Evidence map›Paper›PMID 39638736›Full record

GuidelineAnais brasileiros de dermatologia

II Consensus of the Brazilian Society of Dermatology for the treatment of alopecia areata.

Paulo Müller Ramos, Alessandra Anzai, Bruna Duque-Estrada, Daniel Fernandes Melo, Flavia Sternberg, Leopoldo Duailibe Nogueira Santos, Lorena Dourado Alves, Fabiane Mulinari-Brenner

Abstract readPractice GuidelineConsensus Statement
In one paragraph

Guideline in Anais brasileiros de dermatologia. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Alopecia areata: current concepts.Wiener klinische Wochenschrift · 2026
    Review
  5. Article
  6. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Paulo Müller RamosDepartment of Infectology, Dermatology, Imaging Diagnosis and Radiotherapy, Faculty of Medicine, Universidade Estadual Paulista, Botucatu, SP, Brazil. Electronic address: dermato.paulo@gmail.com.
Alessandra AnzaiDepartment of Dermatology, Faculty of Medicine, Universidade de São Paulo, São Paulo, SP, Brazil.
Bruna Duque-EstradaHair Studies Center, Instituto de Dermatologia Prof. Rubem David Azulay, Santa Casa da Misericórdia do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
Daniel Fernandes MeloDepartment of Dermatology, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
Flavia SternbergDepartment of Dermatology, Faculty of Medicine, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
Leopoldo Duailibe Nogueira SantosDepartment of Medicine, Santa Casa de São Paulo, São Paulo, SP, Brazil; Department of Dermatology and Allergology, Hospital do Servidor Público Municipal, São Paulo, SP, Brazil; Department of Medicine, Universidade de Taubaté, Taubaté, SP, Brazil.
Lorena Dourado AlvesDepartment of Tropical Medicine and Dermatology, Universidade Federal de Goiás, Goiânia, GO, Brazil.
Fabiane Mulinari-BrennerDepartment of Internal Medicine, Universidade Federal do Paraná, Curitiba, PR, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlopecia areata is a highly frequent disease with great variability in clinical presentation, severity, and prognosis. It has a significant negative impact on quality of life, especially in the moderate and severe forms.

objectiveTo disseminate guidelines, prepared by a group of Brazilian experts, for the treatment and follow-up of patients with alopecia areata.

methodsEight specialists from different university centers with experience in alopecia areata were appointed by the Brazilian Society of Dermatology to reach a consensus on its treatment. Using the adapted DELPHI methodology, relevant elements were considered and then an analysis of the recent literature was carried out and the text produced. Consensus on the guidelines was defined with the approval of at least 70% of the panel of experts. RESULTS/

conclusionsTreatments vary according to patient age and disease severity. Intralesional injectable corticosteroid therapy was considered the first option for localized disease in adults. In severe cases, Janus Kinase inhibitors are the treatment with the highest level of evidence. Systemic corticosteroid therapy and immunosuppressants (corticosteroid-sparing agents) are also options in these cases. Contact immunotherapy (diphencyprone) is an alternative for stable extensive cases. The assessment of side effects is as important as the hair regrowth rate.

Indexed as

Alopecia AreataAdrenal Cortex HormonesBrazilConsensusDelphi TechniqueDermatologyHumansImmunosuppressive AgentsSeverity of Illness IndexSocieties, MedicalAdrenal Cortex HormonesImmunosuppressive AgentsAdrenal cortex hormonesAlopecia areataConsensusJanus Kinase inhibitorsMethotrexateTherapeuticsTriamcinolone

Identifiers

PMID39638736
PMCPMC11962811

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.