TLDR Hair loss was the first sign of a brain-related complication in a woman with lupus, and early treatment helped her hair grow back.
The document discusses a case of a 33-year-old woman who had recurring alopecia for over 3 years, which was later identified as a symptom of Neuropsychiatric Systemic Lupus Erythematosus (NPSLE), a complication of Systemic Lupus Erythematosus (SLE) with an incidence rate of 21-95%. Initially misdiagnosed with "alopecia areata", she was correctly diagnosed with SLE complicated with NPSLE after comprehensive tests. Treatment included oral medications, intrathecal and intralesional injections, and topical tacrolimus, which stopped further hair loss and promoted new hair growth in the non-cicatricial patchy alopecia area after 2 months. The study emphasizes the importance of early diagnosis and treatment of NPSLE to prevent visceral damage, permanent baldness, and related psychological issues.
39 citations,
October 2018 in “Lupus Science & Medicine” Different types of hair loss in lupus need careful diagnosis for proper treatment.
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30 citations,
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35 citations,
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3 citations,
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1 citations,
May 2016 in “Aktuelle Dermatologie” Trichoscopy helps monitor inflammation in Lichen planopilaris.
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March 2004 in “Journal of The American Academy of Dermatology” Women with lupus experienced non-scarring hair loss with fewer hair follicles, and the test for lupus in hair was not helpful.
