Alopecia Areata: Part 2: Treatment

Alopecia areata (AA) is an autoimmune condition causing hair loss in both children and adults, leading to significant psychological distress. First-line treatments include intralesional triamcinolone, topical steroids, and minoxidil, which can be managed by primary care physicians. Advanced or refractory cases may require oral immunosuppressants, topical diphenylcyclopropenone, or anthralin, and eyelash loss can be treated with prostaglandin analogues. Extensive hair loss might necessitate camouflaging options or hair prostheses. Recognizing AA and understanding its treatment allows family physicians to manage the condition effectively and refer severe cases to dermatologists when necessary.