What is the most effective treatment for a single patch of alopecia areata?
This is a common question. Corticosteroid ("Steroid") injections remain one of the most consistently effective treatment for so called "patchy" alopecia areata. This involves use of tiny 30 gauge needles connected to a syringe to adminster liquid steroid medications into the skin so that the medication can bathe the hair follicles. Despite the worry and concern, steroid injections when used in low quantity are relatively safe and side effects are uncommon. A small dimple or identation in the scalp can sometimes occur but this is temporary. Thinning of the skin does not occur with a single injection. The most commonly used corticosteroid for injection is known as triamcinolone acetonide (Kenalog) although other steroids may be used too.
This photo shows significant hair regrowth in a patch alopecia areata about 4 months after injection.
Dr. Jeff Donovan is a Canadian and US board certified dermatologist specializing exclusively in hair loss. To schedule a consultation, please call the Whistler office at 604.283.1887