Consensus Document on the Clinical Management of Alopecia Areata: Recommendations from the Spanish Hair Research Group of the Spanish Academy of Dermatology and Venereology

March 2026 in “ Actas Dermo-Sifiliográficas ”

D. Saceda, S. Arias-Santiago, A. Barrutia, A. Combalia, J. del Boz, G. Garnacho, A. Lobato-Berezo, S. Vañó-Galván

alopecia areata JAK inhibitors corticosteroids Delphi method

TLDR JAK inhibitors are recommended for severe alopecia areata if corticosteroids fail.

The consensus document on the clinical management of alopecia areata (AA) by the Spanish Hair Research Group outlines recommendations for treating AA, emphasizing the role of JAK inhibitors for extensive cases after corticosteroid failure. Developed using the Delphi method with input from 23 dermatologists, the document achieved agreement on 81% of 125 proposed items, categorized into five recommendation groups: generalities, localized AA, moderate AA, extensive AA, and special situations. The aim is to guide health professionals in managing AA using expert consensus and scientific evidence.

View this study on sciencedirect.com →

Discuss this study in the Community →

Related Community Posts Join

6 / 1000+ results

community Saw a local dermatologist recently, they suggested switching from Finasteride to Dutasteride…

in Finasteride/Dutasteride 20 upvotes 5 months ago

The user experienced hair loss and initially saw improvement with Finasteride but is now considering switching to Dutasteride due to lack of recent results. They plan to add topical Minoxidil and are awaiting biopsy results to determine the cause of hair loss.

community Rare Non responder to Finasteride, Dutasteride, and oral minoxidil

in Minoxidil 78 upvotes 2 years ago

A user did not respond to finasteride, dutasteride, and oral minoxidil for hair loss after four years of treatment and is considering scalp micropigmentation (SMP). Other users suggest the hair loss pattern may indicate alopecia areata and recommend seeing a dermatologist.

community The Worst Hair Loss Condition You (MAY) have: LPP

in Research/Science 52 upvotes 1 year ago

Lichen Planopilaris (LPP) is an autoimmune condition causing permanent hair loss and fibrosis, often misdiagnosed. Treatments include pioglitazone, topical corticosteroids, anti-inflammatory medication, and Jak inhibitors.

community Boys I am just a gonner. What on earth is my scalp even going through. Looks like world war 3. Pyril 3 months. Topical melitonin/progesterone/fin, dut, fin, oral min, laser trash, anus stimulation. Nothing. Donor area is decimated 😂.

in Progress Pictures 83 upvotes 3 years ago

Treating Seborrheic Dermatitis, a fungal scalp condition which can cause hair loss. Treatments discussed include antifungal shampoos, cold showers, exfoliating the scalp, taking Vitamin D, and stimulating the prostate through the anus.

community Hair came back in 3 months at 39y/o.

in Progress Pictures 421 upvotes 2 years ago

A user shared their successful hair regrowth using a combination of minoxidil, caffeine, biotin, and RU58841, along with weekly dermarolling. However, others advised against the user's plan to switch to rosemary oil and microneedling only, emphasizing the importance of continuing the current treatment to maintain the results.

community If You Have DUPA, PLEASE READ THIS: Everyone Should Be Scalp Biopsied

nkrata in Research 830 upvotes 1 year ago

Scalp biopsies are crucial for diagnosing hair loss conditions like Diffuse Unpatterned Alopecia (DUPA) and retrograde hair loss, as treatments like finasteride and dutasteride may not be effective if other conditions are present. Combining PPAR-GAMMA agonists with retinoids could improve treatments for conditions like Lichen Planopilaris.

Similar Research

5 / 1000+ results

research II Consensus of the Brazilian Society of Dermatology for the Treatment of Alopecia Areata

5 citations , December 2024 in “Anais Brasileiros de Dermatologia”

Treat alopecia areata with personalized plans, using corticosteroids for mild cases and Janus Kinase inhibitors for severe cases, while also offering psychological support.

research Consensus on the Treatment of Alopecia Areata – Brazilian Society of Dermatology

23 citations , October 2020 in “Anais brasileiros de dermatologia/Anais Brasileiros de Dermatologia”

Tailored treatments for alopecia areata are recommended based on severity and patient needs.

research Epidemiology, Diagnosis and Management of Alopecia Areata: An Asia-Pacific Modified Delphi Expert Panel Recommendations

February 2026 in “International Journal of Dermatology”

Experts recommend specific treatments for alopecia areata based on age and severity, emphasizing the need for better treatments and acknowledging its psychological impact.

research Expert Consensus on Systemic Treatment Activation and Grading Evaluation for Alopecia Areata

December 2025 in “Chinese Medical Journal”

Experts recommend starting systemic treatment for alopecia areata when the condition is severe or causes significant distress.

research Treatments for Alopecia Areata: A Network Meta-Analysis

October 2023 in “The Cochrane library”

The medicine baricitinib was found to notably improve hair regrowth in alopecia areata, but more research is needed on its side effects and other treatments.