Pulsed Administration of Corticosteroids in the Treatment of Alopecia Areata
February 1996
in “
International Journal of Dermatology
”
Studysummary This study found that monthly oral prednisolone pulses of 300 mg were effective and safe for treating widespread alopecia areata, with 58.3% of patients achieving cosmetically acceptable hair growth.
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The study evaluated the effectiveness of pulsed administration of corticosteroids in treating widespread alopecia areata (AA), including alopecia totalis (AT) and universalis (AU). Thirty-two patients (24 men, 8 women) with a mean age of 29 years and a mean alopecia duration of 2.8 years were treated with 300 mg oral prednisolone pulses at 4-week intervals. Fourteen out of 24 patients (58.3%) treated with 300 mg pulses showed complete or cosmetically acceptable hair growth within an average of 2.4 months, becoming cosmetically acceptable at 4 months. Additionally, three out of seven patients treated with 1000 mg pulses showed cosmetically acceptable hair growth at 6-9 months. The study concluded that a 300 mg monthly oral pulse of prednisolone is an effective and safe outpatient treatment for widespread alopecia areata.