Scalp Atrophy Secondary to Steroid Use in Patients With Scarring Alopecia: Are Topical Steroids Superior to Topical Calcineurin Inhibitors?

The commentary discusses the issue of scalp atrophy in patients with scarring alopecia due to steroid use and evaluates whether topical steroids are superior to topical calcineurin inhibitors. The authors highlight that while topical steroids are commonly used for treating scarring alopecia, they can lead to scalp atrophy. The paper suggests that topical calcineurin inhibitors might be a better alternative due to their lower risk of causing atrophy. However, the commentary does not provide a definitive conclusion, indicating the need for further research to compare the long-term efficacy and safety of these treatments.