How hair experts treat alopecia areata?

  Рет қаралды 16,339

prof. Lidia Rudnicka

prof. Lidia Rudnicka

4 жыл бұрын

#NOTjustHAIRdiseases
Treatment of alopecia areata.
I highlight the most important elements of the recent expert consensus on how to treat alopecia areata and focus on adult patients. Chances for hair regrowth and relapse are discussed.
I also refer to my own preferences in the treatment of alopecia areata and discuss some details about cyclosporine treatment during the COVID-19 pandemic.

Пікірлер: 83
@svetlanavozianova1835
@svetlanavozianova1835 4 жыл бұрын
Thank you greatly! Your lectures are bright, lively, with a high degree of evidence and most importantly- with your own opinion. Thank you!!!👏👏👏👏
@profLidiaRudnicka
@profLidiaRudnicka 4 жыл бұрын
Thank you for noticing. Yes, I believe that there are now multiple sources of knowledge, but not many places to share opinions and experience 😊🌷
@liviaprata4594
@liviaprata4594 4 жыл бұрын
Thank you!!! Wonderful! Hugs from a Young dermatologist in Brazil
@profLidiaRudnicka
@profLidiaRudnicka 4 жыл бұрын
Thanks for watching! 😀
@anarosasprenger3531
@anarosasprenger3531 4 жыл бұрын
Thank you professor! Very enlightening!
@profLidiaRudnicka
@profLidiaRudnicka 4 жыл бұрын
Thank you Anarosa 😊. It was a pleasure being last week virtually in 🇧🇷 and Sociedade Brasileira de Dermatologia, Regional do Paraná !
@ttt3633
@ttt3633 4 жыл бұрын
Thank you so much😀
@nermeenelhofy8940
@nermeenelhofy8940 2 жыл бұрын
thank you soooo much
@sheridanruth4583
@sheridanruth4583 3 жыл бұрын
I see a lot of value in sharing this type of content. I've seen so much valuable information coming from your channel, and I just want to thank you for it.
@profLidiaRudnicka
@profLidiaRudnicka 3 жыл бұрын
Thank you very much for your comment. No nice of you!
@Afshan_Khawar_Diary
@Afshan_Khawar_Diary 3 жыл бұрын
Wonderful work. Highly appreciate it. Stay Blessed & Keep great work up.
@profLidiaRudnicka
@profLidiaRudnicka 3 жыл бұрын
Thank you!
@dr.imanealouani
@dr.imanealouani 4 жыл бұрын
Excellent presentation ! Thank you for sharing your expertise
@profLidiaRudnicka
@profLidiaRudnicka 4 жыл бұрын
Thanks a lot Dr. Alouani 🌻
@aleksandradugonik942
@aleksandradugonik942 3 жыл бұрын
Excellent way of sharing your great knowledge and experiences. Thank s a lot!
@profLidiaRudnicka
@profLidiaRudnicka 3 жыл бұрын
Dr. Dugonik, Thank a lot!
@samt486
@samt486 4 жыл бұрын
Great lecture!! Thank you.
@profLidiaRudnicka
@profLidiaRudnicka 4 жыл бұрын
Thank you ! 😊
@drgulhimaarora
@drgulhimaarora 4 жыл бұрын
Thank you Prof Lidia
@profLidiaRudnicka
@profLidiaRudnicka 4 жыл бұрын
Thanks a lot for your comment! My pleasure !
@elenaflegontova3722
@elenaflegontova3722 4 жыл бұрын
Excellent🙏. The Gratitude for Your lectures🌞💐
@profLidiaRudnicka
@profLidiaRudnicka 4 жыл бұрын
Thank you very much 🌼🌷🍀
@dohamohamedgaber3194
@dohamohamedgaber3194 4 жыл бұрын
Thank you so much proff it was a great lecture 😘😘🌷🌷🌷🌷
@profLidiaRudnicka
@profLidiaRudnicka 4 жыл бұрын
Thank you very much 🌸🌼🌺🌹
@mayraskinandaestheticsclin2942
@mayraskinandaestheticsclin2942 4 жыл бұрын
Great lecture 💐👍🏻
@profLidiaRudnicka
@profLidiaRudnicka 4 жыл бұрын
Thank you so much for your comment! 😊🌻
@davidblank8442
@davidblank8442 2 жыл бұрын
Thank you so much for these videos, Professor. I've been binging on them for the last couple days trying to look for answers for a friend's 17 year old daughter who was recently diagnosed with a scarring type of alopecia. Any tips for finding the right type of specialist? Rheumatologist vs Dermatologist?
@profLidiaRudnicka
@profLidiaRudnicka 2 жыл бұрын
For hair loss, no doubt, a dermatologist. Some dermatologists have a special focus of interest in hair, so it may be worth searching for such a doctor
@ekaterinakarpushina6707
@ekaterinakarpushina6707 2 жыл бұрын
Dear Professor, thank you very much for another great lecture! I’m on my second year of residency and this channel really help me to understand trichoscopy and trichology at all And I have one question: often when we talk about dermatology diseases on the face and head, guidelines advise us to use triamcinolone acetonide. Is this because of the short half-life and low risk of developing atrophy?
