Comparison of Azelaic Acid and Anthralin for the Therapy of Patchy Alopecia Areata

    Sezai Şaşmaz, Özer Arıcan
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    TLDR Azelaic acid and anthralin are similarly effective for treating patchy hair loss.
    In a 2005 pilot study involving 31 subjects with patchy alopecia areata, 20% azelaic acid and 0.5% anthralin were compared to assess their effectiveness in promoting hair regrowth. Subjects were randomly assigned to apply one of the two treatments for 12 weeks and were then observed for an additional 8 weeks without treatment. At week 20, 53.3% of the azelaic acid group and 56.2% of the anthralin group exhibited complete hair regrowth, with no significant difference in efficacy between the two treatments. The study reported no serious adverse events and suggested that azelaic acid could be an effective treatment for patchy alopecia areata, comparable to anthralin, but emphasized the need for larger trials to confirm these findings.
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    Cited in this study

      Guidelines for the management of alopecia areata

      research Guidelines for the management of alopecia areata

      182 citations ,   October 2003 in “British Journal of Dermatology”
      The 2003 guidelines suggest that while some treatments can regrow hair in alopecia areata, none alter the disease's progression, and wigs may be the best option for extensive hair loss.

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