{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T02:40:29Z","timestamp":1791081629129,"version":"4.1.0"},"reference-count":0,"publisher":"Wiley","issue":"2-4","license":[{"start":{"date-parts":[[2000,1,1]],"date-time":"2000-01-01T00:00:00Z","timestamp":946684800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Immunology Research"],"published-print":{"date-parts":[[2003,1]]},"abstract":"<jats:p><jats:italic>Background<\/jats:italic>: Alopecia Areata (AA) is a disease characterized by hair loss that is widely believed to be autoimmune in origin. Thus treatment is generally aimed in this direction using immune inhibitors such as steroids and PUVA.<\/jats:p><jats:p><jats:italic>Objective<\/jats:italic>: To describe a variant of AA, Pseudo Alopecia Areata, caused by a particular cupola pin holder (tic\u2010tac) and to offer a non\u2010pharmacological treatment option (NPT).<\/jats:p><jats:p><jats:italic>Methods<\/jats:italic>: A prospective open label study in 37 Jewish religious patients (34 males, 3 females, mean 35 \u00b1 2 years), previously diagnosed and treated for scalp AA were randomly referred to one of the three NPT intervention methods: small cupola held by two pins, large cupola held by one pin and similar cupola held by a different pin.<\/jats:p><jats:p><jats:italic>Results<\/jats:italic>: Three of the ten patients (33.3%) from the first group developed secondary AA from the additional pin. No changes were seen in the second group. Ten of the seventeen patients (58.8%) from the third group achieved immediate improvement subsequent to replacing the original pin with a new one on a larger cupola.<\/jats:p><jats:p><jats:italic>Conclusions<\/jats:italic>: Conservative pharmacological treatment failed to repair the lesions. The addition of a second pin caused an additional lesion. In contrast, replacing the cupola with a larger one and the original pin\u2010fastener with a different type, successfully reduced the lesions.<\/jats:p>","DOI":"10.1080\/10446670310001642131","type":"journal-article","created":{"date-parts":[[2003,12,30]],"date-time":"2003-12-30T17:02:39Z","timestamp":1072803759000},"page":"193-195","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Pseudo Alopecia Areata Caused by Skull\u2010caps with Metal Pin Fasteners used by Orthodox Jews in Israel"],"prefix":"10.1155","volume":"10","author":[{"given":"Chaim","family":"Yosefy","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meir","family":"Ronnen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dennis","family":"Edelstein","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2003,1]]},"container-title":["Journal of Immunology Research"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/jir\/2003\/504989.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1080\/10446670310001642131","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,8]],"date-time":"2024-08-08T11:31:03Z","timestamp":1723116663000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1080\/10446670310001642131"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2003,1]]},"references-count":0,"journal-issue":{"issue":"2-4","published-print":{"date-parts":[[2003,1]]}},"alternative-id":["10.1080\/10446670310001642131"],"URL":"https:\/\/doi.org\/10.1080\/10446670310001642131","archive":["Portico"],"relation":{},"ISSN":["2314-8861","2314-7156"],"issn-type":[{"value":"2314-8861","type":"print"},{"value":"2314-7156","type":"electronic"}],"subject":[],"published":{"date-parts":[[2003,1]]},"assertion":[{"value":"2003-01-01","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}