TLDR Treatment with corticosteroids and zinc injections can help hair regrowth and restore 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.
71 citations
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March 2009 in “Seminars in cutaneous medicine and surgery” Alopecia areata can cause unpredictable hair loss, and treatments like corticosteroids and minoxidil may help but have varying side effects.
72 citations
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July 2014 in “American journal of clinical dermatology” Some treatments, like corticosteroids and sensitizing agents, can help with alopecia areata, but more high-quality research is needed.
122 citations
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November 1984 in “Journal of the American Academy of Dermatology” No single treatment is consistently effective for alopecia areata, and more research is needed.
151 citations
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February 2007 in “International Journal of Dermatology” Alopecia areata causes hair loss, has no cure, and various treatments exist.
23 citations
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October 2020 in “Anais brasileiros de dermatologia/Anais Brasileiros de Dermatologia” Tailored treatments for alopecia areata are recommended based on severity and patient needs.