Treatment is not very successful, but evidence-based ones include:

Localised areas: Dermovate or equivalent under occlusive dressing (frequently causes folliculitis)Intralesional steroid injection.

Extensive hair loss: Contact sensitisation/immunotherapy (offered by specialist centres only).

Also, make sure to offer wig on NHS if extensive, and psychological support – support group if poss. Fortunately, the prognosis for localised alopecia areata of less than one year’s duration is good – 80% will resolve spontaneously.

(Pulse on-line learning module)


About Dr Sarah

I'm a GP with a husband and two young children.
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