PMID- 37873509 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231026 IS - 1178-7015 (Print) IS - 1178-7015 (Electronic) IS - 1178-7015 (Linking) VI - 16 DP - 2023 TI - Efficacy, safety, and Pharmacoeconomics of Three Common Strategies for Pediatric Alopecia Areata Patients: A Retrospective Cohort Study. PG - 2947-2956 LID - 10.2147/CCID.S425534 [doi] AB - OBJECTIVE: To evaluate and explore the efficacy, safety, and pharmacoeconomics of three common strategies for pediatric alopecia areata. METHODS: Chinese pediatric alopecia areata patients meeting the criteria were included and divided into three groups based on the received treatments. The efficacy, adverse events and pharmacoeconomics of these treatments were retrospectively analyzed. RESULTS: Twenty-four pediatric AA patients were recruited in this study. 100% (12/12) of patients from the traditional group achieved SALT100. In the tofacitinib group, 40.0% (2/5) of patients achieved SALT50. 20.0% (1/5) of patients achieved SALT75 and 40.0% (2/5) of patients achieved SALT100. In the MN group, 42.86% (3/7) of patients were non-responders. 14.28 (1/7) of patients achieved SALT75 and 42.86% (3/7) of patients achieved SALT100. The adverse effects (AEs) were mild in all three groups, and none of the patients discontinued the treatments due to the AEs. Comparing the other two groups, the MN treatment would be more time-intensive and more expensive. CONCLUSION: For newly diagnosed or naive pediatric patients, the traditional treatment was the first-line approach. For long-duration, severe and refractory patients, tofacitinib and microneedling can be alternative options. CI - (c) 2023 Zhou et al. FAU - Zhou, Jiong AU - Zhou J AD - Department of Dermatology, Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, People's Republic of China. FAU - Yang, Yang AU - Yang Y AD - Department of Dermatology, Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, People's Republic of China. FAU - Xu, Mengjun AU - Xu M AD - Department of Dermatology, Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, People's Republic of China. FAU - Lyu, Zhongfa AU - Lyu Z AD - Department of Dermatology, Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, People's Republic of China. FAU - Wu, Xianjie AU - Wu X AUID- ORCID: 0000-0002-5604-5801 AD - Department of Dermatology, Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, People's Republic of China. LA - eng PT - Journal Article DEP - 20231018 PL - New Zealand TA - Clin Cosmet Investig Dermatol JT - Clinical, cosmetic and investigational dermatology JID - 101543449 PMC - PMC10590599 OTO - NOTNLM OT - alopecia areata OT - efficacy OT - microneedling OT - pediatric OT - tofacitinib COIS- The authors report no conflicts of interest in this work. EDAT- 2023/10/24 06:41 MHDA- 2023/10/24 06:42 PMCR- 2023/10/18 CRDT- 2023/10/24 03:58 PHST- 2023/06/14 00:00 [received] PHST- 2023/09/14 00:00 [accepted] PHST- 2023/10/24 06:42 [medline] PHST- 2023/10/24 06:41 [pubmed] PHST- 2023/10/24 03:58 [entrez] PHST- 2023/10/18 00:00 [pmc-release] AID - 425534 [pii] AID - 10.2147/CCID.S425534 [doi] PST - epublish SO - Clin Cosmet Investig Dermatol. 2023 Oct 18;16:2947-2956. doi: 10.2147/CCID.S425534. eCollection 2023.