International Journal of Trichology

REVIEW ARTICLE
Year
: 2020  |  Volume : 12  |  Issue : 5  |  Page : 197--204

Cumulative life course impairment of alopecia areata


Laura J Burns1, Natasha Mesinkovska2, Dory Kranz3, Abby Ellison3, Maryanne M Senna4 
1 Department of Dermatology, Massachusetts General Hospital, Boston, MA, USA
2 National Alopecia Areata Foundation, San Rafael; Department of Dermatology, University of California Irvine, Irvine, CA, USA
3 National Alopecia Areata Foundation, San Rafael, USA
4 Department of Dermatology, Massachusetts General Hospital; Harvard Medical School, Boston, MA, USA

Correspondence Address:
Maryanne M Senna
50 Staniford Street, Suite 200, Boston, MA 02114
USA

Alopecia areata (AA), an unpredictable, nonscarring hair loss, is commonly perceived as a cosmetic, rather than medical, concern. However, substantial evidence exists describing the negative impact on quality of life, as the disease affects patients personally, socially, financially, and physically. Over time, the cumulative disability may perpetuate poor confidence, social disconnection, negative coping strategies, and failure to achieve a full life potential. Here, we describe the cumulative life course impairment (CLCI) of AA by examining the complex interaction of (1) stigmatization, (2) physical and psychiatric comorbidities, and (3) coping strategies. The model aggregates existing cross-sectional data, which have previously captured disease burden only as snapshots in time. Thus, by examining cumulative effects, the CLCI model serves as a proxy for longitudinal data to better describe life course epidemiology of the disease.


How to cite this article:
Burns LJ, Mesinkovska N, Kranz D, Ellison A, Senna MM. Cumulative life course impairment of alopecia areata.Int J Trichol 2020;12:197-204


How to cite this URL:
Burns LJ, Mesinkovska N, Kranz D, Ellison A, Senna MM. Cumulative life course impairment of alopecia areata. Int J Trichol [serial online] 2020 [cited 2020 Nov 27 ];12:197-204
Available from: https://www.ijtrichology.com/article.asp?issn=0974-7753;year=2020;volume=12;issue=5;spage=197;epage=204;aulast=Burns;type=0