Italian Guidelines in Diagnosis and Treatment of Alopecia Areata

    Alfredo Rossi, Marta Mellai, Bianca Maria Piraccini, Michela Starace, Marta Carlesimo, Victor Desmond Mandel, Aurora Alessandrini, Stefano Calvieri, Gemma Caro, Andrea D’Arino, Alessandro Di Federico, Francesca Magri, Flavia Pigliacelli, Graziana Amendolagine, Marco Annunziata, Maria C Arisi, Stefano Astorino, Graziella Babino, Federico Bardazzi, Stefania Barruscotti, Anna Belloni Fortina, Alessandro Borghi, Francesca Bruni, Stefano Caccavale, Piergiacomo Calzavara‐Pinton, Norma Cameli, Michele Cardone, Andrea Carugno, Rosa Coppola, Annunziata Dattola, Maria Beatrice De Felici Del Giudice, Antonella Di Cesare, Emi Dika, Donato Di Nunno, Francesco Domenico D’Ovidio, Gabriella Fabbrocini, Claudio Feliciani, Elisabetta Fulgione, Marco Galluzzo, Simone Garcovich, Valentina Garelli, Cristina Guerriero, Katharina Hansel, M. La Plaça, Francesco Lacarrubba, Viviana Lora, Elena Marinello, Matteo Megna, Giuseppe Micali, Cosimo Misciali, Paola Monari, Giuseppe Monfrecola, Iria Neri, Annamaria Offidani, Gloria Orlando, Manuela Papini, Annalisa Patrizi, Stefano Piaserico, Niccolò Rivetti, Oriana Simonetti, Teodora R Stan, Luca Stingeni, Mark S. Talamonti, F. Tassone, Lucia Villa, Colombina Vincenzi, Maria Caterina Fortuna
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    Studysummary This Italian guideline discusses the diagnosis and treatment of alopecia areata but reports no new clinical trial results; the authors highlight the need for well-designed studies. Our plain-language summary of this paper — not a Tressless recommendation.
    The document from December 2019, "Italian Guidelines in diagnosis and treatment of alopecia areata," presented guidelines proposed by the Italian Study Group for Cutaneous Annexial Disease of the Italian Society of Dermatology for diagnosing and treating Alopecia Areata (AA). AA is an organ-specific autoimmune disorder that targets hair follicles in the anagen phase, with an unpredictable course and treatments of variable efficacy. At the time, there was little evidence from well-designed clinical trials on AA treatment, and none of the treatments or devices commonly used were specifically approved by the Food and Drug Administration. The guidelines aimed to provide evidence-based treatment recommendations combined with expert advice for the daily management of AA.
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