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What is your preferred treatment algorithm for a patient with alopecia universalis who has failed oral and intralesional steroids?
Answer from: at Academic Institution
My treatment ladder for severe AA is:
Potent topical steroid under occlusion
Contact sensitization therapy
Oral Jak inhibitor
Addition of low-dose oral minoxidil after 3 months if no response
I sometimes use oral steroids for acute progressive disease. I do not think ILK is practical ...
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Answer from: at Community Practice
Jaks are now state-of-the-art if there are no contraindications. There are now 2 approved Jaks.
Answer from: at Academic Institution
An oral JAK inhibitor! I often start low-dose oral minoxidil concomitantly.