@profLidiaRudnicka
@profLidiaRudnicka 2 жыл бұрын
I am happy, if I can be helpful. My channel is designed mainly for residents / doctors who learn dermatology 🌸
@leopoldoduailibesantos5857
@leopoldoduailibesantos5857 4 жыл бұрын
Excellent Professor!
@profLidiaRudnicka
@profLidiaRudnicka 4 жыл бұрын
Wow Leopoldo. Thanks! When will you come back to Poland?
@leopoldoduailibesantos5857
@leopoldoduailibesantos5857 4 жыл бұрын
@@profLidiaRudnicka Hope to be back soon. :)
@cecilianavarrotuculet867
@cecilianavarrotuculet867 4 жыл бұрын
Thakkkks
@profLidiaRudnicka
@profLidiaRudnicka 4 жыл бұрын
🌷🌸🌼💕 Thanks for coming back!
@Goloturiya
@Goloturiya 3 жыл бұрын
Thank you for the video! What are the best treatment options in pregnancy? There are a lot of limitations, what should we do with this group of patients?
@profLidiaRudnicka
@profLidiaRudnicka 3 жыл бұрын
Unfortunately there is no good solution because the ginecologist will usually not allow to use our drugs. The good thing is that in most patients alopecia areata improves during pregnancy
@Goloturiya
@Goloturiya 3 жыл бұрын
@@profLidiaRudnickaThank you! This is a really challenging situation.
@swarajpotdar2195
@swarajpotdar2195 4 жыл бұрын
Madam, 1) Opinion on switching methotrexate and cyclosporine alternatively at 6-9 months cycles 2) Systemic agents for long term management of AA in children. (Have used cyclosporine as first line therapy with relevant monitoring and paediatric opinion)
@profLidiaRudnicka
@profLidiaRudnicka 4 жыл бұрын
1) I do not have good personal experience with MTX. Some experts say that it requires a high dose, others that it should not be in monotherapy . For me it is far-line treatment. But the idea is interesting. Follow few patients and publish ! 2) MTX is safe in children . Cyclosporine in my opinion with higher caution.
@swarajpotdar2195
@swarajpotdar2195 4 жыл бұрын
@@profLidiaRudnicka Thank you very much for the guidance. Look forward to learn more from you. (The first session of basics in trichoscopy was just too good, especially for people like me naive to dermoscopy)
@profLidiaRudnicka
@profLidiaRudnicka 4 жыл бұрын
@ Thank you very much! I will try doing both, some trichoscopy and some clinical non-trichoscopy, especially treatment :-)
@doctorsanakanasskinandbeau3655
@doctorsanakanasskinandbeau3655 4 жыл бұрын
Many thanks prof 🌸🌸🌸
@profLidiaRudnicka
@profLidiaRudnicka 4 жыл бұрын
Thank you, it is always a great pleasure to read your comments! 😊😀
@chiarapensa7492
@chiarapensa7492 3 жыл бұрын
excellent presentation! which dose of prednisone per day and per kg should we consider?
@profLidiaRudnicka
@profLidiaRudnicka 3 жыл бұрын
Thank you. There are so many variables, that there is unfortunately no easy answer to this.
@chiarapensa7492
@chiarapensa7492 3 жыл бұрын
@@profLidiaRudnicka ok, may I ask you a limit below which we aren't treating AA, as it would be merely "homeopathic"?
@profLidiaRudnicka
@profLidiaRudnicka 3 жыл бұрын
@@chiarapensa7492 There is no such dose. Many of my patients receive 10 mg prednisone or less (in addition to other treatments)
@TagusMan
@TagusMan 3 жыл бұрын
I've already lost my beard and my hair is falling out in clumps. By the time I have my appointment with the specialist this week, I might 40% bald.
@profLidiaRudnicka
@profLidiaRudnicka 3 жыл бұрын
I hope that your appointment was fruitful and that your hair will regrow soon!
@menamtv4907
@menamtv4907 3 жыл бұрын
Is it effect the immune system ? My hair growing up but not fully scalp cover
@profLidiaRudnicka
@profLidiaRudnicka 3 жыл бұрын
Yes, all treatments in alopecia areata have some effect on the immune system. I wish you good luck with regrowing your hair!
@DJCREAM01
@DJCREAM01 3 жыл бұрын
How long is methotrexate usually used for?
@profLidiaRudnicka
@profLidiaRudnicka 2 жыл бұрын
There is no rule
@extensa4630
@extensa4630 3 жыл бұрын
how common is renal toxicity when using cap. cyclosporin
