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Re: UC + PSC + Alopecia

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Hi Penny;

As others have already mentioned, thinning hair or hair loss could be

due to medications such as ursodiol (actigall) or asacol (mesalamine).

Both medications are reported to have this possible side effect:

http://www.nlm.nih.gov/medlineplus/druginfo/medmaster/a699047.html

http://www.nlm.nih.gov/medlineplus/druginfo/uspdi/202734.html

There are a few reports of alopecia + inflammatory bowel disease, or

alopecia + PSC, in the literature, and so it seems possible that there

might also be a genetic link .... see for example:

Treem WR, Veligati LN, Rotter JI, Targan SR, Hyams JS 1993 Ulcerative

colitis and total alopecia in a mother and her son. Gastroenterology

104: 1187-1191.

Seibold F, Klein R, Jakob F 1996 Polymyositis, alopecia universalis,

and primary sclerosing cholangitis in a patient with Crohn's disease.

J. Clin. Gastroenterol. 23: 121-124.

There is also this interesting article in Online Medeliian Inheritance

in Man (OMIM) regarding a disease that causes ichthyosis, alopecia and

sclerosing cholangitis (ICHTHYOSIS-SCLEROSING CHOLANGITIS SYNDROME),

due to a defect in a gene called claudin-1:

http://www.ncbi.nlm.nih.gov/entrez/dispomim.cgi?id=607626

Hadj-Rabia S, Baala L, Vabres P, Hamel-Teillac D, Jacquemin E, Fabre M,

Lyonnet S, De Prost Y, Munnich A, Hadchouel M, Smahi A 2004 Claudin-1

gene mutations in neonatal sclerosing cholangitis associated with

ichthyosis: a tight junction disease. Gastroenterology 127: 1386-1390.

One of the Foundation funded researchers (Dr. Radhakrishna Rao)

is taking a closer look at the genes encoding " tight junction " proteins

like claudin-1, to see if they may be the cause of PSC. These proteins

are thought to play a role in keeping the bile-duct epithelial barrier

intact.

http://www.pscfoundation.org/fundedre.html

Best regards,

Dave

(father of (21); PSC 07/03; UC 08/03)

>

> Hi just a quick question for the group, has anyone heard of an

> increased chance of Alopecia if you have either UC or PSC?

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Way back in the infancy of this group we discussed hair loss. I had

experienced a lot of hair loss during the time that I had repeated

infections due to " procedures. " Most of those required

hospitalization and IV meds.

Penny

>

> Hi just a quick question for the group, has anyone heard of an

> increased chance of Alopecia if you have either UC or PSC? As my

> son's hair has started becoming quite thin.... at first we thought it

> was drug related but now I am not so sure.

>

> Penny

> Mum of 16, UC 04, PSC 2/05.

>

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--- Thank you all for your answers, I will have a look at the articles

that you mentioned . We will just keep our eye on him and

see.... 2 months back the Doctor thought that the drugs were to blame

and reduced his URSO dose by half... his LFT's doubled but then

stabilised, and are now sitting at that new higher level but not

getting any worse. His hair did start to thicken back up a bit, but

the weird thing is it seems to fluctuate. thats why I've started

thinking Autoimmune Alopecia.

Again thank you all for your input,

Penny

Mum of

UC 03 PSC 04.

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--- Thank you all for your answers, I will have a look at the articles

that you mentioned . We will just keep our eye on him and

see.... 2 months back the Doctor thought that the drugs were to blame

and reduced his URSO dose by half... his LFT's doubled but then

stabilised, and are now sitting at that new higher level but not

getting any worse. His hair did start to thicken back up a bit, but

the weird thing is it seems to fluctuate. thats why I've started

thinking Autoimmune Alopecia.

Again thank you all for your input,

Penny

Mum of

UC 03 PSC 04.

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--- Thank you all for your answers, I will have a look at the articles

that you mentioned . We will just keep our eye on him and

see.... 2 months back the Doctor thought that the drugs were to blame

and reduced his URSO dose by half... his LFT's doubled but then

stabilised, and are now sitting at that new higher level but not

getting any worse. His hair did start to thicken back up a bit, but

the weird thing is it seems to fluctuate. thats why I've started

thinking Autoimmune Alopecia.

Again thank you all for your input,

Penny

Mum of

UC 03 PSC 04.

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