Abstract
Black patients have greater odds of alopecia areata when compared to whites (odds ratio, 1.77; 95% confidence interval, 1.37-2.28).1 Few studies in the literature have examined the epidemiology of alopecia areata exclusively in Black patients, demonstrating an increased need for understanding in this area. To investigate the epidemiology of alopecia areata in Black patients, a retrospective analysis was conducted in 265 pediatric and adult patients diagnosed and treated for alopecia areata at Wake Forest Baptist Health between January 2015 and December 2020. Patients were assessed according to distribution by age, sex, medical and autoimmune comorbidities. 190 (71.7%) of patients were female (female-to-male ratio, 2.5:1). The largest age group presenting for care was the 18-34 year age group (35.8%) followed by the 10-17 year age group (15.1%). These results suggest a female predominance and increased prevalence of disease in younger patients. Further evaluation of epidemiology can provide greater understanding of alopecia areata in Black patients. 1. Lee H, Jung SJ, Patel AB, et al. Racial characteristics of alopecia areata in the United States. J Am Acad Dermatol. 2020 Oct;83(4):1064-1070.
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