Management of Alopecia and Onychomycosis in a Lupus Patient

This case report describes a 33-year-old female with cutaneous lupus erythematosus (CLE) who suffered from alopecia universalis and onychomycosis. Initial treatments with corticosteroids, antifungal therapy, and methotrexate were ineffective. However, significant improvement in hair and nail growth was achieved after introducing mycophenolic acid. The report underscores the importance of distinguishing CLE-related alopecia from other conditions and highlights mycophenolic acid as an effective third-line treatment for promoting hair and nail regrowth.