Insights Into the Diagnostics and Therapeutics of Alopecia Areata: An Indian Context

    December 2025 in “ Indian Dermatology Online Journal ”
    Rahul Mahajan, Dipankar De
    TLDR Improved diagnosis and affordable topical treatments are essential for managing alopecia areata in India.
    The document discusses the diagnosis and treatment of alopecia areata (AA) in India, highlighting the role of dermoscopy as a practical tool for diagnosis and monitoring. It emphasizes the need for standardized dermoscopic criteria and improved topical drug delivery systems. While systemic therapies like JAK inhibitors have shown efficacy, affordable topical treatments remain crucial in resource-limited settings. Topical therapies, including corticosteroids, minoxidil, and vitamin D analogs, are commonly used, with vitamin D showing a 53.7% response rate in limited disease. The document calls for well-designed trials to assess new treatments and delivery methods, ensuring they are accessible and effective across diverse healthcare environments.
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