable&#46; The objective of this study was to determine the prevalence of metabolic syndrome and carotid arteriosclerosis in patients with early-onset androgenetic alopecia&#46;</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p class="elsevierStyleSimplePara elsevierViewall">Seventy men were studied&#44; 35 with diagnosis of early-onset &#40;before 35 years of age&#41; androgenetic alopecia and 35 control subjects who consulted for other skin conditions&#46; In both groups&#44; the criteria for metabolic syndrome according to the Adult Treatment Panel-III were studied &#40;obesity&#44; triglycerides&#44; high-density lipoprotein cholesterol&#44; systolic and diastolic blood pressure&#44; and blood glucose&#41;&#44; presence of atheromatous plaques&#44; and carotid intima-media thickness using Doppler ultrasonography&#46; Other cardiovascular risk factors&#44; hormones&#44; and acute-phase reactants were also analyzed&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">Criteria for metabolic syndrome were met by 57&#46;1&#37; of the patients with androgenetic alopecia compared to 14&#46;3&#37; of the controls &#40;<span class="elsevierStyleItalic">P</span>&#60;&#46;0001&#41;&#46; Thirty-four percent of the patients with androgenetic alopecia had atheromatous plaques compared to 8&#46;6&#37; of the controls &#40;<span class="elsevierStyleItalic">P</span>&#61;&#46;018&#41;&#46; In an independent correlation analysis&#44; abdominal obesity&#44; systolic blood pressure&#44; triglycerides&#44; and blood glucose levels were significantly greater among patients with androgenetic alopecia&#46; Testosterone and sex hormone binding globulin levels were similar in the 2 groups whereas insulin and aldosterone levels were higher in patients with androgenetic alopecia &#40;<span class="elsevierStyleItalic">P</span>&#60;&#46;05&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">The high frequency of metabolic syndrome and carotid atheromatous plaques in patients with androgenetic alopecia suggests cardiovascular screening should be done to enable early detection of individuals at risk and initiation of preventive treatment before cardiovascular disease becomes established</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Introducci&#243;n y objetivos</span><p class="elsevierStyleSimplePara elsevierViewall">La relaci&#243;n entre la alopecia androg&#233;nica &#40;AAG&#41; y la enfermedad cardiovascular ha sido objeto de estudio por parte de algunos autores en las &#250;ltimas d&#233;cadas&#44; y se han obtenido diferentes resultados en los distintos estudios epidemiol&#243;gicos&#46; El objetivo de este trabajo es conocer la prevalencia del s&#237;ndrome metab&#243;lico y de la arteriosclerosis carot&#237;dea en los pacientes con AAG de inicio precoz&#46;</p> <span class="elsevierStyleSectionTitle">Pacientes y m&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Se han estudiado 70 pacientes varones&#44; 35 diagnosticados de AAG de inicio precoz &#40;antes de los 35 a&#241;os&#41; y 35 controles atendidos por otras enfermedades dermatol&#243;gicas&#46; En ambos grupos se estudiaron los criterios de s&#237;ndrome metab&#243;lico que propone la ATP-III &#40;obesidad&#44; trigliceridemia&#44; cHDL&#44; presi&#243;n arterial sist&#243;lica&#44; presi&#243;n arterial diast&#243;lica y glucemia&#41;&#44; la presencia de placa de ateroma y el grosor &#237;ntimamedia carot&#237;deo mediante ecograf&#237;a Doppler&#46; Tambi&#233;n se analizaron otros factores de riesgo cardiovascular&#44; un estudio hormonal y de reactantes de fase aguda&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">El 57&#44;1&#37; de los pacientes con AAG cumple criterios de s&#237;ndrome metab&#243;lico frente al 14&#44;3&#37; del grupo control &#40;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;0001&#41;&#46; El 34&#37; de los pacientes con AAG present&#243; placa de ateroma frente al 8&#44;6&#37; de los controles &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;018&#41;&#46; Los valores de obesidad abdominal&#44; presi&#243;n arterial sist&#243;lica&#44; trigliceridemia y glucemia analizados de forma independiente fueron estad&#237;sticamente superiores en el grupo de pacientes con AAG&#46; Los niveles de testosterona y de la prote&#237;na transportadora de hormonas esteroideas fueron similares en ambos grupos&#59; sin embargo&#44; los niveles de insulina y aldosterona resultaron ser mayores en el grupo de pacientes con AAG &#40;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;05&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">La elevada frecuencia con la que se presenta el s&#237;ndrome metab&#243;lico y la ateromatosis carot&#237;dea en los pacientes con AAG hace necesario un cribado cardiovascular para detectar precozmente a aquellos individuos en riesgo e iniciar tratamiento preventivo antes de que se establezca la enfermedad cardiovascular&#46;</p>"
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Original Article
Male Androgenetic Alopecia and Cardiovascular Risk Factors: A Case-Control Study
Alopecia androgénica masculina y factores de riesgo cardiovascular: estudio de casos y controles
S. Arias-Santiagoa,
Corresponding author
salvadorarias@hotmail.es

Corresponding author.
