A 69-year-old woman presented with a one-year history of hair loss affecting the hairline and eyebrows. During a previous appointment with a dermatologist, a skin biopsy had been taken, which had resulted in the diagnosis of alopecia areata (AA). The patient had been using topical tacrolimus 0.1% and had received intralesional injections of corticosteroids but without benefit. She also complained of generalized itching, but with no skin lesions.
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