{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T20:14:31Z","timestamp":1789503271809,"version":"build-2803163510"},"reference-count":49,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T00:00:00Z","timestamp":1771200000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T00:00:00Z","timestamp":1771200000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100004319","name":"Pfizer","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004319","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Dermatology"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Alopecia areata (AA) affects all ages, genders, and ethnicities. AA severely impacts patients' quality of life. Treatments indicated for AA have only been approved since 2022\/2023. While some Asia Pacific (APAC) countries\/regions have national or regional guidelines, many lack AA\u2010specific guidance or have not updated existing guidelines to incorporate recently approved treatments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>To better inform treatment decisions, 18 dermatologists from Australia, China, India, Korea, Malaysia, Singapore, Taiwan, and Thailand completed a three\u2010round Delphi\u2010based consensus process involving survey completion, open discussion, and statement voting. A consensus for Likert\u2010type and multiple\u2010choice statements was defined as \u2265\u200970% agreement or disagreement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Consensus was achieved on 140 statements. The panel recognizes that AA is clinically heterogeneous and imposes a considerable burden on patients and their families. Trichoscopy is deemed essential for diagnosing and monitoring AA, while skin biopsy is reserved for when the cause of hair loss is unclear. In terms of disease severity, moderate AA is defined as 21%\u201349% hair loss and severe AA as \u2265\u200950% hair loss. Regarding treatment, topical corticosteroids are recommended in children &lt;\u200912\u2009years. For patients aged \u2265\u200912\u2009years, topical and intralesional corticosteroids could be used for mild\u2010to\u2010moderate AA, while Janus kinase inhibitors and systemic corticosteroids have a role in moderate\u2010to\u2010severe AA. Adjuvant minoxidil could also be used in chronic AA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This modified Delphi\u2010based consensus provides a practical, region\u2010focused framework to standardize the diagnosis and management of AA across diverse APAC healthcare settings in hope of improving patient outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ijd.70335","type":"journal-article","created":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T04:29:55Z","timestamp":1771302595000},"page":"2091-2101","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Epidemiology, Diagnosis and Management of Alopecia Areata: An Asia\u2010Pacific Modified Delphi Expert Panel 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