Research Article

Increased DHEAS and Decreased Total Testosterone Serum Levels in a Subset of Men with Early-Onset Androgenetic Alopecia: Does a Male PCOS-Equivalent Exist?

Table 2

Clinical features and serum hormone levels in patients with early-onset androgenetic alopecia (AGA) and in controls.

ParameterPatients with AGA: n = 43Group 1a: n = 21Group 2b: n = 22Control subjects: n = 36

Age (year)24.3 (3.4)24.0 (3.9)24.5 (2.8)23.3 (2.7)
BMI (kg/m2)25.5 (3.8)27.9 (3.8)23.0 (1.6)23.7 (3)
Fat mass (%)15.6 (4.8)17.5 (4.1)d12.4 (4.7)13.2 (5.3)
Cholesterol (mg/dl)167.5 (31.4)163.6 (35.4)171.2 (27.8)170.1 (38.2)
HDL cholesterol (mg/dl)49.2 (13.3)45.4 (10.9)52.7 (14.6)47.7 (9.1)
LDL cholesterol (mg/dl)104.4 (25.0)101.7 (28.5)106.9 (21.9)100.4 (45.6)
Triglycerides (mg/dl)69.9 (38.5)82.5 (46.0)b58.1 (26.1)68.7 (35.6)
Glycaemia (mg/dl)84.4 (8.0)85.1 (8.9)83.7 (7.1)83.8 (6.1)
Insulin (μU/ml)8.8 (6.2)11.8 (7.7)6.0 (2.1)7.3 (3.2)
HOMA index1.9 (1.4)2.5 (1.8)1.3 (0.5)1.5 (0.7)
LH (mIU/ml)4.3 (1.8)4.9 (2.1)3.8 (1.4)3.9 (2.2)
FSH (mIU/ml)3.1 (2.0)3.1 (1.8)3.2 (2.2)3.3 (2.5)
TT (ng/ml)5.8 (1.71)b5.2 (1.7)6.3 (1.6)6.5 (2.0)
17β-Estradiol (pg/ml)24.5 (9.6)22.9 (10.4)26.0 (8.7)25.6 (7.7)
Androstenedione (ng/ml)2.5 (1.1)2.6 (1.2)2.4 (1.0)2.3 (0.9)
DHEAS (μg/dl)304 (17.1)d321.5 (112.6)290.3 (97.0)257.8 (107.1)
17αOH-P (ng/ml)2.1 (0.9)2.0 (1.1)c2.1 (0.7)1.5 (0.6)
Cortisol (nmol/l)429.6 (125.3)429.8 (132.9)429.3 (120.4)383.1 (119.0)
SHBG (nmol/l)32.9 (10.3)28.9 (9.7)d36.6 (9.9)34.7 (13.7)
Bio-T (%)44.8 (8.1)46.9 (7.6)43.0 (8.4)45.3 (11.1)
Free-T1.8 (0.4)2.0 (0.3)1.7 (0.4)1.8 (0.5)

Abbreviations: 17αOH-P = 17α-hydroxyprogesterone; Bio-T = bioavailable testosterone; BMI = body mass index; Free-T = free testosterone; FSH = follicle-stimulating hormone; LH = luteinizing hormone; SHBG = Sex hormone-binding globulin; TT = total testosterone. aPatients with early-onset AGA with at least one of the following parameters: body mass index (BMI) >25 kg/m2, insulin-resistance (IR), and/or sex hormone-binding globulin (SHBG) <25 nmol/l. bPatients with early-onset AGA which did not satisfy any of the aforementioned criteria. compared to controls; compared to Group 2; compared to controls; compared to Group 2 (Student’s t-test). Results are expressed as mean value (standard deviation).