Current and Future Treatments of Alopecia Areata and Trichotillomania in Children

    Matilde Iorizzo, Arnold P. Oranje
    TLDR New, safer treatments for children's hair disorders are needed, and better evaluation methods are recommended.
    The document reviewed current and future treatments for alopecia areata and trichotillomania in children, highlighting the limited treatment options due to a lack of clinical trials and safety data. It emphasized the psychological stress these disorders cause in pediatric patients and their families, often leading to non-compliance with treatments. The need for new drugs with fewer side effects and the importance of genetic studies to identify potential treatments for alopecia areata were stressed. Additionally, it was suggested that trichotillomania should be evaluated by both psychiatrists and dermatologists. The authors disclosed no relevant financial conflicts and the paper was not funded.
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      A 29-year-old woman is experiencing gradual hair thinning since age 15, suspects Androgenic Alopecia, and has tried 5% minoxidil with little success. She has purchased various hair loss treatments including minoxidil, dutasteride, finasteride, and spironolactone, but is cautious about starting them due to potential interactions with her ADHD medication.

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      in Update  56 upvotes 2 years ago
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