Alopecia areata - 斑秃https://en.wikipedia.org/wiki/Alopecia_areata
斑秃 (Alopecia areata) 是一种局部毛发脱落的疾病。通常,它会导致头皮出现数个秃斑,每个秃斑约有硬币大小。该病可能与心理压力有关。

斑秃被认为是一种与毛囊免疫系统相关的自身免疫性疾病。潜在机制涉及机体无法识别自身细胞,进而导致免疫介导的毛囊破坏。

治疗 - 非处方药
部分轻度斑秃患者在无需治疗的情况下可于一年内自行恢复,但多数患者会在头皮的其他部位出现复发。
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治疗
病灶内注射类固醇是最有效的治疗方法。若大面积头皮受累,可考虑免疫疗法。
#Triamcinolone intralesional injection
#DPCP immunotherapy
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  • 斑秃 (Alopecia areata) 常出现在头皮后部。典型情况下,它会突然出现,斑块表面光滑,直径约 2-3 厘米。
  • 多发性圆形脱发
References Alopecia areata 28300084 
NIH
Alopecia areata 是一种免疫系统攻击毛囊的疾病,导致暂时性脱发且不留下疤痕。它可表现为局部斑秃,也可累及整个头皮或全身。约有 2% 的人在其一生中的某个阶段受到影响。其根本原因似乎是毛囊周围自然保护层的破坏。
Alopecia areata is an autoimmune disorder characterized by transient, non-scarring hair loss and preservation of the hair follicle. Hair loss can take many forms ranging from loss in well-defined patches to diffuse or total hair loss, which can affect all hair-bearing sites. Patchy alopecia areata affecting the scalp is the most common type. Alopecia areata affects nearly 2% of the general population at some point during their lifetime. A breakdown of immune privilege of the hair follicle is thought to be an important driver of alopecia areata.
 Alopecia Areata: An Updated Review for 2023 37340563 
NIH
Alopecia areata 是一种免疫系统攻击毛囊的病症,导致头皮和身体其他多毛部位脱发。它影响全世界约 2% 的人。虽然可发生在任何年龄段,但儿童的发病率高于成人 (1.92% vs. 1.47%)。女性,尤其是 50 岁以上的女性,往往比男性更易出现此情况。将皮质类固醇直接注射到受影响区域的效果优于局部涂抹。
Alopecia areata is an immune-mediated condition leading to non-scarring alopecia of the scalp and other hair-bearing areas of the body. It affects up to 2% of the global population. It can affect all ages, but the prevalence appears higher in children compared to adults (1.92%, 1.47%). A greater incidence has been reported in females than males, especially in patients with late-onset disease, defined as age greater than 50 years. Intralesional injection of corticosteroids has been reported to lead to better responses compared to topical steroids.