Alopecia areata universalis L63.1

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

alopecia areata maligna

Definition
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Most severe, generalized form of alopecia areata with reversible, sometimes even irreversible loss of all body hair over time.

Internal therapy
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Glucocorticoids, systemic ones such as prednisolone (e.g. Decortin H) in low to medium dosage over a limited period of time. Zinc hydrogen aspartate (e.g. Unizink) 2 times/day 50 mg p.o. S.a. Alopecia areata.

Alternatively: Methylprednisolone i.v. (high dosage - 500mg/day i.v.) in a monthly interval therapy over 3 months.

Literature
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  1. Kaelin U et al (2006) Treatment of alopecia areata partim universalis with efalizumab. J Am Acad Dermatol 55: 529-532
  2. Smith A et al (2015) High Relapse Rates Despite Early Intervention with Intravenous Methylprednisolone Pulse Therapy for Severe Childhood Alopecia Areata. Pediatr Dermatol doi: 10.1111/pde.12578.
  3. Lux-Battistelli C (2015). Combination therapy with zinc gluconate and PUVA for alopecia areata totalis: an adjunctive but crucial role of zinc supplementation. Dermatol Ther doi: 10.1111/dth.12215

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 29.10.2020