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Alopecia areata.

J M Weitzner1

  • 1Mount Sinai Medical Center, Miami Beach, Florida.

American Family Physician
|April 1, 1990
PubMed
Summary

Alopecia areata is an autoimmune skin condition causing patchy hair loss. Treatments vary due to spontaneous remissions and relapses, with intralesional corticosteroids being common.

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Area of Science:

  • Dermatology
  • Autoimmune Diseases

Background:

  • Alopecia areata is a nonscarring hair loss condition with unknown etiology.
  • It is associated with other autoimmune conditions like vitiligo and thyroiditis.
  • Hair loss can range from localized patches to complete body hair loss.

Purpose of the Study:

  • To review the clinical presentation and treatment options for alopecia areata.
  • To highlight the challenges in assessing treatment efficacy due to disease variability.

Main Methods:

  • Literature review of alopecia areata.
  • Summary of common and experimental treatment modalities.

Main Results:

  • Treatment assessment is complicated by spontaneous remissions, individual responses, and high relapse rates.
  • Intralesional corticosteroid injection is a primary treatment.
  • Other therapies include systemic steroids, contact allergens, minoxidil, and phototherapy.

Conclusions:

  • Alopecia areata presents a therapeutic challenge.
  • Current treatment strategies aim to manage hair regrowth despite the unpredictable nature of the condition.

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