TLDR No treatment reliably changes Alopecia Areata's course; reassurance and possibly a wig are recommended.
The review on "Treatment of Alopecia Areata" by Ian Ralfs in 1981 concluded that despite the availability of various treatments, none were definitively effective in changing the disease's natural progression. Prognosis varied, with poorer outcomes linked to youth, extensive hair loss, and associated atopy. Treatments like phenol, rubefacients, corticosteroids, DNCB sensitization, and PUVA had mixed results and often led to side effects and relapses. The review suggested that the best approach might be to provide patients with an explanation of the disease, reassurance, and possibly a prescription for a wig.
100 citations,
July 2006 in “British Journal of Dermatology” Triamcinolone acetonide injections help hair regrow quickly in mild alopecia but not in severe cases.
28 citations,
October 1978 in “Archives of dermatology” Corticosteroids may effectively regrow hair in Alopecia Totalis with manageable side effects.
17 citations,
January 1977 in “Dermatology” Ultraviolet light helped hair growth more effectively than triamcinolone acetonide.
80 citations,
November 1975 in “Acta dermato-venereologica” Large doses of glucocorticoids are not suitable for general use in treating severe alopecia areata due to inconsistent results and risks.
34 citations,
November 1974 in “Archives of Dermatology” Smaller, diluted corticosteroid injections reduce the risk of vision loss.
54 citations,
January 1973 in “International Journal of Dermatology” Aloe helps heal leg ulcers and skin disorders.
75 citations,
September 1971 in “British Journal of Dermatology” Both steroids effectively promote hair growth for at least 9 months.
April 2019 in “International journal of research in dermatology” A child with rough nails also had hair loss and allergies.
