scholarly journals Treatment of alopecia areata affecting both eyebrows: case study

Author(s):  
Shafia Mushtaq ◽  
Salisa Shafi ◽  
Shahnaz Hafeez Kawoosa

<p><em>Safa</em> (alopecia areata) means loss of hairs where ordinarily hair would be found. <em>Safa</em> (AA) is a type of non scaring alopecia that affects males and females equally and occurs in both children and adults. About 2% of the patients are affected and come to outpatient department for care. It is characterized by reversible hair loss most commonly involving the scalp although other parts of head, including eyelashes and beard may also be affected. A patient 16 years old was given Unani medicine for 45 days as local application on lateral aspects of eyebrows twice daily for thirty days and once for later 15 days. New hairs were seen on affected areas after one month, after 45 days normal hairs were seen on affected sites. It can be concluded that Unani medicine is effective in treating alopecia.</p>

Author(s):  
Nagendra S. Manthale ◽  
Dayanand R. Raikar ◽  
Shrinivas R. Raikar

<p class="abstract"><strong><span lang="EN-US">Background:</span></strong>Alopecia areata (AA) is one of the common causes of localized hair loss among the patients attending the outpatient department. The objective of this study was to know the clinical and epidemiological profile of AA and to compare the efficacy of different topical treatment modalities in AA.</p><p class="abstract"><strong><span lang="EN-US">Methods:</span></strong>100 patients of any age group and of both sexes presenting with AA to the dermatology outpatient department were included in this study. It was conducted as a randomized prospective study for a period of 12 weeks after taking an informed consent from the patient. After studying the clinical profile, patients were randomly distributed, excluding the age and sex bias into four treatment groups. Alopecia grading scale (AGS) was calculated at first visit and 12 weeks. Regrowth score (RGS) was calculated at 12 weeks. Treatment outcome in different groups were compared using mean AGS at 12 weeks and RGS.<strong></strong></p><p class="abstract"><strong><span lang="EN-US">Results:</span></strong>Group A patients showed statistically significant clinical improvement when compared to all the other groups. Poorest response was seen in Group D. Intermediate response was seen in Group B and C patients.</p><p class="abstract"><strong><span lang="EN-US">Conclusions:</span></strong>The study concluded that topical 0.05% betamethasone dipropionate is the most effective treatment modality in patients with patchy AA (having &lt;25% hair loss).</p>


1980 ◽  
Vol 46 (3) ◽  
pp. 875-881 ◽  
Author(s):  
Judith E. Stowe ◽  
Edward Goldenberg

Systematic desensitization and relaxation were employed to examine their effects on hair growth in a 20-yr.-old male with a 4-yr. history of alopecia areata. Six bald scalp patches were photographed over 6 mo.; 2 ordered hierarchies involving interpersonal and compulsive themes were presented in 8 treatment sessions. Results indicated nearly complete hair regrowth over the 6 mo., with no new appearances of bald patches. Both rate and duration of growth exceeded that reported in dermatological literature, suggesting that autonomic activity associated with anxiety and nervousness are correlated with physiological changes precipitating hair loss.


Author(s):  
Seema J. MB ◽  
U. Sreelekshmi ◽  
Radhika Ranjan Geethesh P

Attitudes towards different hair, such as hairstyles and hair removal, vary widely across different cultures and historical periods, but it is often used to indicate a person's personal beliefs or social position, such as their age, sex, or religion. As hair is considered as barometer of beauty each one is over conscious about it and is in search for a better remedy for the maintenance and management of their crowning glory. Alopecia areata is characterized by acquired skin aliment that can affect all the hair bearing skin including scalp, beard, which is characterized by localized areas of non-scarring hair loss which can be compared with Indralupta. Hence all these are pointing towards a better and affordable remedy which can be provided much effectively by our ancient science Ayurveda. Hence considering all these the treatment was planned for a week with internal administration of Vidangarishta along with Krimikutararasa and Shatavari Guda as Rasayana. Also an external application of milky exudates of papaya over the scalp region where head bath was not allowed as per the strict rule of our Acharya for more precise result. The results shown were profound, quick and permanent and are an outstanding evidence of clinical application of principles of Ayurveda.


2013 ◽  
Author(s):  
Danessa Mayo ◽  
Adrianna E. Holness ◽  
Kimberly R. Freeman ◽  
Joshua P. Morgan ◽  
Susanne B. Montgomery

