Table 3 Selected treatment options for alopecia areata
TreatmentAdvantagesDisadvantages
Topical corticosteroidsInexpensiveEasy to apply at homeCan be used for large areasPainlessPoor data to support efficacyPotential for skin atrophy
Intralesional corticosteroidsCan quickly re-grow hairFairly reliable efficacyPainfulUseful for only limited areasPotential for skin atrophy
Contact sensitisation (eg, with squaric acid)Good evidence for efficacyPainlessCan be used for large areasPotential for itchy reactionNot an approved medicationHigh relapse rate
Systemic corticosteroidsCan be used for large areasPainlessPossible efficacyPotential for serious adverse effects