Clinical Edge

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Review Looks at Natural Course of Alopecia Areata in Young Children

Key clinical point: Most children who present with alopecia areata before age 4 years have mild disease, and those who present with severe disease are more likely to worsen or remain severe over time.

Major finding: More than half (57.6%) of patients initially had patch‐stage alopecia and SALT scores in the mild range (0%‐24%), while 28% initially had high SALT scores (50%-100%). At follow-up visits, the proportion of patients with mild, patchy alopecia was 49.4% at 3-6 months, 39.5% at 1 year, and 42.9% at 2 or more years.

Study details: A retrospective chart review of 125 patients at Children’s Hospital of Philadelphia who presented with alopecia areata before aged 4 years.

Disclosures: The researchers had no funding or conflicts of interest.


Rangu S et al. Pediatr Dermatol. 2019 Aug 29. doi: 10.1111/pde.13990.