Ann Dermatol.  2022 Feb;34(1):1-6. 10.5021/ad.2022.34.1.1.

Relationship of Hair Regrowth Pattern in Alopecia Areata Patches According to DIMT Classification with Treatment Modalities and Patch Size: A Retrospective Cross-Sectional Analysis

• Lim SH
• Lee H
• Lee S
• Lee JW
• Lee SH
• Lee WS

• KMID: 2525285
• DOI: http://doi.org/10.5021/ad.2022.34.1.1

Abstract

Background
The morphology of hair regrowth in alopecia areata (AA) patches could be classified into four types, namely diffuse, irregular, marginal, and targetoid patterns, according to the DIMT classification. However, factors affecting hair regrowth patterns have not been investigated.
Objective
We investigated whether the DIMT-classified hair regrowth patterns of AA patches are associated with treatment modality and patch size.
Methods
We conducted a retrospective, cross-sectional study of 152 AA patches with hair regrowth.
Results
The associations between the diffuse pattern and patch size >2 cm (p=0.006; odds ratio [OR]: 0.36, 95% confidence interval [CI]: 0.17~0.74), between the irregular pattern and triamcinolone acetonide intralesional injection (p<0.001; OR: 274.87, 95% CI: 25.75~2,933.56), between the marginal pattern and systemic and topical corticosteroid (p=0.018; OR: 4.89, 95% CI: 1.31~18.27), and between the targetoid pattern and patch size >2 cm (p=0.028; OR: 2.50, 95% CI: 1.10~5.68) were statistically significant.
Conclusion
Treatment modalities and patch size are the factors affecting hair regrowth patterns in AA patches.

Keyword

Alopecia areata; DIMT classification; Hair regrowth; Therapeutics