Table 2. Laser treatment for alopecia areata
Light Source |
Number of Patients |
Lesion types |
Dose/session Frequency |
Therapy Duration |
Response |
Length of Follow-up |
Relapse Rate |
Level of Evidence |
Reference |
308 nm excimer laser |
2 (31-48 years old) |
2 AAP of scalp |
300-2300 mJ/cm2 Weekly |
9-11 weeks |
CR in 2/2 |
5-18 months |
None |
Prospective case series |
Gundogan et al [29] |
308 nm excimer laser |
9 (12-56 years old) |
5 refractory AAP of scalp 1 refractory AT 3 refractory AU |
50-600 mJ/cm2 2 times/week |
12 weeks |
CR/PR in 5/5 NR NR |
3 months |
None |
Intra-individual prospective cohort |
Zakaria et al [30] |
308 nm excimer laser |
1 (22 years old) |
1 refractory AAP of scalp |
200-4000 mJ/cm2 2 times/week |
12 weeks |
CR in 1/1 |
6 months |
None |
Side-by-side prospective cohort |
Raulin et al [33] |
308 nm excimer laser |
18 (11-41 years old) |
17 refractory AAP of scalp 10 refractory AAP of beard 7 refractory AAP of arms 7 refractory AAP of legs 1 refractory AT |
50 - 600 mJ/cm2 2 times/week |
12 weeks |
CR in 13/17 PR in 4/10 NR NR NR |
6 months |
2/13 of CR |
Intra-individual prospective cohort |
Al-Mutairi et al [31] |
308 nm excimer laser |
11 (4-14 years old) |
22 refractory AAP of scalp 4 refractory AAP of arms 4 refractory AAP of legs 2 refractory AT |
50 - 600 mJ/cm2 2 times/week |
12 weeks |
CR/PR in 18/30 NR NR NR |
6 months |
4/18 of CR/PR |
Intra-individual prospective cohort |
Al-Mutairi et al [32] |
308 nm excimer light |
8 -- |
8 refractory alopecia areata |
-- Weekly |
Up to 10 weeks |
CR in 4/8 |
6 months |
None |
Prospective case series |
Aubin et al [34] |
904 nm infrared diode laser |
16 (4-50 years old) |
14 refractory AAP of scalp 6 refractory AAP of eyebrow 12 refractory AAP of beard 2 refractory AAP of moustache |
Up to 150 W, 40/s Weekly |
4 weeks |
CR/PR in 14/14 CR in 5/6 CR in 11/12 PR in 2/2 |
2 months |
None |
Intra-individual prospective cohort |
Waiz et al [36] |
600-1600 nm infrared laser |
15 (18-68 years old) |
15 AAP of the scalp |
1.8 W, 4/s Weekly or 2 times/week |
2-20 weeks |
PR in 7/15 |
-- |
-- |
Intra-individual prospective cohort |
Yamazaki et al [35] |
Fractional photothermolysis laser |
1 (35 years old) |
1 refractory AAP of scalp |
10-15 mJ/cm2 Weekly |
24 weeks |
CR in 1/1 |
6 months |
None |
Prospective case report |
Yoo et al [37] |
AAP, alopecia areata partialis; AT, alopecia totalis; AU, alopecia universalis; CR, complete response; PR, partial response; NR, no response |