ALOPECIA AREATA

Question 1

Alopecia Areate. Pathophysiology and clicical feature+ area

Answer 1

autoimmune disorder characterized by patches of complete hair loss often localized to scalp, but can affect eyebrows, beard, eyelashes, etc.

Question 2

Alopecia Areata. Associated nails alterations

Answer 2

may be associated with dystrophic nail changes – fine stippling, pitting

Question 3

Alopecia Areate. Hair Pattern

Answer 3

“exclamation mark” pattern (hairs fractured and have tapered shafts, i.e. looks like “!”)

Question 4

Alopecia Areata. Associated systemic alterations

Answer 4

may be associated with pernicious anemia, vitiligo, thyroid disease, Addison’s disease

Question 5

Alopecia Areate. Regrowth

Answer 5

spontaneous regrowth may occur within months of first attack (worse prognosis if young at age of onset
and extensive loss)

Question 6

Alopecia Areata. Recurrence?

Answer 6

frequent recurrence often precipitated by emotional distress

Question 7

Alopecia Areate. alopecia totalis:

Answer 7

complete loss of hair on scalp

Question 8

Alopecia Areata. alopecia universalis:

Answer 8

complete loss of scalp hair, eyelashes, eyebrows, and body hair

Question 9

Alopecia Areate. can there be a good prognosis?

Answer 9

excellent prognosis for localized disease

Question 10

Alopecia Areate. Local treatment

Answer 10

topical corticosteroids and intralesional triamcinolone acetonide (corticosteroids) can be used for isolated patches

Question 11

Alopecia Areata. management in severe cases

Answer 11

systemic immunosuppressants for refractory or extensive disease
• immunomodulatory (diphencyprone, anthralin)