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Are Tricort injections effective for alopecia areata?

Wednesday, 26 December 2007
Answered by: Dr. Kamlender Singh
Senior Consultant, Dermatology and Venereology,
Sir Ganga Ram Hospital,
New Delhi
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Q. My mother, aged 60 years, has been diagnosed with alopecia areata (currently 3 spots). I visited two dermatologists and both suggested Tricort injection 10 g on those spots, along with oral medicines. Is it advisable to go ahead with these injections, as it is essentially a steroid, what side affects can it have?

A.  Intralesional steroid is one of the accepted mode of treatment for alopecia areata. Whenever choosing a particular method one has to take different factors into consideration. What may be suitable for one individual may not be so for the other. Since alopecia areata is not a life threatening disorder, I avoid medicines, which can have systemic side effects. Intralesional steroid injection given properly is safe. In general, I reserve this treatment for those cases where topical medication has failed, patient cannot hide them by changing the hairstyle and therefore it is leading to profound psychological problems.

A.  Intralesional steroid is one of the accepted mode of treatment for alopecia areata. Whenever choosing a particular method one has to take different factors into consideration. What may be suitable for one individual may not be so for the other. Since alopecia areata is not a life threatening disorder, I avoid medicines, which can have systemic side effects. Intralesional steroid injection given properly is safe. In general, I reserve this treatment for those cases where topical medication has failed, patient cannot hide them by changing the hairstyle and therefore it is leading to profound psychological problems.

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