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Chlorine dioxide may offer a novel treatment for alopecia areata by promoting follicle regeneration and reducing scalp inflammation
Alopecia areata is a common hair loss condition characterized by sudden and unexpected shedding of hair in circular or oval areas, resulting in bald patches. The exact cause is not fully understood, but it is believed to be related to autoimmune diseases and other factors such as genetics, stress, diseases, or infections. In many cases, hair naturally regrows within a few months, but relapses are common. Treatment options include corticosteroids, immunotherapy, and hair growth agents. Severe cases may progress to total scalp or body hair loss. While it doesn’t cause physical pain, it can impact the psychological well-being of patients. Approximately 80% of patients experience spontaneous recovery within a year, but for the remaining 20%, it can be a long-term challenge.
In this case report, two patients with alopecia areata were treated using traditional Chinese herbal medicine and acid chlorine dioxide solution. Patient A had the condition for four months, while Patient B had it for over five years. Patient B received hydrocortisone injections, resulting in 80% hair regrowth, but the alopecia recurred later. Patient A’s alopecia region had visible hair follicles and a soft scalp, while Patient B’s region was smooth, hardened, and had excessive sebum production.
Both patients were treated with oral prednisolone, but Patient A discontinued due to concerns about potential side effects. Patient A then applied acid chlorine dioxide solution to the alopecia region, experiencing acute pain and redness initially, but hair fell out and immediately regenerated, indicating anagen phase induction. Patient B also underwent acid chlorine dioxide solution treatment, observing similar hair follicle regeneration.
Patient A discontinued hospital treatment after 15 days and experienced hair regrowth in the alopecia region after 40 days. By day 70, the condition was fully resolved with no recurrences over three years. Patient B underwent acid chlorine dioxide solution treatment for 100 days, with no recurrences over the following three years.
Alopecia areata is an unpredictable autoimmune skin disease, and traditional treatments often have severe side effects. The use of acid chlorine dioxide solution, which shares properties with ROS (reactive oxygen species), shows potential in promoting tissue regeneration and immune regulation. These cases suggest that chlorine dioxide could be a potential treatment for alopecia areata and other autoimmune skin diseases, although further research is needed.
The Mechanism of Using Chlorine Dioxide to Treat Alopecia Areata
The use of chlorine dioxide in treating alopecia areata shows promising results. Patients with alopecia areata for less than a year have softer scalps, indicating the presence of follicle spaces that allow for easier regrowth. In contrast, patients with alopecia areata lasting over a year have hardened and oilier scalps, making it difficult for new follicles to regenerate. Chlorine dioxide’s tissue regenerative properties may help promote hair regrowth by creating space for follicle regeneration and reducing inflammation. Chlorine dioxide’s oxidizing action can clear foreign bodies and antigens, reducing the immune system’s inflammatory response. It also mimics reactive oxygen species (ROS), sending normal signals to the immune system and diminishing its activity, leading to a reduction in inflammation. Chlorine dioxide shows potential in blocking the immune system’s attack on hair follicles, making it a possible treatment for alopecia areata and other autoimmune skin diseases.
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