Management of Alopecia Areata: Updates and Algorithmic Approach

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.