Cephalalgic Alopecia Areata: A Case Study

    June 2006 in “ Cephalalgia
    F. Michael Cutrer, Mark R. Pittelkow
    TLDR Botulinum A toxin injections reduced pain and promoted hair regrowth in a woman with a rare form of alopecia areata.
    A 34-year-old woman with recurrent head pain and hair loss was diagnosed with a rare form of alopecia areata linked to cephalalgia. Traditional treatments, including steroids and pain medications, were ineffective. However, botulinum A toxin (BTXN) injections significantly reduced her pain and promoted hair regrowth, suggesting a neural mechanism behind her condition. This case highlighted the potential of BTXN in treating similar cases by interrupting abnormal neural activity, which may influence immune responses affecting hair follicles, underscoring the complex interaction between neural and immune factors in alopecia areata.
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