Abstract
We aimed to investigate the relationship among urinary stone disease, androgenetic alopecia (AGA), and serum testosterone (T) levels. Between January 2008 and November 2015, we retrospectively investigated the biochemical parameters and anthropometric characteristics (height and weight) of 200 patients who had urinary tract stones. For the control group, we selected at random 168 participants who had no history of urolithiasis. Demographic data, such as participants’ age, body mass index (BMI), hypertension (HT), diabetes mellitus (DM), baldness pattern, and serum T level were recorded. All participants were male, over 18 and under 60 years of age. We determined that risk of urolithiasis increased 1.3-fold in patients with vertex pattern alopecia and 2.1-fold in patients with total alopecia compared with those with no hair loss. In the severe balding Groups (Group III and Group IV), presence of testosterone deficiency was more frequent in patients with urinary stone disease (P = 0.041, OR = 2.38). Although in the non- balding and mild balding Groups (Group I and Group II), presence of testosterone deficiency was also more frequent in patients with urinary stone disease, a statistically significant difference was not seen. Significantly, we found that the presence of testosterone deficiency was more frequent in patients with urinary stone disease and who had severe AGA.
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References
Curhan GC (2007) Epidemiology of stone disease. Urol Clin North Am 34:287–293
Lee YH, Huang WC, Chiang H et al (1996) Testesterone enhances whereas estrogen inhibits calcium oxalate stone formation in ethylene glycol treated rats. J Urol 156:502–505
Iguchi M, Takamura C, Umekawa T et al (1999) Inhibitory effects of female sex hormones on urinary stone formation in rats. Kidney Int 56:479–485
Scales CD Jr, Curtis LH, Norris RD et al (2007) Changing gender prevalence of stone disease. J Urol 177:979–982
Otunctemur A, Ozbek E, Cakir SS et al (2015) Urolithiasis is associated with low serum testosterone levels in men. Arch Ital Urol Androl 87(1):83–86
Taylor EN, Stampfer MJ, Curhan GC (2005) Obesity, weight gain, and the risk of kidney stones. JAMA 293:455–462
Taylor EN, Stampfer MJ, Curhan GC (2005) Diabetes mellitus and the risk of nephrolithiasis. Kidney Int 68:1230–1235
Curhan GC et al (1998) Body size and risk of kidney stones. J Am Soc Nephrol 9:1645–1652
Yassin AA, Saad F, Gooren LJ (2008) Metabolic syndrome, testosterone deficiency and erectile dysfunction never come alone. Andrologia 40:259–264
Kupelian V, Hayes FJ, Link CL et al (2008) Inverse association of testosterone and the metabolicsyndrome in men is consistent across race and ethnic groups. J Clin Endocrinol Metab 93:3403–3410
Inui S, Itami S (2011) Molecular basis of androgenic alopecia: from androgen to paracrine mediators through dermal papilla. J Dermatol Sci 61:1–6
Amoretti A, Laydner H, Bergfeld W et al (2013) Androgenetic alopecia and risk of prostate cancer: a systematic review and meta-analysis. J Am Acad Dermatol 68:937–943
Ellis JA, Stebbing M, Harrap SB (2001) Polymorphism of the androgen receptor gene is associated with male pattern baldness. J Invest Dermatol 116:452–455
Arias-Santiago S, Arrabal-Polo MA, Buendía-Eisman A et al (2012) Androgenetic alopecia as an early marker of benign prostatic hyperplasia. J Am Acad Dermatol 66(3):401–408
Dogramaci AC, Balci DD, Balci A et al (2009) Is androgenetic alopecia a risk for atherosclerosis? J Eur Acad Dermatol Venereol 23:673–677
Trabert B, Sigurdson AJ, Sweeney AM et al (2011) Baldness, acne and testicular germ cell tumors. Int J Androl 34:59–67
Lai JJ, Chang P, Lai P et al (2012) The role of androgen and androgen receptor in skin-related disorders. Arch Dermatol Res 304:499–510
Resorlu M, Sancak EB, Uysal F et al (2016) The association of urolithiasis and androgenetic alopecia. Ren Fail 38(1):84-88. doi:10.3109/0886022X.2015.1096729
Norwood OT (1975) Male pattern baldness: classification and incidence. South Med J 68:1359–1365
Huang PL (2009) A comprehensive definition for metabolic syndrome. Dis Model Mech 2:231–237
Severi G, Sinclair R, Hopper JL et al (2003) Androgenetic alopecia in men aged 40–69 years: prevalence and risk factors. Br J Dermatol 149:1207–1213
Soundararajan P, Mahesh R, Ramesh T, Begum VH (2006) Effect of Aerva lanata on calcium oxalate urolithiasis in rats. Indian J Exp Biol 44(12):981–986
