Pseudo Alopecia Areata Caused by Skull-Caps with Metal Pin Fasteners Used by Orthodox Jews in Israel

    January 2003 in “ Journal of Immunology Research ”
    Chaim Yosefy, Meir Ronnen, Dennis Edelstein
    TLDR Changing the pin and cupola setup reduced hair loss in Orthodox Jews using skull-caps.
    The study investigated a variant of Alopecia Areata (AA) called Pseudo Alopecia Areata, caused by the use of skull-caps with metal pin fasteners among Orthodox Jews in Israel. Conducted on 37 patients, the study explored non-pharmacological treatment options (NPT) by altering the pin and cupola configurations. Results showed that adding a second pin led to additional lesions in 33.3% of patients, while replacing the original pin with a different type on a larger cupola resulted in immediate improvement for 58.8% of patients. The study concluded that conservative pharmacological treatments were ineffective, but modifying the pin and cupola successfully reduced lesions.
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