Treatment of Alopecia Totalis

    November 1974 in “ JAMA ”
    Walter Unger
    Image of study
    TLDR Higher doses of prednisone and triamcinolone acetonide successfully treated 8 out of 10 alopecia totalis patients.
    In a letter to the editor, the author argued that the dosages recommended by Dr. Orentreich for treating alopecia were inadequate. The author suggested starting treatment with at least 30 mg of prednisone per day, tapering to 10-15 mg/day over a month, and adjusting as needed. Additionally, intralesional steroids should be used to minimize systemic treatment, with 3 ml of a 3.33-mg/ml solution of triamcinolone acetonide administered every 2-3 weeks. The author reported successful treatment of two patients with alopecia totalis and subsequently treated a total of ten patients, eight of whom responded positively.
    Discuss this study in the Community →

    Related Community Posts Join

    6 / 1000+ results

      community Alopecia Areata Question

      in Treatment  2 upvotes 4 years ago
      A user with alopecia totalis, borderline universalis, seeks advice on getting into a Xeljanz trial or appealing insurance for coverage. They experienced significant hair regrowth but are now seeing hair loss again and want to try Xeljanz.

      community Aminexil, Nanoxidil, Stemoxydine and Kopexil. Anyone use them?

      in Question  1 upvotes 8 years ago
      Aminexil, nanoxidil, stemoxydine, and kopexil are discussed as alternatives to minoxidil for hair growth, with concerns about dependence. Minoxidil is noted for its effectiveness in transitioning hair growth phases, but dependence is mainly linked to androgenic alopecia.

      community Losing hair everywhere, idk what to do :(

       28 upvotes 7 years ago
      A 22-year-old male has been experiencing widespread hair loss for over four years, including pain and significant shedding. Treatments tried include ketoconazole shampoo, fluocinonide topical solution, biotin, ACV, and dry shampoo, but none have been effective.

    Similar Research

    5 / 1000+ results
      Treatment Strategies for Alopecia

      research Treatment Strategies for Alopecia

      34 citations , April 2009 in “Expert Opinion on Pharmacotherapy”
      Some treatments work for common baldness, but there's less evidence for other hair loss types, and more research is needed.
      Alopecia Areata: Medical Treatments

      research Alopecia Areata: Medical Treatments

      3 citations , January 2015 in “Nasza Dermatologia Online”
      Some treatments for autoimmune hair loss work, but JAK inhibitors like tofacitinib are promising for regrowth.
      Treatment Options for Alopecia

      research Treatment Options for Alopecia

      17 citations , August 2015 in “Expert Opinion on Pharmacotherapy”
      The document concludes that oral finasteride and topical minoxidil are effective for genetic hair loss, while other treatments for different types of hair loss show promise but need more research.