Efficacy of Trichloroacetic Acid in Patients with Alopecia Areata: A Clinico-Histopathological Study

Background: Alopecia areata is an autoimmune disorder caused by a breakdown in the follicular immune privilege system, resulting in non-scarring hair loss. Many therapeutic options have been tested with variable results.  Aim of the work: To assess the efficacy of trichloroacetic acid [TCA] 35% in p...

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Main Authors: Hossam Anter, Amr Zaky, Ahmed Nouh, Mohamed El-Khalawany
Format: Article
Language:English
Published: Al-Azhar University, Faculty of Medicine (Damietta) 2023-02-01
Series:International Journal of Medical Arts
Subjects:
Online Access:https://ijma.journals.ekb.eg/article_297257_c7f6716ce2227ddb9d96938a184dcbd4.pdf
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author Hossam Anter
Amr Zaky
Ahmed Nouh
Mohamed El-Khalawany
author_facet Hossam Anter
Amr Zaky
Ahmed Nouh
Mohamed El-Khalawany
author_sort Hossam Anter
collection DOAJ
description Background: Alopecia areata is an autoimmune disorder caused by a breakdown in the follicular immune privilege system, resulting in non-scarring hair loss. Many therapeutic options have been tested with variable results.  Aim of the work: To assess the efficacy of trichloroacetic acid [TCA] 35% in patients of alopecia areata.Patients and Methods: This prospective cross-sectional study included 40 patients recruited from department of dermatology and venereology, Al-Hussein hospital. Every patient was treated by 3 sessions of TCA 35% with one-month intervals. The assessment was done by clinical, trichoscopy, and histopathological examination.Results: The study included 40 patients, 22 males [55%] and18 females [45%]. The mean age of studied patients was 25.6 ± 8.6 years with a minimum age of 16 years and a maximum age of 50 years. The duration of the disease ranged between 2 months and 10 years with a mean duration of 2.7 ± 2.5 years. Thirty patients [75%] showed improvement at the end of TCA sessions.Conclusion: Based on our findings, topical application of TCA 35% is a safe and effective treatment option for patients with alopecia areata. Moreover, it can be used in wide areas of the scalp and cases of alopecia totalis.
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spelling doaj.art-57d92ec1371d4c008b33ba574a2e6dd62024-01-05T19:36:12ZengAl-Azhar University, Faculty of Medicine (Damietta)International Journal of Medical Arts2636-41742682-37802023-02-01523033303810.21608/ijma.2023.197060.1634297257Efficacy of Trichloroacetic Acid in Patients with Alopecia Areata: A Clinico-Histopathological StudyHossam Anter0Amr Zaky1Ahmed Nouh2Mohamed El-Khalawany3Department of Dermatology, Faculty of Medicine, Al-Azhar University, Cairo, EgyptDepartment of Dermatology, Faculty of Medicine, Al-Azhar University, Cairo, EgyptDepartment of Dermatology, Faculty of Medicine, Al-Azhar University, Cairo, EgyptDepartment of Dermatology, Faculty of Medicine, Al-Azhar University, Cairo, EgyptBackground: Alopecia areata is an autoimmune disorder caused by a breakdown in the follicular immune privilege system, resulting in non-scarring hair loss. Many therapeutic options have been tested with variable results.  Aim of the work: To assess the efficacy of trichloroacetic acid [TCA] 35% in patients of alopecia areata.Patients and Methods: This prospective cross-sectional study included 40 patients recruited from department of dermatology and venereology, Al-Hussein hospital. Every patient was treated by 3 sessions of TCA 35% with one-month intervals. The assessment was done by clinical, trichoscopy, and histopathological examination.Results: The study included 40 patients, 22 males [55%] and18 females [45%]. The mean age of studied patients was 25.6 ± 8.6 years with a minimum age of 16 years and a maximum age of 50 years. The duration of the disease ranged between 2 months and 10 years with a mean duration of 2.7 ± 2.5 years. Thirty patients [75%] showed improvement at the end of TCA sessions.Conclusion: Based on our findings, topical application of TCA 35% is a safe and effective treatment option for patients with alopecia areata. Moreover, it can be used in wide areas of the scalp and cases of alopecia totalis.https://ijma.journals.ekb.eg/article_297257_c7f6716ce2227ddb9d96938a184dcbd4.pdfalopeciahair lossalopecia areatatrichloroacetic acid
spellingShingle Hossam Anter
Amr Zaky
Ahmed Nouh
Mohamed El-Khalawany
Efficacy of Trichloroacetic Acid in Patients with Alopecia Areata: A Clinico-Histopathological Study
International Journal of Medical Arts
alopecia
hair loss
alopecia areata
trichloroacetic acid
title Efficacy of Trichloroacetic Acid in Patients with Alopecia Areata: A Clinico-Histopathological Study
title_full Efficacy of Trichloroacetic Acid in Patients with Alopecia Areata: A Clinico-Histopathological Study
title_fullStr Efficacy of Trichloroacetic Acid in Patients with Alopecia Areata: A Clinico-Histopathological Study
title_full_unstemmed Efficacy of Trichloroacetic Acid in Patients with Alopecia Areata: A Clinico-Histopathological Study
title_short Efficacy of Trichloroacetic Acid in Patients with Alopecia Areata: A Clinico-Histopathological Study
title_sort efficacy of trichloroacetic acid in patients with alopecia areata a clinico histopathological study
topic alopecia
hair loss
alopecia areata
trichloroacetic acid
url https://ijma.journals.ekb.eg/article_297257_c7f6716ce2227ddb9d96938a184dcbd4.pdf
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AT ahmednouh efficacyoftrichloroaceticacidinpatientswithalopeciaareataaclinicohistopathologicalstudy
AT mohamedelkhalawany efficacyoftrichloroaceticacidinpatientswithalopeciaareataaclinicohistopathologicalstudy