Alopecia areata (AA) is common skin condition seen in Skin clinics. It is T lymphocyte -mediated autoimmune disease of the hair follicle. It is characterized by patchy hair loss developing in otherwise normal skin, with ‘exclamation mark’ hairs around margins of expandings areas. most cases are limited to one or more coin- sized patches, in severe cases there may be complete baldness of a scalp (alopecia totalis, AT) or of the entire body (alopecia universalis, AU). According to Dermatologist in Delhi The alopecia is non- cicatrizing, and in most cases resolves spontaneously after a few months.
Specific Investigations
Consider complete blood count, thyroid function tests, serum B and auto antibodies as a screen for associated autoimmune conditions.
First- Line Therapy
- Intralesional steroids
- Topical immunotherapy
Second- Line Therapy
- Topical corticosteroids
- Topical minoxidil
- Phototherapy
- Retinoic acid
Skin specialist in Delhi recommends early treatment for best results.