Is Intralesional Methotrexate an Effective Alternative to Intralesional Triamcinolone in Alopecia Areata? Findings From a Randomized Controlled Trial

    Narges Ghandi, Arash Rashidi, Fatemeh Saberi, Robabeh Abedini, Nasim Tootoonchi, Hanie Babaie
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    TLDR Triamcinolone is more effective than methotrexate for treating localized alopecia areata.
    This study compared the effectiveness of intralesional methotrexate (MTX) and triamcinolone acetonide (TrA) in treating localized alopecia areata (AA) in 40 individuals. Over 6 months, the TrA group showed significant hair regrowth with a 54.36% reduction in SALT scores, while the MTX group experienced a 54.6% worsening, indicating more hair loss. Both treatments had similar mild side effects, but patient satisfaction was higher for TrA (7.1/10) compared to MTX (4.9/10). The findings suggest that TrA is more effective than MTX for localized AA, and further research is needed to improve MTX's efficacy.
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