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Intralesional corticosteroids remain effective treatment option for patchy Alopecia areata: Study

Dr. Shravani DaliWritten by Dr. Shravani Dali Published On 2024-12-24T22:00:20+05:30  |  Updated On 24 Dec 2024 10:00 PM IST
Intralesional corticosteroids remain effective treatment option for patchy Alopecia areata: Study
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Intralesional corticosteroids remain an effective treatment option for patchy Alopecia areata, reveals research published in the Archives of Dermatological Research.

Alopecia areata (AA) is a chronic, immune-mediated inflammatory disorder characterized by nonscarring hair loss. The management of Alopecia areata poses challenges due to its unpredictable course and variable response to treatment. In this comparative study, we evaluated the efficacy and safety of oral apremilast, intralesional corticosteroids (ILC) and a combination of both in patients with patchy Alopecia areata. Sixty patients with patchy Alopecia areatawere randomly assigned to three treatment groups: oral apremilast (Group A), ILC (Group B), and a combination of both (Group C). The Severity of Alopecia Tool (SALT) score was used to assess the extent of hair loss before treatment, after 3 months, and at 6 months of follow-up. Adverse events and complications were also monitored. The changes in SALT score from baseline between the three groups were assessed by using non-parametric statistical tests. The statistical significance was judged at 5% level of significance. Results: Findings demonstrated significant higher reduction in median SALT scores after treatment i.e., 2.47 (1.76, 5.07), p < 0.001 as well as after six months follow up 5.08 (3.80, 7.53), p < 0.001 in patients treated with ILC compared to other two groups. Neither apremilast monotherapy nor its combination with ILC demonstrated statistically significant improvement, although individual responses were observed. Complications were minimal, with transient pain and burning sensation reported during ILC injections and a few cases of gastritis and relapse in the oral apremilast group. These findings suggest that ILC remains an effective treatment option for patchy Alopecia areata. This study did not demonstrate statistically significant efficacy of oral apremilast, either as monotherapy or in combination with ILC, though larger studies may be needed to evaluate potential benefits in specific patient subgroups. Further research with larger sample sizes and longer-term follow-up is needed to validate these findings and optimize treatment approaches for Alopecia areata.


Reference:

Awasthi, S., Nijhawan, M., Mishra, A. et al. Comparing the efficacy of oral apremilast, intralesional corticosteroids, and their combination in patients with patchy alopecia areata: a randomized clinical controlled trial. Arch Dermatol Res 317, 129 (2025). https://doi.org/10.1007/s00403-024-03642-5


Keywords:

Intralesional, corticosteroids, remains, effective, treatment, option, patchy, Alopecia areata, reveals, research, Archives of Dermatological Research, Awasthi, S., Nijhawan, M., Mishra, A




IntralesionalcorticosteroidsremainseffectivetreatmentoptionpatchyAlopecia areata
Source : Archives of Dermatological Research
Dr. Shravani Dali
Dr. Shravani Dali

    Dr. Shravani Dali has completed her BDS from Pravara institute of medical sciences, loni. Following which she extensively worked in the healthcare sector for 2+ years. She has been actively involved in writing blogs in field of health and wellness. Currently she is pursuing her Masters of public health-health administration from Tata institute of social sciences. She can be contacted at editorial@medicaldialogues.in.

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