![]() ![]() As second line therapies minoxidil, anthralin, and psoralen + ultraviolet light A (PUVA) can be used. Īvailable therapeutic options include intralesional and topical corticosteroids as first-line treatment in patchy AA, while more severe cases can be treated with topical immunotherapy. Important prognostic factors are the extent of hair loss and patient age at disease presentation. In Alopecia totalis (AT) and Alopecia universalis (AU), which are severe forms of AA, the chance of full hair regrowth is infrequent and is less than 10%. In AA the inflammation does not destroy hair follicles, thus the potential for hair regrowth remains. Most commonly, the disease is precipitated by emotional or physical stress, vaccines, viral infections, and drugs. The precise event that triggers alopecia areata remains unknown. Even though psycho-emotional stress and hair loss can be related, the exact mechanism of interaction is still not fully understood.Īlopecia universalis: hair loss across the entire scalp and face (including eyebrows and eyelashes) and the rest of the body. Although our patient is a well-balanced person, capable to deal with practical and everyday issues, grief was the only trigger that could be related to this sudden hair regrowth. In addition, hair regrowth was probably triggered by a stressful event. She was referred to a dermatologist for further evaluation, and hair regrowth was confirmed on the scalp and body.Īlthough the potential for regrowth of hair in patients with Alopecia areata, even in the severe form of Alopecia universalis, is retained, this is an interesting case because hair regrowth is occurring after 35 years. The patient reported a stressful event (sudden loss of her husband) six months ago and a complete change in her daily activities, as she had to take over a family business and deal with many practical issues. Left eye, A) facial hair regrowth (black arrow) and B) eyelashes regrowth 1)) and partial regrowth was described in her left eye (Figure 2 (Fig. At a second follow-up visit after 2 months, almost full regrowth of eyelashes was observed in her right eye (Figure 1 (Fig. Slit-lamp examination revealed eye-lashes regrowth. The patient’s ocular history was remarkable. In the last 2 years, she has been in asymptomatic menopause transition. The patient’s past medical history revealed recurrent first-trimester miscarriages, with no specific causes found in the work-up. Her condition was well accepted by her husband and family and she had a normal social life and a healthy self-esteem.ĭuring these years, extended diagnostic work-up was performed thyroid and autoimmune diseases, anemia and other dermatological diseases were ruled out. The patient was not able to recall specific details of the treatments received. Since the age of 20 years old, despite topical and systemic treatments, there was no hair regrowth. She reported complete eyelash loss, with upper and lower eyelid involvement in both eyes. The patient was diagnosed with Alopecia areata (AA) at 18 years of age and progressed to Alopecia universalis within a year. A 55-year-old woman presented at our department with a complaint of foreign body sensation, redness and itching in both her eyes for the past 3 weeks. ![]()
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