, M.T. Gutiérrez-Salmeróna, L. Castellote-Caballerob, A. Buendía-Eismanc, R. Naranjo-Sintesa
a Servicio de Dermatología, Hospital Clínico San Cecilio, Granada, Spain
b Servicio de Radiología, Hospital Clínico San Cecilio, Granada, Spain
c Departamento de Dermatología, Facultad de Medicina, Granada, Spain
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        "resumen" => "<span class="elsevierStyleSectionTitle">Background and objectives</span><p class="elsevierStyleSimplePara elsevierViewall">The relationship between androgenetic alopecia and cardiovascular disease has been studied by some authors in the past&#44; although the results of epidemiological studies have been variable&#46; The objective of this study was to determine the prevalence of metabolic syndrome and carotid arteriosclerosis in patients with early-onset androgenetic alopecia&#46;</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p class="elsevierStyleSimplePara elsevierViewall">Seventy men were studied&#44; 35 with diagnosis of early-onset &#40;before 35 years of age&#41; androgenetic alopecia and 35 control subjects who consulted for other skin conditions&#46; In both groups&#44; the criteria for metabolic syndrome according to the Adult Treatment Panel-III were studied &#40;obesity&#44; triglycerides&#44; high-density lipoprotein cholesterol&#44; systolic and diastolic blood pressure&#44; and blood glucose&#41;&#44; presence of atheromatous plaques&#44; and carotid intima-media thickness using Doppler ultrasonography&#46; Other cardiovascular risk factors&#44; hormones&#44; and acute-phase reactants were also analyzed&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">Criteria for metabolic syndrome were met by 57&#46;1&#37; of the patients with androgenetic alopecia compared to 14&#46;3&#37; of the controls &#40;<span class="elsevierStyleItalic">P</span>&#60;&#46;0001&#41;&#46; Thirty-four percent of the patients with androgenetic alopecia had atheromatous plaques compared to 8&#46;6&#37; of the controls &#40;<span class="elsevierStyleItalic">P</span>&#61;&#46;018&#41;&#46; In an independent correlation analysis&#44; abdominal obesity&#44; systolic blood pressure&#44; triglycerides&#44; and blood glucose levels were significantly greater among patients with androgenetic alopecia&#46; Testosterone and sex hormone binding globulin levels were similar in the 2 groups whereas insulin and aldosterone levels were higher in patients with androgenetic alopecia &#40;<span class="elsevierStyleItalic">P</span>&#60;&#46;05&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">The high frequency of metabolic syndrome and carotid atheromatous plaques in patients with androgenetic alopecia suggests cardiovascular screening should be done to enable early detection of individuals at risk and initiation of preventive treatment before cardiovascular disease becomes established</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Introducci&#243;n y objetivos</span><p class="elsevierStyleSimplePara elsevierViewall">La relaci&#243;n entre la alopecia androg&#233;nica &#40;AAG&#41; y la enfermedad cardiovascular ha sido objeto de estudio por parte de algunos autores en las &#250;ltimas d&#233;cadas&#44; y se han obtenido diferentes resultados en los distintos estudios epidemiol&#243;gicos&#46; El objetivo de este trabajo es conocer la prevalencia del s&#237;ndrome metab&#243;lico y de la arteriosclerosis carot&#237;dea en los pacientes con AAG de inicio precoz&#46;</p> <span class="elsevierStyleSectionTitle">Pacientes y m&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Se han estudiado 70 pacientes varones&#44; 35 diagnosticados de AAG de inicio precoz &#40;antes de los 35 a&#241;os&#41; y 35 controles atendidos por otras enfermedades dermatol&#243;gicas&#46; En ambos grupos se estudiaron los criterios de s&#237;ndrome metab&#243;lico que propone la ATP-III &#40;obesidad&#44; trigliceridemia&#44; cHDL&#44; presi&#243;n arterial sist&#243;lica&#44; presi&#243;n arterial diast&#243;lica y glucemia&#41;&#44; la presencia de placa de ateroma y el grosor &#237;ntimamedia carot&#237;deo mediante ecograf&#237;a Doppler&#46; Tambi&#233;n se analizaron otros factores de riesgo cardiovascular&#44; un estudio hormonal y de reactantes de fase aguda&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">El 57&#44;1&#37; de los pacientes con AAG cumple criterios de s&#237;ndrome metab&#243;lico frente al 14&#44;3&#37; del grupo control &#40;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;0001&#41;&#46; El 34&#37; de los pacientes con AAG present&#243; placa de ateroma frente al 8&#44;6&#37; de los controles &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;018&#41;&#46; Los valores de obesidad abdominal&#44; presi&#243;n arterial sist&#243;lica&#44; trigliceridemia y glucemia analizados de forma independiente fueron estad&#237;sticamente superiores en el grupo de pacientes con AAG&#46; Los niveles de testosterona y de la prote&#237;na transportadora de hormonas esteroideas fueron similares en ambos grupos&#59; sin embargo&#44; los niveles de insulina y aldosterona resultaron ser mayores en el grupo de pacientes con AAG &#40;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;05&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">La elevada frecuencia con la que se presenta el s&#237;ndrome metab&#243;lico y la ateromatosis carot&#237;dea en los pacientes con AAG hace necesario un cribado cardiovascular para detectar precozmente a aquellos individuos en riesgo e iniciar tratamiento preventivo antes de que se establezca la enfermedad cardiovascular&#46;</p>"
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