Annular Alopecia Areata- how to treat?
A 25-year-old male patient who presented with the chief complaints of asymptomatic loss of hair at multiple sites over the scalp for 2 month. Hair loss was annular in pattern as it was more obvious at the periphery compared with the center of the patch. There was no history of similar illness in family members and also no history of drug intake and trauma. On examination, there were multiple well-defined annular patches of non-scarring alopecia of size ranging from 2 cm × 3 cm to 4 cm × 4 cm present mainly at parietal and occipital region of scalp.
@manav There is currently no cure for alopecia areata, although there are some forms of treatment that can be suggested by doctors to help hair re-grow more quickly. The most common form of alopecia areata treatment is the use of corticosteroids, powerful anti-inflammatory drugs that can suppress the immune system. These are mostly commonly administered through local injections, topical ointment application, or orally. Other medications that can be prescribed that either promote hair growth or affect the immune system include Minoxidil, Anthralin, SADBE, and DPCP. Although some of these may help with the re-growth of hair, they cannot prevent the formation of new bald patches. The use of photochemotherapy is supported by some studies and presents a potential alternative for patients unable or unwilling to use systemic or invasive therapies. In addition to its aesthetic aspect, hair affords a degree of protection against the elements. People with alopecia areata who miss the protective qualities of hair may wish to:
• Wear sunscreen if exposed to the sun.
• Wear wraparound glasses to protect the eyes from the sun and debris which the eyebrows and eyelashes would normally defend against.
• Use headwear such as hats, wigs, and scarves to protect the head from the sun or keep it warm.
• Use ointment inside the nose to keep membranes moist and to protect against organisms that are normally trapped by nostril hair.
Alopecia areata does not directly make people sick, nor is it contagious. It can, however, be difficult to adapt to emotionally. For many people, alopecia areata is a traumatic disease that warrants treatment addressing the emotional aspect of hair loss, as well as the hair loss itself.