Comparison of Trichoscopic Features of Alopecia Areata Before and After Treatment with Intralesional Steroids
March 2025
in “
Pakistan Journal of Health Sciences
”
TLDR Intralesional steroids improve Alopecia Areata, and trichoscopy effectively tracks this improvement.
This study evaluated the effectiveness of intralesional steroids in treating Alopecia Areata by comparing trichoscopic features before and after treatment in patients aged 18 to 60 with a SALT Score of less than 50. After 12 weeks of treatment with intralesional triamcinolone acetate, there was a significant reduction in the mean SALT Score from 9.91 to 4.94. Trichoscopic features such as black dots, exclamation mark hairs, and yellow dots decreased significantly, while the presence of short vellus hair and circle hair increased. The study concludes that Trichoscopy is a valuable tool for monitoring therapeutic response in Alopecia Areata, as it effectively demonstrates clinical improvement through changes in these features.