Author(s):  
Rahul Kumar Sharma, Divya Sharma, Rajendra Kumar Sharma

Alopecia areata (AA) is a type of non-scarring alopecia first described by Cornelius Celsus, characterized by hair loss without any clinical inflammatory signs and affecting both males and females equally. The activity of AA is by the presence of black dots, broken hair, and tapering, furthermore black dots and yellow dots are equated to severity of AA. Aim - To study dermoscopic features of untreated cases of alopecia areata. Study subjects-All the patients who attended the dermatology clinic from March 2015 to March 2017 with the clinical diagnosis of alopecia areata and who fulfilled the inclusion and exclusion criteria. Study period - Two year (from March 2015 to March 2017). Methodology - All the patients who attended the dermatology clinic from March 2015 to March 2017 with the diagnosis of alopecia areata and who fulfilled the inclusion and exclusion criteria were recruited for the study. Trichoscopy was performed with DL4 dermatoscope. The images were further magnified with smart phone. Results - We got various dermoscopic signs in different combinations in our study. Yellow dots were seen in 10 cases, White dots in cotton wool pattern were seen in 3 cases, Black dots were seen in 25 cases, Dermoscopic coudability sign was demonstrated in 38 cases, Pigtail hairs were present in 2 cases, five cases showed short vellus hairs, Short broken hairs were found in 18 cases, Exclamation mark hairs were very common and were detected in 131 patients out of 138. Discussion - Single feature is not leading to the diagnosis so we should use combination of features which will help in difficult cases like AA incognito. Dermatoscope is an indispensible valuable tool in trichology practice which helps in prognosticating and making early diagnosis of AA. It also helps to differentiate it from trichotillomania and other causes of alopecia. In our study the incidence of AA was almost similar in both sexes. Our study revealed that exclamation mark hair is very common and sensitive dermoscopic marker of AA.


2021 ◽  
pp. 1-5
Author(s):  
Chloe J. Walker ◽  
Kelly E. Flanagan ◽  
James T. Pathoulas ◽  
Isabel Pupo Wiss ◽  
Maryanne M. Senna

<b><i>Introduction:</i></b> Tocilizumab (TCZ), a recombinant humanized antihuman monoclonal antibody targeting interleukin-6 (IL-6) signaling, is often utilized in the management of autoimmune disease. Few reports have demonstrated hair growth changes in patients on TCZ. <b><i>Case Presentation:</i></b> Herein, we review the literature and report a 21-year-old woman with progressive alopecia areata (AA) presenting with AA improvement while on TCZ for concomitant posterior uveitis. <b><i>Discussion:</i></b> Our case demonstrates the potential ability of TCZ to disrupt IL-6 signaling involved in AA, leading to hair loss and regrowth.


Author(s):  
Jyoti Bala Sahu

Skin is the largest organ of the body both by surface area and weight. This covers the entire body. The thickness of skin varies considerably over all parts of the body and between young and old, men and women. It helps to regulate body temperature, stores water fat and permit sensation of touch. Psoriasis is a chronic dermatosis characterized by covered by silvery loose scales. Treatment available on contemporary system is not curative but suppressive only. The prevalence of psoriasis is 8%. Prevalence equal in males and females. A case of Mandala Kustha discussed here. Patient successfully treated with Shodhana (Virechana karma) & Shamana Chikitsa. After course of 2 months treatment provides significant relief in Sign and Symptoms. In our classics mentioned Shodhana Chikitsa for Kustha Roga. Considering the sign and symptoms of patient was treated with classical Virechana karma (therapeutic purgation) and Shamana Chikitsa according to line of treatment of Kustha (Psoriasis). Assessment was done on before treatment, after treatment and after follow up of 2 months; pictures were taken before treatment and after treatment. Remarkable improvement was noticed, induration and itching after Virechana treatment.


2018 ◽  
Vol 9 (2) ◽  
pp. S25
Author(s):  
S. Sarath ◽  
Priya Sreekumar ◽  
K.S. Vimala ◽  
B. Priyalatha ◽  
P. Raiby Paul

Author(s):  
Natalie V. J. Aldhouse ◽  
Helen Kitchen ◽  
Sarah Knight ◽  
Jake Macey ◽  
Fabio P. Nunes ◽  
...  

Abstract Background Alopecia areata (AA) is characterized by hair loss that can affect the scalp and body. This study describes the psychosocial burden of AA. Methods Participants diagnosed with AA who had experienced ≥50% scalp hair loss according to the Severity of Alopecia Tool (SALT) were identified by clinicians. A semi-structured interview guide, developed with expert clinician input, included open-ended questions to explore patients’ experiences of living with AA. Data were thematically analyzed to identify concepts and relationships. Results Participants (n = 45, 58% female, mean age 33.3 years [range 15–72], mean SALT 67.2 [range 0–100]) described the AA diagnosis as “devastating”. Both males and females reported emotional and psychological impacts of AA including feeling sad/depressed (n = 21), embarrassed/ashamed (n = 10) and angry/frustrated (n = 3). Patients felt helpless (n = 5) due to the unpredictability of disease recurrence, and anxious (n = 19) about judgement from others. Many patients avoided social situations (n = 18), which impaired relationships and increased isolation. Coping strategies included concealment of hair loss through wigs or make-up, although fear of the displacement of these coverings also caused anxiety and the avoidance of activities that could result in scalp exposure (n = 22). Some patients became more accepting of AA over time, which lessened the emotional impact, though efficacious treatment was still desired. A conceptual framework was developed, and a conceptual model was created to depict the relationship between the physical signs/symptoms and the associated psychosocial effects of AA. Conclusion AA impairs patients’ emotional and psychological wellbeing, relationships and lifestyles. Greater disease awareness and effective treatments are needed.


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