Fan J, Chandhoke PS, Grampsas SA (1999) Role of sex hormones in experimental calcium oxalate nephrolithiasis. J Am Soc Nephrol Suppl 14:S376–S380
Yagisawa T, Ito F, Osaka Y, Amano H, Kobayashi C et al (2001) The influence of sex hormones on renal osteopontin expression and urinary constituents in experimental urolithiasis. J Urol 166:1078–1082
Fan J, Glass MA, Chandhoke PS (1998) Effect of castration and finasteride on urinary oxalate excretion in male rats. Urol Res 26(1):71–75
Griffin JE, Wilson JD (1989) The androgen resistance syndrome: 5α-reductase deficiency, testicular feminization, and related disorders. In: Scriver CR, Beaudet AL, Sly WS, DV (eds) The metabolic basis of inherited disease. McGraw-Hill, New York, pp 1919–1944
Hibberts NA, Howell AE, Randall VA (1998) Balding hair follicle dermal papilla cells contain higher levels of androgen receptors than those from non-balding scalp. J Endocrinol 156(1):59–65
Hillmer AM, Hanneken S, Ritzmann S et al (2005) Genetic variation in the human androgen receptor gene is the major determinant of common early-onset androgenetic alopecia. Am J Hum Genet 77(1):140–148
Dusková M, Cermákova I, Hill M, Vanková M, Samalíková P, Stárka L (2004) What may be the markers of the male equivalent of polycystic ovary syndrome? Physiol Res 53:287–294
Oh BR, Kim SJ, Moon JD, Kim HN, Kwon DD, Won YH et al (1998) Association of benign prostatic hyperplasia with male pattern baldness. Urology 51:744–748
Chen W, Yang CC, Chen GY, Wu MC, Sheu HM, Tzai TS (2004) Patients with a large prostate show a higher prevalence of androgenetic alopecia. Arch Dermatol Res 296:245–249
Matilainen V, Koskela P, Keina¨nen-Kiukaanniemi S (2000) Early androgenetic alopecia as a marker of insulin resistance. Lancet 356:1165–1166
Matilainen V, Laakso M, Hirsso P, Koskela P, Rajala U, Keina¨nen-Kiukaanniemi S (2003) Hair loss, insulin resistance, and heredity in middle-aged women: a population-based study. J Cardiovasc Risk 10:227–231
Klemp P, Peters K, Hansted B (1989) Subcutaneous blood flow in early male pattern baldness. J Invest Dermatol 92:725–726
Goldman BE, Fisher DM, Ringler SL (1996) Transcutaneous PO2 of the scalp in male pattern baldness: a new piece to the puzzle. Plast Reconstr Surg 97:1109–1116
Arias-Santiago S, Gutierrez-Salmeron MT, Castellote-Caballero L et al (2010) Androgenetic alopecia and cardiovascular risk factors in men and women: a comparative study. J Am Acad Dermatol 63:420–429
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We acknowledge that all authors have made substantial contribution to the work, and all have read and approved the final manuscript. The manuscript is an original work, being under consideration by neither another journal nor electronic publication, and has not been previously published. We do also affirm that there was no source of extra-institutional funding, none of the authors has direct or indirect commercial financial incentive associating with publishing the article, and no funding agreement limits our ability to complete and publish the study.
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Emre Can Polat declares that has no conflict of interest. Levent Ozcan declares that has no conflict of interest. Alper Otunctemur declares that has no conflict of interest. Emin Ozbek declares that has no conflict of interest. Emre Can Polat read and approved this article. Levent Ozcan read and approved this article. Alper Otunctemur read and approved this article. Emin Ozbek read and approved this article.
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Ethical approval Date: 3.11.2010. Ethical approval Number: B.10.4.İSM.04.34.61.12.900. We declare that our manuscript entitled with ‘Relation of urinary stone disease with androgenetic alopecia and serum testosterone levels’. We must also state that the protocol for the research project has been approved by a suitably constituted Ethics Committee of the institution within which the work was undertaken and that it conforms to the provisions of the Declaration of Helsinki (as revised in Tokyo 2004). All participants signed an informed consent before being enrolled in the study.
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Polat, E.C., Ozcan, L., Otunctemur, A. et al. Relation of urinary stone disease with androgenetic alopecia and serum testosterone levels. Urolithiasis 44, 409–413 (2016). https://doi.org/10.1007/s00240-016-0888-3
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DOI: https://doi.org/10.1007/s00240-016-0888-3