Clinical Guidelines of Ukrainian Hair Research Society: Diagnosis and Treatment of Alopecia Areata

    Inessa Mykhailivna Serbina, Kuzma Кhobzei, Тетяна Лядова, Oleksandr I. Litus, С. В. Возіанова, Yu.V. Andrashko, Svitlana Halnykina, T.V. Svyatenko, Igor Svistunov, Оrysya Syzon, Iryna Kadyhrob, Yuliya Ovcharenko
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    TLDR The guidelines suggest using various treatments, including antidepressants and steroids, for alopecia areata and discuss the condition's genetic and immune aspects.
    The document provides clinical guidelines for diagnosing and treating alopecia areata, discussing the role of psychological disorders, the burden of the disease, and current unmet needs. It highlights the use of antidepressants, oral cyclosporine, intralesional steroid injections, and different concentrations of intralesional triamcinolone acetonide in treatment. The role of immune privilege collapse and genetic aspects of the condition are also discussed. Comorbidities and the role of micronutrients in patients with alopecia areata are covered, along with the use of methotrexate, serum iron and ferritin levels, and minoxidil. The efficacy and safety of ritlecitinib and baricitinib in treatment are discussed, as well as the use of hair prostheses in severe cases. The safety of Janus Kinase inhibitors in patients with alopecia areata is also mentioned.
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