Survey of Pediatric Dermatologist Views on Treatment for Alopecia Areata

    August 2023 in “ JAAD international ”
    David Bitterman, Dov Bitterman, Jacquelyn R. Sink, Katya Harfmann, Marcia Hogeling, Christine T. Lauren, Kimberly D. Morel, Leslie Castelo‐Soccio, Nanette B. Silverberg
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    TLDR Pediatric dermatologists have varied preferences for treating alopecia areata in children, with no standard FDA-approved treatments and some using JAK inhibitors despite risks.
    The document is a survey of pediatric dermatologists' treatment preferences for pediatric alopecia areata (PAA). The survey revealed that for PAA patients under 8 years, the primary treatment was class 1 and 2 topical corticosteroids, with secondary treatments including intralesional triamcinolone, topical immunotherapy, and minoxidil 5% solution for those with less than 25% scalp involvement. For patients 8 years and older, class 1 corticosteroids and intralesional triamcinolone were the first-line treatments, with intralesional triamcinolone and topical minoxidil 5% solution as second-line treatments. The survey also found that despite the lack of FDA-approved therapies for PAA, many pediatric dermatologists are using topical and oral Janus kinase inhibitors (JAKi) in treatment, indicating a need for further studies on the safety and efficacy of JAKi for pediatric AA. The study's limitations include selection bias, sample size, and a skew towards junior respondents.
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