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Alopecia is more than just a cosmetic concern – it’s a significant quality-of-life issue for patients with autoimmune connective tissue diseases (ACTDs) such as SLE, MCTD, Sjogren syndrome, UCTD, DM, and SSc. But how often does it occur, and in which conditions is it most prevalent?
A retrospective study of 241 patients at Massachusetts General Hospital found that non-scarring alopecia was most common in MCTD (46.6%) and SLE (36%), while lower rates were observed in DM (9.5%) and SSc (9%). Despite its prevalence, alopecia in ACTDs is often under-evaluated and difficult to treat, requiring a multidisciplinary approach. How can dermatologists optimize care for these patients?