@profLidiaRudnicka
@profLidiaRudnicka 3 жыл бұрын
With doses used in dermatology (usually around 3 mg/kg/d) and regular monitoring I had no such case, but it does not mean that it can not happen and I always remain very cautious
@E10l
@E10l 3 жыл бұрын
Unfortunately I got diagnosed lately with scarring alopecia LPP. It seems there is very little research on this aweful devastating 😔condition and there is no cure. treatments are vary in their effectiveness. can you please consider address this condition and hair loss?🙏🏻 and what are the therapies that are most effective based on science🙏🏻🙏🏻
@profLidiaRudnicka
@profLidiaRudnicka 3 жыл бұрын
I love LPP and I will be happy to make a video on this ! Thank you gór the suggestion!
@E10l
@E10l 3 жыл бұрын
@@profLidiaRudnicka Thank you🙌🏻🙌🏻🙌🏻 looking forward to that🙏🏻
@themax316
@themax316 3 жыл бұрын
So sorry you are going through this brother. Wishing you some hope and a miracle result
@E10l
@E10l 3 жыл бұрын
@@themax316 Thank you. I really appreciate it. its very tough.. I don’t recognise myself in the mirror anymore because of all the hair I lost in short period of time. I hope it will stop with medications🙏🏻
@themax316
@themax316 3 жыл бұрын
@@E10l it will. I am in a similar boat. They say that patience is the key. Tried steroid injections?
@mayarburton2431
@mayarburton2431 2 жыл бұрын
Does covid cause Alopecia Areata? If so, what are the chances of it reoccuring or advancing to AT and/or AU? Thank you!
@profLidiaRudnicka
@profLidiaRudnicka 2 жыл бұрын
COVID-19 does not cause AA. I have mamy patients with AA who had COVID-19. Generally it had no significant effect on AA, but you can not exclude a probability of worsening in some patients.
@mayarburton2431
@mayarburton2431 2 жыл бұрын
@@profLidiaRudnicka Thank you so much for your reply! I have a close family member that recently got AA about 3/4 months after C-19 and the dermatologist suggested that it may have been from c-19 and stress. I'm not a doctor, but there have been several reports online (on youtube as well) that are suggesting that AA is a manifestation of c-19. I'm certainly no expert but just wanted to see if you've heard of this or not. They say c-19 can manifest TE & AA?
@tball7027
@tball7027 2 жыл бұрын
I do believe Covid 19 triggered my AA ,fit and healthy none stressed male , no history of it in family,had a bad fever with Covid so immune system fighting it off ,got better but not 100% after 18 months immune system still on red alert still not much hair left🙁
@mayarburton2431
@mayarburton2431 2 жыл бұрын
@@tball7027 So sorry that is happening. It sucks. Did you by chance go see a dermatologist? Did your patches fill back in?
@tball7027
@tball7027 2 жыл бұрын
Yes I have hair on my head but it is very fine and it's come back white ,still trying to grow,I have no hair legs arms etc but I live in hope😄
@E10l
@E10l 3 жыл бұрын
Hi Prof.. I wanted to ask you if you familiar with isotretinoin for frontal fibrosing alopecia? My doctor put me on isotretinoin for FFA but I saw many doctors are saying it doesn't work. They all say dutasteride or finasteride are very effective and hydroxychloroquin? I really hope you'll see my message.
@profLidiaRudnicka
@profLidiaRudnicka 3 жыл бұрын
It works (probably the best or one of the best drugs for FFA). Some data are here: pubmed.ncbi.nlm.nih.gov/29036252/ . I use dutasteride or finasteride as additional treatment
@E10l
@E10l 3 жыл бұрын
@@profLidiaRudnicka Thank you Prof Lidia. You’re the best! So my doctor was right. I’ll look at the info. Thank you again!
@E10l
@E10l 3 жыл бұрын
Prof. Am I wrong or you are actually the lead researcher in the retrospective study investigating isotretinoin as a treatment for FFA?Wow of course you're familiar with this treatment. Thank you for your work, it helps so many people out there dealing with this disease(including myself). Much appreciated!
@tamanarawan8401
@tamanarawan8401 Жыл бұрын
Can we Skip drugs and follow aip?
@profLidiaRudnicka
@profLidiaRudnicka Жыл бұрын
What is aip?
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