Skin Diseases & Skin Care

Keywords: Alopecia areata, Minoxidil, injection, Salt assessment Grounds

Introduction

According to the international classification, L63.0 or alopecia areata is an autoimmune disease that hurts the hair follicles which prevalence is 0.1-0.2% in the world and is a common disorder among the population of Mongolia.

To treat alopecia areata with Minoxidil injection

To determine the severity level of alopecia areata

Materials and Methods

Client А. 40 year-old. Three months ago, found out that hair on the top of head is lost. The scalp was smooth when touched and was no pain. Used hair growth shampoo and nourishing oil at home without any treatment.

By Checkup

At the top of the head was a round oval spotted rash measured as 4.5 * 4.5 cm with a clear border and smooth surface. Diagnosis of alopecia areata is determined by a hair pull test. Tested as holding 50-60 strands of hair with thumb and index fingers and pulling, tightly on the ends of the hair. Hair loss was considered positive because more than 5 hairs were easily loosened in the test. Trichoscopic examination revealed signs of black and yellow spots, respectively. (Figure 1.) [2]

Figure 1: Before treatment

According to SALT assessment, it had severe S1 or 25% hair loss and by Olsen Canfield percentage, had mild hair loss [3].

Treatment methodology: Minoxidil 5 ml e0,169Fl OZ, Spanish MCCM brand injection for mesotherapy treatment product was injected into a round oval spotted rash at the top of the head, measured as 4.5 * 4.5 cm with a clear border and smooth surface at the depth of 2.2 mm by creating nodules 2-3 mm apart and a total of 0.2 cm injections were given 3 times at 7-week intervals. During the treatment injection (Figure 2.)

Figure 2: Ultrasound monitoring of puncture

Conclusion

Therapeutic advantages are ease of use, low side effects and is often used in skin practice with a 5% ointment, while we used 5 ml e0,169Fl OZ injections for treatment.

Prohibited directions: Pregnant and breastfeeding mothers

Treatment results: Minoxidil 5 ml e0,169Fl OZ was injected into a round oval spotted rash at the top of the head, measured as 4.5 * 4.5 cm with a clear border and smooth surface at the depth of 2.2 mm by creating nodules 2-3 mm apart and a total of 0.2 cm injections were given 3 times at 7-week intervals

21 Ñ?оногийн даÑ?аа Ñ?Ñ?Ñ?Ñ?алÑ?Ñ?н Ñ?албай 1,9*2,0 см болжÑ?Ñ?гаж байна[4].(Ð?Ñ?Ñ?аг3.)

After 21 days, the rash area decreases into 1.9 * 2.0 cm and hair grows[4]. (Figure 3).

Figure 3: After treatment

References

1. Tosti A, Bellavista S, Iorizzo M (2006) Alopecia areata: a Lond term follow-up study of 191 paitients. J Am Acad Dermatol 55: 438-441.
2. Elise AO (2011) Investigative guadelines for alopevia areata. Dermatol Ther 24: 311-319.
3. Standards for common procedures for the diagnosis and treatment of wide-spread skin diseases, (2003). 210-211.
4. Clinical dermatology (2017). 4: 25-29.