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Rapidly recurrent progressing Multiple patches of alopecia areata in 7.5 years

Clinical dermatology & dermatologic surgery

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Anonymous

September 18th, 2025 15:46

Patient description

n/a

Case description

7.5 year old child suffering from Multiple small patches of alopecia areata was cured completely with (pulse oral corticosteroid (prednisolone), topical steroids & topical minoxidil) then after 2 weeks of stopping all treatments,

a very rapidly Progressive active lesions appear so, started again pulse steroids (dexamesathone), topical steroids, topical tacrolimus;topical minoxidil) without any response for 1 month also increasing ,progressive, active lesions .

Labs :.ANA negative, antithyroid antibodies negative

Normal labs

What's is the best management plan for this case ?

What's your experience in using methotrexate or Jak inhibitor in this 7.5 year child ?

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Dr. Nehal GADALLAH

Dermatologist, Egypt

October 7th, 2025 11:04

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Rapidly recurrent progressing Multiple patches of alopecia areata in 7.5 years

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