Abstract: Objective To analyze micronutrient levels in three types of female patients with diffuse hair loss. Methods The clinical data of 299 female patients with diffuse alopecia from January 2018 to June 2021 in the Department of Dermatology of Daping Hospital were analyzed retrospectively. Results The level of serum 25-hydroxyvitamin D in patients with diffuse alopecia was significantly lower than that in the control group, and had no impact to the type of diffuse alopecia. The concentration of serum zinc in patients with diffuse alopecia areata was also significantly lower than that in the control group. When ferritin ≤50 ng/mol was taken as the threshold of iron deficiency and 25-hydroxyvitamin D≤20 ng/mol, as the indicator level of serum 25-hydroxyvitamin D deficiency, the proportion of serum 25-hydroxyvitamin D and serum ferritin deficiency in all the three types of diffuse hair loss patients was higher than that in the control group(P＜0.05). So, lack of iron and serum 25-hydroxyvitamin D were belived to be related to the occurrence of diffuse alopecia of women. Conclusions Iron metabolism disorder and serum 25-hydroxyvitamin D level play a key role in female diffuse alopecia, while the effects of copper and zinc on hair growth and hair loss cycle are not well identified yet.

Key words: diffuse hair loss, micronutrient, ferritin, 25-hydroxyvitamin D