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Alopecia areata treated using CO2 fractional laser with different parameters
Hui Wu1, Zezhi He2, Haojia Shen2
1Guangzhou Institute of Dermatology, Guangzhou, China.
Lasers in Medical Science
|January 17, 2025
Summary
CO2 fractional laser therapy, combined with oral prednisone acetate and topical Siyadan ointment, effectively treated alopecia areata (AA) in a pediatric case. Different laser parameters showed varied hair regrowth results.
Area of Science:
- Dermatology
- Laser Therapy
- Trichology
Background:
- Alopecia areata (AA) is an autoimmune condition causing hair loss.
- CO2 fractional laser therapy shows promise for AA treatment, but large-scale comparisons are lacking.
- Optimal treatment parameters for CO2 laser in AA require further investigation.
Purpose of the Study:
- To present a case study on the efficacy of CO2 fractional laser in treating pediatric alopecia areata.
- To evaluate the combined effect of medical and laser therapies for AA.
- To observe the impact of varying CO2 laser parameters on hair regrowth in AA.
Main Methods:
- A 13-year-old male with AA received a combination therapy.
- Medical treatment included oral prednisone acetate and compound Siyadan ointment.
- CO2 fractional laser treatment was administered monthly with diverse parameters across different lesional areas.
Main Results:
- Complete resolution of AA lesions was achieved after three months of combined treatment.
- Significant hair regrowth was observed in the treated areas.
- Variations in hair growth density and coverage were noted correlating with different CO2 laser parameters used.
Conclusions:
- Combined therapy of CO2 fractional laser, oral prednisone acetate, and topical Siyadan ointment can be effective for pediatric AA.
- The study highlights the potential influence of CO2 fractional laser parameters on treatment outcomes in AA.
- Further research with larger cohorts is warranted to establish optimal laser settings for AA management.

