ROLE OF SERUM ZINC AND COPPER AND ZINC/ COPPER RATIO IN ALOPECIA AREATA

Abstract

Alopecia areata is considered as a major health problem, its importance is attributed to its
recent increased incidence in our population. Till now, there is no exact cause for alopecia areata
although researchers thought it's an autoimmune disease.
This clinical study was designed to evaluate the role of trace elements (zinc and copper) in patients
with alopecia areata. Twenty patients were diagnosed as having alopecia areata with an age range
(10-40 years) were involved in this study. Normal subjects of the same age group were also
evaluated as control. The level of serum Zn and Cu were measured by flame atomic absorption
spectrophotometry in both control and patient group. And the ratio of Zn/Cu was also estimated.
The results of patients group revealed that serum Zn level was significantly lower than those of
control (p<0.001), while serum Cu was significantly higher than that of control group (p=0.002).
Furthermore, Zn/Cu ratio of patients group was significantly lower than that of control subjects
(p<0.001). These results suggest the possible role of Zn and Cu level in alopecia areata. In addition
to that the utility of measuring Zn/ Cu ratios for the diagnosis of the disease over that of
determining the serum level of Zn or Cu alone since this ratio clearly reflects the severity of the
progress.