Abstract
Alopecia areata (AA) is a common and distressing condition in populations worldwide. The course of this condition is unpredictable and remains elusive. Patients with AA have a negative appraisal of their self-image, resulting in a demand for any effective treatment options. Hair transplantation might be considered for those patients who have exhausted standard clinical therapies for a period of time. However, the appropriate time to do hair transplantation in recalcitrant alopecia areata is still in question, or may be never.
Highlights
Alopecia areata (AA) is a common and distressing condition in populations worldwide
A 31-year old Asian male presented with a 6-year history of patchy hair loss on his scalp and right eyebrow
He was initially seen by dermatologists and had been treated with topical corticosteroids, intra lesional corticosteroid and 5% minoxidil lotion for the past 5-6 years without improvement
Summary
Alopecia areata (AA) is a common and distressing condition in populations worldwide. The course of this condition is unpredictable and remains elusive. The patient was eager to undergo hair transplantation since he had to keep his hair long to comb it downward to hide the hair loss on the scalp and right eyebrow. The informed consent and long-term risk of treatment failure as well as disease recurrence were explained and discussed with the patient.
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