Advertisement!
18.232.56.9
For Authors
Editorial Board
Submit article
Editor's selection process
Join as Reviewer/Editor
List of Reviewer
Indexing Information
Most popular articles
Purchase Single Articles
Archive
Free Articles
Current Issue
Recommend this journal to your library
Advertiser
Accepted Articles
Search Articles
Email Alerts
Subscribe
FAQ
Contact Us
RFP Journal of Dermatology

Volume  2, Issue 1, January - June 2017, Pages 27-30

 

Case Report

Non Responder of Alopecia Totalis to Diphencyprone Responding to Addition of Betamethasone Pulse
Dhurat R.*, Pund P.**, Sukesh M.S.**, Dandale A.***, Ghate S.****, Bhandari K.**
*Professor and HOD **Senior Resident ***Lecturer ****Associate Professor, Department of Dermatology, LTM Medical College and General Hospital, Sion, Mumbai – 400 022, Maharastra, India.
Choose an option to locate / access this Article:
Check if you have access through your login credentials.             |
|

DOI:

Abstract

 Introduction: Contact sensitizers remain the mainstay of treatment of alopecia areata totalis (AT). Systemic steroids in different regimes have been tried in AT with variable success. Many authors consider that addition of systemic steroids to the contact sensitizing protocol may mitigate the effect of the latter. However, there is scarcity of studies evaluating the response to combination therapy of systemic steroids with contact sensitizers. Case Summary: We report the case of a 19-year-old boy with AT of 5 years duration. Diphenylcyclopropenone (DPCP) was applied to right half of the scalp as per the standard protocol. With no response even after six months of this treatment, DPCP application was stopped and oral betamethasone pulse at the dose of 0.1 mg /kg weekly was started. Within 4 weeks of Betamethasone pulse, new hair growth was visible only on the right half of the scalp. DPCP was re-instituted on the same side of the scalp along with continuation of systemic steroids. Left half of the scalp served as control. At 8 weeks, DPCP treated side showed excellent growth while the left side responded poorly. Conclusion: This singular split scalp treatment outcome suggests that the response of contact sensitizers like DPCP is not suppressed by systemic corticosteroids; rather seems to have a synergistic effect in the treatment of AT.

Keywords: Alopecia Totalis; Areata; Diphenylcyclopropenone; Oral Minipulse; Steroid.


Corresponding Author : Rachita Dhurat, B 14/2 Maitri Park CHS, Sion Trombay Road, Chembur, Mumbai - 400 071, Maharashtra India.