Here is a patient I saw recently. She is a 17-year-old girl who has a history of severe alopecia since the age of 12 years. It was abrupt and sudden with marked loss of scalp hair followed by eye brows and other body hair. Within a month, she had developed alopecia universalis. She was initially treated with intralesional triamcinolone and topical minoxidil but did not help. Subsequently she had NB-UVB 3 times weekly in the local hospital but that also did not do much good. She was advised to go to tertiary centres in KL but was disappointed with only one visit. She could not go to NSC in Singapore because of financial constraints. As a Malay, she always wears a tudong to cover her scalp. There was no other systemic complaints. She is the 4th in the family of 5 siblings. No family history of alopecia.
Comment: Who has had real success treating patients with AU? Are there any lab tests of real value?