Advances in the management of alopecia areata.

摘要: Spontaneous remission occurs in up to 80% of patients with limited patchy alopecia areata (AA) within 1 year. Therefore, not all AA simplex/multiplex need extensive treatments, and “wait see” is one the choices for some patients. However, once hair loss show progressive course, it really difficult manage well may be recalcitrant any treatment cases. Hair symptom life-threatening but severely decreases quality life. There have been two widely known guidelines from British Association Dermatologists National Alopecia Areata Foundation (USA). These substantial provide clues dermatologists needed updated. Recently, Japanese Dermatological also published a guideline management AA. This suggests treatments followed by recommendations evidence levels. Several new are added such as corticosteroid pulse therapy antihistamine drugs addition historical therapies. Although highly recommended therapies still contact immunotherapy local injection corticosteroid, result improvement use appropriate decided age, type, disease course desire patient.