Diphenylcyclopropenone in Severe Alopecia Areata in Children and Adolescents: Long-Term Follow-Up and Relapse Rate

    Yasmin B. El Zawahry, Bakr M. El Zawahry, Dalia Ahmed Bassiouny, Ahmed Soliman, Heba Mohammed Abdel Raheem
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    Studysummary This study suggests that DPCP treatment can be effective and safe for severe alopecia areata in children, with maintenance therapy potentially reducing relapse rates.
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    This study assessed the long-term effectiveness and relapse rates of diphenylcyclopropenone (DPCP) in treating severe alopecia areata (AA) in 144 children and adolescents over 7 years. After 18 months, 65.8% achieved excellent hair regrowth, while 13.7% had moderate regrowth, and 20.5% showed poor response. Relapse rates were higher in those with more extensive disease, and 54.5% of excellent responders experienced relapse, particularly if maintenance therapy was discontinued. The study highlights DPCP as a promising treatment for severe AA in pediatric patients, emphasizing the importance of maintenance therapy to prevent relapse. Side effects were minimal, with severe irritation in 9.7% of patients.
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