Pigmentation in Alopecia Totalis

The article discusses a treatment approach for alopecia totalis using corticosteroids such as cortisone, hydrocortisone, prednisone, prednisolone, and methyl prednisolone, supplemented with zinc corticotropin injections to prevent adrenal suppression. The author notes that many patients with alopecia totalis exhibit a lack of normal pigmentation in the scalp and face. However, as the corticosteroid-corticotropin therapy progresses, there is not only hair regrowth but also a gradual return of pigmentation to the scalp, face, and new hair.