Prescribing patterns amongst UK dermatologists for the treatment of alopecia areata, female pattern hair loss, and frontal fibrosing alopecia
Abstract Background Therapeutic management of hair loss is frequently complicated by a lack of high‐quality evidence and reliant on the use of unlicensed therapies. Treatment decision‐making is predominantly based on expert opinion, local availability, personal experience, and cost, which make infor...
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2025-03-01
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| Online Access: | https://doi.org/10.1002/jvc2.495 |
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| author | John Frewen Dalia Alsaadi Leila Asfour Sharon Belmo Alyson Bryden Caroline Champagne Nicola Clayton Nicola Cooke Donna M. Cummins David Fairhurst Paul Farrant Gordan Hale Susan Holmes Thomas Harries Ruth Jones Sanja Karanovic Manjit R. Kaur Nekma Meah Megan Mowbray Archana Rao Nasim Rouhani Nicola Salmon Anita Takwale Martin Wade Sharon Wong Shirin Zaheri Yusur Al‐Nuaimi Matthew Harries |
| author_facet | John Frewen Dalia Alsaadi Leila Asfour Sharon Belmo Alyson Bryden Caroline Champagne Nicola Clayton Nicola Cooke Donna M. Cummins David Fairhurst Paul Farrant Gordan Hale Susan Holmes Thomas Harries Ruth Jones Sanja Karanovic Manjit R. Kaur Nekma Meah Megan Mowbray Archana Rao Nasim Rouhani Nicola Salmon Anita Takwale Martin Wade Sharon Wong Shirin Zaheri Yusur Al‐Nuaimi Matthew Harries |
| author_sort | John Frewen |
| collection | DOAJ |
| description | Abstract Background Therapeutic management of hair loss is frequently complicated by a lack of high‐quality evidence and reliant on the use of unlicensed therapies. Treatment decision‐making is predominantly based on expert opinion, local availability, personal experience, and cost, which make informed choices challenging for clinicians and patients in this area. Objectives The aims were to determine prescribing patterns amongst UK Dermatologists with a special interest in hair disorders, when treating mild‐moderate alopecia areata (AA), severe AA (including alopecia totalis/alopecia universalis), female pattern hair loss (FPHL) and frontal fibrosing alopecia (FFA). Methods Consultant members of the British Hair and Nail society, a special interest group affiliated to the British Association of Dermatologists, were invited to participate from across the United Kingdom. Participants were questioned on their current prescribing patterns in both NHS and private practice, were asked to rank their first‐to‐fifth line treatments for each condition and highlight the treatment they perceive as most effective for each disorder. Results Twenty‐six Consultant Dermatologists completed the questionnaire, from twenty‐three institutions. For treatment of mild‐moderate AA, topical corticosteroids were used first line amongst 65% (n = 17) of respondents, and 82% (n = 23) reported that intralesional corticosteroids were the most effective treatment. For severe AA, oral corticosteroids were used first line amongst 38% (n = 10) of respondents, and 25% (n = 8) reported that oral corticosteroids were the most effective treatment. For FPHL, topical minoxidil was used first line amongst 84% (n = 25) of respondents, and 42% (n = 10) reported that oral minoxidil was the most effective treatment. For FFA, topical corticosteroids were used first line amongst 62% (n = 16) of respondents, and 37% (n = 14) reported that hydroxychloroquine was the most effective treatment. Conclusions This study reports real‐world prescribing practices amongst dermatologists treating common hair loss conditions. These results aim to support clinicians with decision making for managing hair loss conditions. |
| format | Article |
| id | doaj-art-644c8b05ce6342e7ace8f0483157c08a |
| institution | Kabale University |
| issn | 2768-6566 |
| language | English |
| publishDate | 2025-03-01 |
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| series | JEADV Clinical Practice |
| spelling | doaj-art-644c8b05ce6342e7ace8f0483157c08a2025-08-20T03:40:24ZengWileyJEADV Clinical Practice2768-65662025-03-0141728110.1002/jvc2.495Prescribing patterns amongst UK dermatologists for the treatment of alopecia areata, female pattern hair loss, and frontal fibrosing alopeciaJohn Frewen0Dalia Alsaadi1Leila Asfour2Sharon Belmo3Alyson Bryden4Caroline Champagne5Nicola Clayton6Nicola Cooke7Donna M. Cummins8David Fairhurst9Paul Farrant10Gordan Hale11Susan Holmes12Thomas Harries13Ruth Jones14Sanja Karanovic15Manjit R. Kaur16Nekma Meah17Megan Mowbray18Archana Rao19Nasim Rouhani20Nicola Salmon21Anita Takwale22Martin Wade23Sharon Wong24Shirin Zaheri25Yusur Al‐Nuaimi26Matthew Harries27Department of Dermatology Royal Devon University NHS Foundation Trust Exeter UKDepartment of Dermatology Wrexham Maelor Hospital Wrexham UKDepartment of Dermatology, Salford Royal Hospital, Northern Care Alliance NHS Foundation Trust Manchester Academic Health Science Centre Manchester UKDr Sharon Belmo Dermatology London UKDepartment of Dermatology Ninewells Hospital Dundee UKDepartment of Dermatology Watford General Hospital, West Hertfordshire Hospitals Watford UKDepartment of Dermatology Chelsea and Westminster Hospital London UKDepartment of Dermatology Ulster Hospital Belfast Northern IrelandDepartment of Dermatology, Salford Royal Hospital, Northern Care Alliance NHS Foundation Trust Manchester Academic Health Science Centre Manchester UKDepartment of Dermatology Pontefract General