Microneedling Combination With 5% Minoxidil and Systemic and Topical Steroids in Alopecia Areata Patients: Case Report

September 2025 in “ Intisari Sains Medis ”

I Gusti Ayu Agung Mini Laksmi, Ketut Kwartantaya Winaya, Gusti Ayu Anggawati, Michael Hostiadi

microneedling minoxidil desoximetasone methylprednisolone alopecia areata Rogaine

TLDR The combination therapy improved severe alopecia areata in a patient after 14 days.

This case report highlights the potential of a combination therapy involving microneedling, 5% minoxidil, desoximetasone, and methylprednisolone for treating severe alopecia areata (AA) in a 24-year-old male patient. The patient showed improvement after 14 days of treatment, indicating the therapy's initial effectiveness. However, the report emphasizes the need for further evidence through serial measurements to fully assess the efficacy and safety of this treatment approach.

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