Treatment of alopecia areata includes:
Alopecia areata is an autoimmune disease of hair follicles, which causes hair loss in sharply defined areas of skin. At the periphery of the bald patch “Exclamation Mark Hair” is seen. Various nail changes can be seen—one is thimble pitting.
The following 'treatments' have been used:
i. Potent topical steroids or systemic steroids;
ii. Photochemotherapy with PUVA;
iv. Diphencyprone; and
v. Topical minoxidil.
Extra Edge: Alopecia Areata
a. Non-cicatricial alopecia of unknown cause but is believed to be autoimmune..
b. Typically, there are patches that are perfectly smooth and without scarring.
c. Tini hairs 2-3 mm in length, called 'exclamation hairs' are seen.
d. Involvement may extent to all of the scalp hair (Alopecia totalis) or to all scalp and body hair (Alopecia universalis)
e. May be associated with - Hashimoto's thyroiditis, pernicious anemia, Addison's disease and vitiligo.
f. T/t: Intralesional steroids
--> Androgenetic alopecia is Male pattern, of alopecia, genetic predisposition is common.
--> Telogen effluvium is transitory ↑ in the no. of hairs in the telogen (resting) phase of hair: growth.
--> Scarring (cicatricial) alopecia are irreversible and permanent causes are chemical, physical trauma, Lichen planus, HZV, Chronic DLE, Scleroderma, ionizing radiation and severe bacterial, fungal infections-kerion