Alopecia Areata Incognita: Current Evidence

    February 2025 in “ Dermatology and Therapy
    Giselle Rodriguez‐Tamez, Narges Maskan Bermudez, Antonellá Tosti
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    TLDR Alopecia areata incognita causes sudden hair loss but usually improves with topical steroids.
    Alopecia areata incognita (AAI) is a subtype of alopecia areata that presents as sudden diffuse hair loss, often resembling telogen effluvium, and is sometimes associated with androgenetic alopecia. It primarily affects women aged 20-40 and is diagnosed through clinical, trichoscopic, and histopathologic evaluations, with trichoscopy showing yellow dots and pigtail hairs. A dermoscopy-guided biopsy is recommended for accurate diagnosis. AAI is linked to autoimmune conditions and responds well to treatments like high-potency topical steroids and intralesional steroids, with a generally favorable prognosis. The review emphasizes the need for more extensive studies to establish clear diagnostic criteria and treatment protocols, as current knowledge is based on limited observational studies and case reports.
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      community Dutasteride has been nuking me

      in Finasteride/Dutasteride  155 upvotes 1 week ago
      The user experienced significant hair loss after 9 months of using 0.5mg dutasteride and oral minoxidil, possibly due to alopecia areata. It is advised to consult a doctor for accurate diagnosis and treatment, as dutasteride and finasteride may not be effective.

      community Is there any chance of improvement?

      in Minoxidil  7 upvotes 3 years ago
      A 19-year-old experiencing severe hair loss since 16 is using a treatment regimen of 5% minoxidil, 0.1% finasteride topical solution, 3% procapil hair serum, and 0.5 mg dutasteride daily. They are concerned about the effectiveness and potential shedding phase, with advice suggesting noticeable changes in 6 to 8 months.

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