I see a lot of value in sharing this type of content. I've seen so much valuable information coming from your channel, and I just want to thank you for it.
Dear Professor, thank you very much for another great lecture! I’m on my second year of residency and this channel really help me to understand trichoscopy and trichology at all And I have one question: often when we talk about dermatology diseases on the face and head, guidelines advise us to use triamcinolone acetonide. Is this because of the short half-life and low risk of developing atrophy?
COVID-19 does not cause AA. I have mamy patients with AA who had COVID-19. Generally it had no significant effect on AA, but you can not exclude a probability of worsening in some patients.
@@profLidiaRudnicka Thank you so much for your reply! I have a close family member that recently got AA about 3/4 months after C-19 and the dermatologist suggested that it may have been from c-19 and stress. I'm not a doctor, but there have been several reports online (on youtube as well) that are suggesting that AA is a manifestation of c-19. I'm certainly no expert but just wanted to see if you've heard of this or not. They say c-19 can manifest TE & AA?
I do believe Covid 19 triggered my AA ,fit and healthy none stressed male , no history of it in family,had a bad fever with Covid so immune system fighting it off ,got better but not 100% after 18 months immune system still on red alert still not much hair left🙁
Thank you so much for these videos, Professor. I've been binging on them for the last couple days trying to look for answers for a friend's 17 year old daughter who was recently diagnosed with a scarring type of alopecia. Any tips for finding the right type of specialist? Rheumatologist vs Dermatologist?
Madam, 1) Opinion on switching methotrexate and cyclosporine alternatively at 6-9 months cycles 2) Systemic agents for long term management of AA in children. (Have used cyclosporine as first line therapy with relevant monitoring and paediatric opinion)
1) I do not have good personal experience with MTX. Some experts say that it requires a high dose, others that it should not be in monotherapy . For me it is far-line treatment. But the idea is interesting. Follow few patients and publish ! 2) MTX is safe in children . Cyclosporine in my opinion with higher caution.
@@profLidiaRudnicka Thank you very much for the guidance. Look forward to learn more from you. (The first session of basics in trichoscopy was just too good, especially for people like me naive to dermoscopy)
Thank you for the video! What are the best treatment options in pregnancy? There are a lot of limitations, what should we do with this group of patients?
Unfortunately there is no good solution because the ginecologist will usually not allow to use our drugs. The good thing is that in most patients alopecia areata improves during pregnancy
With doses used in dermatology (usually around 3 mg/kg/d) and regular monitoring I had no such case, but it does not mean that it can not happen and I always remain very cautious
Unfortunately I got diagnosed lately with scarring alopecia LPP. It seems there is very little research on this aweful devastating 😔condition and there is no cure. treatments are vary in their effectiveness. can you please consider address this condition and hair loss?🙏🏻 and what are the therapies that are most effective based on science🙏🏻🙏🏻
@@themax316 Thank you. I really appreciate it. its very tough.. I don’t recognise myself in the mirror anymore because of all the hair I lost in short period of time. I hope it will stop with medications🙏🏻
Hi Prof.. I wanted to ask you if you familiar with isotretinoin for frontal fibrosing alopecia? My doctor put me on isotretinoin for FFA but I saw many doctors are saying it doesn't work. They all say dutasteride or finasteride are very effective and hydroxychloroquin? I really hope you'll see my message.
It works (probably the best or one of the best drugs for FFA). Some data are here: pubmed.ncbi.nlm.nih.gov/29036252/ . I use dutasteride or finasteride as additional treatment
Prof. Am I wrong or you are actually the lead researcher in the retrospective study investigating isotretinoin as a treatment for FFA?Wow of course you're familiar with this treatment. Thank you for your work, it helps so many people out there dealing with this disease(including myself). Much appreciated!
Thank you greatly! Your lectures are bright, lively, with a high degree of evidence and most importantly- with your own opinion. Thank you!!!👏👏👏👏
Thank you for noticing. Yes, I believe that there are now multiple sources of knowledge, but not many places to share opinions and experience 😊🌷
I see a lot of value in sharing this type of content. I've seen so much valuable information coming from your channel, and I just want to thank you for it.
Thank you very much for your comment. No nice of you!
Excellent way of sharing your great knowledge and experiences. Thank s a lot!
Dr. Dugonik, Thank a lot!
Wonderful work. Highly appreciate it. Stay Blessed & Keep great work up.
Thank you!
Thank you!!! Wonderful! Hugs from a Young dermatologist in Brazil
Thanks for watching! 😀
Dear Professor, thank you very much for another great lecture! I’m on my second year of residency and this channel really help me to understand trichoscopy and trichology at all
And I have one question: often when we talk about dermatology diseases on the face and head, guidelines advise us to use triamcinolone acetonide. Is this because of the short half-life and low risk of developing atrophy?
I am happy, if I can be helpful. My channel is designed mainly for residents / doctors who learn dermatology 🌸
Excellent🙏. The Gratitude for Your lectures🌞💐
Thank you very much 🌼🌷🍀
Excellent presentation ! Thank you for sharing your expertise
Thanks a lot Dr. Alouani 🌻
Great lecture!! Thank you.
Thank you ! 😊
Thank you professor! Very enlightening!
Thank you Anarosa 😊. It was a pleasure being last week virtually in 🇧🇷 and Sociedade Brasileira de Dermatologia, Regional do Paraná !
I've already lost my beard and my hair is falling out in clumps. By the time I have my appointment with the specialist this week, I might 40% bald.
I hope that your appointment was fruitful and that your hair will regrow soon!
Excellent Professor!
Wow Leopoldo. Thanks! When will you come back to Poland?
