TLDR Topical corticosteroid treatment showed no significant difference from placebo in treating alopecia areata in children.
This study evaluated the efficacy of 0.05% betamethasone dipropionate cream in treating alopecia areata in children and examined the influence of atopy on therapeutic response. Conducted as a prospective double-blind controlled trial, it involved 35 children up to 12 years old. After six months, 85.7% of the children showed a positive response, with no significant difference between the betamethasone and placebo groups (p=0.47). Among the 29 atopic children, 89.6% responded positively, but no statistically significant correlation was found between therapeutic response and atopic condition (p=0.19). The study concluded that there was no difference in therapeutic responses between the groups, and atopy did not influence treatment outcomes.
161 citations
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March 1992 in “International Journal of Dermatology” Alopecia areata often starts before age 20, is more common in women, and may have a genetic link with other autoimmune diseases.
36 citations
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June 1990 in “Archives of Dermatology” Using minoxidil and anthralin together can improve hair regrowth in severe alopecia areata patients who didn't respond to individual treatments.
164 citations
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November 1989 in “Clinical and Experimental Dermatology” Juvenile alopecia areata is more severe and has a worse prognosis than maturity-onset alopecia areata.
6 citations
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February 2003 in “Anais brasileiros de dermatologia/Anais Brasileiros de Dermatologia” Topical corticosteroid was not more effective than placebo for children's alopecia areata, and atopy did not change treatment results.
164 citations
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April 2008 in “Cochrane library” Current treatments for alopecia show no significant long-term benefits.
4 citations
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September 2011 in “Expert Review of Dermatology” Various treatments exist for alopecia areata, but none are completely satisfactory; choice depends on age, disease extent, and preference.
36 citations
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May 2011 in “Dermatologic therapy” No treatments fully cure or prevent alopecia areata; some help but have side effects or need more research.
85 citations
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October 2012 in “Dermatologic Clinics” Alopecia Areata is an autoimmune condition often starting before age 20, with varied treatment success and a need for personalized treatment plans.