TLDR Nail problems are common in people with alopecia areata, often leading to cosmetic and functional issues, but more research is needed for treatment guidelines.
The review discussed nail changes in alopecia areata (AA), highlighting their prevalence, clinical features, and management. Nail changes were common in AA, affecting about 30% of patients, with pitting and trachyonychia being the most frequent manifestations, occurring in 20% and 8% of cases, respectively. Other findings included red spotted lunulae, onycholysis, and punctate leukonychia. The review emphasized the need for larger controlled trials to better understand the clinical manifestations and guide treatment options for AA-associated nail changes.
Cited in this study
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February 2010 in “Journal of The American Academy of Dermatology” Half of people with Alopecia Areata may see hair regrowth within a year without treatment, but recovery is unpredictable.
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March 2019 in “Journal of autoimmunity” Alopecia areata is an autoimmune disease causing patchy hair loss, often with other autoimmune disorders, but its exact causes are unknown.
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