Infirmary, Friarwood Lane Pontefract UKDepartment of Dermatology Brighton and Sussex University Hospitals NHS Trust Brighton UKDepartment of Dermatology Glasgow Royal Infirmary, NHS Greater Glasgow and Clyde Glasgow UKAlan Lyell Centre for Dermatology, Department of Dermatology Queen Elizabeth University Hospital Glasgow UKNewcastle University Medical School Newcastle‐upon‐Tyne UKDepartment of Dermatology Edinburgh Royal Infirmary Edinburgh UKDepartment of Dermatology Churchill Hospital Oxford UKDepartment of Dermatology University Hospitals Birmingham NHS Foundation Trust Solihull UKDepartment of Dermatology St Helens and Knowsley Teaching Hospitals NHS Trust St Helens UKDepartment of Dermatology Queen Margaret Hospital Dunfermline UKDepartment of Dermatology Kingston Hospital NHS Trust, Kingston upon Thames London UKDepartment of Dermatology Central Middlesex Hospital, Acton Lane, Park Royal London UKDepartment of Dermatology Edinburgh Royal Infirmary Edinburgh UKDepartment of Dermatology Gloucestershire Hospitals NHS Foundation Trust Gloucester UKThe London Skin and Hair Clinic London UKHCA, The Shard London UKDepartment of Dermatology Imperial College NHS Healthcare Trust London UKDepartment of Dermatology Royal Devon University NHS Foundation Trust Exeter UKDepartment of Dermatology, Salford Royal Hospital, Northern Care Alliance NHS Foundation Trust Manchester Academic Health Science Centre Manchester UKAbstract Background Therapeutic management of hair loss is frequently complicated by a lack of high‐quality evidence and reliant on the use of unlicensed therapies. Treatment decision‐making is predominantly based on expert opinion, local availability, personal experience, and cost, which make informed choices challenging for clinicians and patients in this area. Objectives The aims were to determine prescribing patterns amongst UK Dermatologists with a special interest in hair disorders, when treating mild‐moderate alopecia areata (AA), severe AA (including alopecia totalis/alopecia universalis), female pattern hair loss (FPHL) and frontal fibrosing alopecia (FFA). Methods Consultant members of the British Hair and Nail society, a special interest group affiliated to the British Association of Dermatologists, were invited to participate from across the United Kingdom. Participants were questioned on their current prescribing patterns in both NHS and private practice, were asked to rank their first‐to‐fifth line treatments for each condition and highlight the treatment they perceive as most effective for each disorder. Results Twenty‐six Consultant Dermatologists completed the questionnaire, from twenty‐three institutions. For treatment of mild‐moderate AA, topical corticosteroids were used first line amongst 65% (n = 17) of respondents, and 82% (n = 23) reported that intralesional corticosteroids were the most effective treatment. For severe AA, oral corticosteroids were used first line amongst 38% (n = 10) of respondents, and 25% (n = 8) reported that oral corticosteroids were the most effective treatment. For FPHL, topical minoxidil was used first line amongst 84% (n = 25) of respondents, and 42% (n = 10) reported that oral minoxidil was the most effective treatment. For FFA, topical corticosteroids were used first line amongst 62% (n = 16) of respondents, and 37% (n = 14) reported that hydroxychloroquine was the most effective treatment. Conclusions This study reports real‐world prescribing practices amongst dermatologists treating common hair loss conditions. These results aim to support clinicians with decision making for managing hair loss conditions.https://doi.org/10.1002/jvc2.495alopecia areatafemale pattern hair lossfrontal fibrosing alopecia |
| spellingShingle | John Frewen Dalia Alsaadi Leila Asfour Sharon Belmo Alyson Bryden Caroline Champagne Nicola Clayton Nicola Cooke Donna M. Cummins David Fairhurst Paul Farrant Gordan Hale Susan Holmes Thomas Harries Ruth Jones Sanja Karanovic Manjit R. Kaur Nekma Meah Megan Mowbray Archana Rao Nasim Rouhani Nicola Salmon Anita Takwale Martin Wade Sharon Wong Shirin Zaheri Yusur Al‐Nuaimi Matthew Harries Prescribing patterns amongst UK dermatologists for the treatment of alopecia areata, female pattern hair loss, and frontal fibrosing alopecia JEADV Clinical Practice alopecia areata female pattern hair loss frontal fibrosing alopecia |
| title | Prescribing patterns amongst UK dermatologists for the treatment of alopecia areata, female pattern hair loss, and frontal fibrosing alopecia |
| title_full | Prescribing patterns amongst UK dermatologists for the treatment of alopecia areata, female pattern hair loss, and frontal fibrosing alopecia |
| title_fullStr | Prescribing patterns amongst UK dermatologists for the treatment of alopecia areata, female pattern hair loss, and frontal fibrosing alopecia |
| title_full_unstemmed | Prescribing patterns amongst UK dermatologists for the treatment of alopecia areata, female pattern hair loss, and frontal fibrosing alopecia |
| title_short | Prescribing patterns amongst UK dermatologists for the treatment of alopecia areata, female pattern hair loss, and frontal fibrosing alopecia |
| title_sort | prescribing patterns amongst uk dermatologists for the treatment of alopecia areata female pattern hair loss and frontal fibrosing alopecia |
| topic | alopecia areata female pattern hair loss frontal fibrosing alopecia |
| url | https://doi.org/10.1002/jvc2.495 |
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