Management of Alopecia Areata: Updates and Algorithmic Approach

    June 2017 in “ Journal of dermatology
    Solam Lee, Won‐Soo Lee
    TLDR New treatments for alopecia areata show promise, but no cure exists and responses to treatments vary.
    The review article discussed the management of alopecia areata, a chronic and recurrent non-scarring hair loss condition. It highlighted that the prognosis varies widely among patients, with larger areas of hair loss correlating with poorer treatment responses and a higher likelihood of chronic progression. Despite numerous treatments, no curative options had been established, and long-term efficacy remained minimal with varied therapeutic responses. Recent clinical trials, including randomized controlled studies, aimed to evaluate existing treatments more precisely using metrics like the Severity of Alopecia Tool. Updates in the practice and efficacy of existing treatments were noted, along with the introduction of novel treatments such as biologics. The extent of hair loss was identified as a key factor in determining treatment modality, with combination therapy recommended for high disease activity. The review proposed an algorithmic approach to managing alopecia areata based on clinical subtype, severity, onset, and disease activity.
    Discuss this study in the Community →

    Research cited in this study

    63 / 63 results

    Related Community Posts Join

    6 / 1000+ results
      Diffuse hair loss and scalp biopsies

      community Diffuse hair loss and scalp biopsies

      in Research  692 upvotes 2 months ago
      Scalp biopsies are crucial for diagnosing hair loss conditions like Diffuse Unpatterned Alopecia (DUPA) and retrograde hair loss, as treatments like finasteride and dutasteride may not be effective if other conditions are present. Combining PPAR-GAMMA agonists with retinoids could improve treatments for conditions like Lichen Planopilaris.

      community scarring alopecia awareness in this community

      in Chat  33 upvotes 2 years ago
      Lichen Planopilaris (LPP), a form of permanent hair loss, which can be mistaken for seborrheic dermatitis and is characterized by scalp itching, burning, redness, and dandruff. Treatment options discussed include steroidal creams, finasteride, minoxidil, and RU58841.

      community TE turned into Scarring hairloss

      in Update  12 upvotes 8 months ago
      The user experienced hair loss due to a crash diet and later developed scarring hair loss. They are now on finasteride, oral minoxidil, LDN, Zyrtec, and Oztela to reduce scalp inflammation and promote hair regrowth.

    Related Research

    3 / 3 results