{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T16:50:34Z","timestamp":1792083034598,"version":"4.4.0"},"reference-count":5,"publisher":"S. Karger AG","issue":"1","license":[{"start":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T00:00:00Z","timestamp":1786406400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T00:00:00Z","timestamp":1786406400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Rep Dermatol"],"abstract":"<jats:p>Introduction: Alopecia areata (AA) is an autoimmune hair loss disorder often triggered by genetic and environmental factors. Acute, massive shedding is unusual and may indicate a potent immune trigger. Case Presentation: We report a 34-year-old woman with Hashimoto thyroiditis who developed rapid, diffuse AA 10 days after bee stings. Clinical examination showed marked hair loss (SALT score 30\u219270) affecting scalp, eyebrows, and eyelashes. Laboratory workup revealed elevated IgE and venom-specific hypersensitivity. Treatment with corticosteroid pulses followed by oral methylprednisolone and methotrexate led to progressive hair regrowth. Conclusion: This case highlights hymenoptera envenomation as a rare trigger of acute AA, emphasizing the importance of environmental history and immune evaluation in sudden-onset autoimmune hair loss.<\/jats:p>","DOI":"10.1159\/000553302","type":"journal-article","created":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T16:00:42Z","timestamp":1786464042000},"page":"756-761","source":"Crossref","is-referenced-by-count":0,"title":["Hymenoptera Envenomation as a Potential Trigger for Acute Diffuse Alopecia Areata: A Case Report"],"prefix":"10.1159","volume":"18","author":[{"given":"Oumaima","family":"El Kohen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bianca Maria","family":"Piraccini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fatima-Zahra","family":"Hammoud","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4533-8297","authenticated-orcid":false,"given":"Farida","family":"Benhadou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"127","published-online":{"date-parts":[[2026,8,11]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1038\/nrdp.2017.11"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1111\/bjd.16808"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2013.10.060"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.iac.2015.01.007"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.15586\/aei.v53i6.1490"}],"container-title":["Case Reports in Dermatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/karger.com\/article-pdf\/doi\/10.1159\/000553302","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T16:01:33Z","timestamp":1792080093000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000553302"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,11]]},"references-count":5,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,1,1]]}},"URL":"https:\/\/doi.org\/10.1159\/000553302","archive":["Portico"],"relation":{"is-supplemented-by":[{"id-type":"doi","id":"10.6084\/m9.figshare.33205479","asserted-by":"subject"}]},"ISSN":["1662-6567"],"issn-type":[{"value":"1662-6567","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,11]]}}}