@@profLidiaRudnicka Hope to be back soon. :)
Does covid cause Alopecia Areata? If so, what are the chances of it reoccuring or advancing to AT and/or AU? Thank you!
COVID-19 does not cause AA.
I have mamy patients with AA who had COVID-19. Generally it had no significant effect on AA, but you can not exclude a probability of worsening in some patients.
@@profLidiaRudnicka Thank you so much for your reply! I have a close family member that recently got AA about 3/4 months after C-19 and the dermatologist suggested that it may have been from c-19 and stress. I'm not a doctor, but there have been several reports online (on youtube as well) that are suggesting that AA is a manifestation of c-19. I'm certainly no expert but just wanted to see if you've heard of this or not. They say c-19 can manifest TE & AA?
I do believe Covid 19 triggered my AA ,fit and healthy none stressed male , no history of it in family,had a bad fever with Covid so immune system fighting it off ,got better but not 100% after 18 months immune system still on red alert still not much hair left🙁
@@tball7027 So sorry that is happening. It sucks. Did you by chance go see a dermatologist? Did your patches fill back in?
Yes I have hair on my head but it is very fine and it's come back white ,still trying to grow,I have no hair legs arms etc but I live in hope😄
Thank you so much for these videos, Professor. I've been binging on them for the last couple days trying to look for answers for a friend's 17 year old daughter who was recently diagnosed with a scarring type of alopecia. Any tips for finding the right type of specialist? Rheumatologist vs Dermatologist?
For hair loss, no doubt, a dermatologist. Some dermatologists have a special focus of interest in hair, so it may be worth searching for such a doctor
thank you soooo much
Madam,
1) Opinion on switching methotrexate and cyclosporine alternatively at 6-9 months cycles
2) Systemic agents for long term management of AA in children.
(Have used cyclosporine as first line therapy with relevant monitoring and paediatric opinion)
1) I do not have good personal experience with MTX. Some experts say that it requires a high dose, others that it should not be in monotherapy . For me it is far-line treatment. But the idea is interesting. Follow few patients and publish ! 2) MTX is safe in children . Cyclosporine in my opinion with higher caution.
@@profLidiaRudnicka
Thank you very much for the guidance.
Look forward to learn more from you.
(The first session of basics in trichoscopy was just too good, especially for people like me naive to dermoscopy)
@ Thank you very much! I will try doing both, some trichoscopy and some clinical non-trichoscopy, especially treatment :-)
excellent presentation! which dose of prednisone per day and per kg should we consider?
Thank you. There are so many variables, that there is unfortunately no easy answer to this.
@@profLidiaRudnicka ok, may I ask you a limit below which we aren't treating AA, as it would be merely "homeopathic"?
@@chiarapensa7492 There is no such dose. Many of my patients receive 10 mg prednisone or less (in addition to other treatments)
Great lecture 💐👍🏻
Thank you so much for your comment! 😊🌻
Thank you so much proff it was a great lecture 😘😘🌷🌷🌷🌷
Thank you very much 🌸🌼🌺🌹
Thank you Prof Lidia
Thanks a lot for your comment! My pleasure !
Thank you so much😀
How long is methotrexate usually used for?
There is no rule
Is it effect the immune system ? My hair growing up but not fully scalp cover
Yes, all treatments in alopecia areata have some effect on the immune system. I wish you good luck with regrowing your hair!
Thakkkks
🌷🌸🌼💕 Thanks for coming back!
Thank you for the video! What are the best treatment options in pregnancy? There are a lot of limitations, what should we do with this group of patients?
Unfortunately there is no good solution because the ginecologist will usually not allow to use our drugs.
The good thing is that in most patients alopecia areata improves during pregnancy
@@profLidiaRudnickaThank you! This is a really challenging situation.
how common is renal toxicity when using cap. cyclosporin
With doses used in dermatology (usually around 3 mg/kg/d) and regular monitoring I had no such case, but it does not mean that it can not happen and I always remain very cautious
Unfortunately I got diagnosed lately with scarring alopecia LPP. It seems there is very little research on this aweful devastating 😔condition and there is no cure. treatments are vary in their effectiveness. can you please consider address this condition and hair loss?🙏🏻 and what are the therapies that are most effective based on science🙏🏻🙏🏻
I love LPP and I will be happy to make a video on this ! Thank you gór the suggestion!
@@profLidiaRudnicka Thank you🙌🏻🙌🏻🙌🏻 looking forward to that🙏🏻
So sorry you are going through this brother. Wishing you some hope and a miracle result
@@themax316 Thank you. I really appreciate it. its very tough.. I don’t recognise myself in the mirror anymore because of all the hair I lost in short period of time. I hope it will stop with medications🙏🏻
@@E10l it will. I am in a similar boat. They say that patience is the key. Tried steroid injections?
Can we Skip drugs and follow aip?
What is aip?
Hi Prof.. I wanted to ask you if you familiar with isotretinoin for frontal fibrosing alopecia? My doctor put me on isotretinoin for FFA but I saw many doctors are saying it doesn't work. They all say dutasteride or finasteride are very effective and hydroxychloroquin? I really hope you'll see my message.
It works (probably the best or one of the best drugs for FFA). Some data are here: pubmed.ncbi.nlm.nih.gov/29036252/ .
I use dutasteride or finasteride as additional treatment
@@profLidiaRudnicka Thank you Prof Lidia. You’re the best! So my doctor was right. I’ll look at the info. Thank you again!
Prof. Am I wrong or you are actually the lead researcher in the retrospective study investigating isotretinoin as a treatment for FFA?Wow of course you're familiar with this treatment. Thank you for your work, it helps so many people out there dealing with this disease(including myself). Much appreciated!
Many thanks prof 🌸🌸🌸
Thank you, it is always a great pleasure to read your comments! 😊😀