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In case of alopecia areata, out of the 69 sites, 66 were treated with 2 and 28 with 3 applications of phenol respectively on those areas where the hair growth was not observed.Orin said:Yeah the % is impressive BUT what do they mean with regrowth? If it's 70-ish % increase in hair that is vellous and never goes anywhere, then I don't think it matters per se, though I guess that increase is more of a bonus, seeing that the WnT-signalling and the EGFR-inhibition is what really brings on results.
As a complete "what-if" - wouldn't it be marvellous if the acid created vellous hair, that when coupled with WnT and EGFR brought on a substanstial growth? WnT and EGFR alone grows hair.. the question is if the acid is different than mechanical dermabrasion, or laser-dermabrasion, in terms of growing hair on its own. I guess further studies might give some clues.
In cases of alopecia areata, small light-coloured vellus hairs were seen on the phenol painted areas after the initial peeling, crusting and re-epithelialisation (10-15 days). The vellus hair gradually started growing in size and became thicker in diameter and darker in colour. Out of 69 sites, 3 developed excellent (60-80%) regrowth of hair, 30 developed good (40-60%) and 36 sites had poor (40 or less percentage) growth. Those sites which responded only upto 60% were treated for a second time with phenol after 4 weeks. Only partially responsive or areas which had not responded were painted with the solution. Out of such 66 sites, 38 sites showd 60-80% regrowth. However 28 had to be treated for the third time. Of these, 9 showed excellent, 5 showed poor and 9 did not show any hairgrowth. Remaining 5 sites had initial hair growth but had lost the hair after 3-4 months.
So it seems the hair at least better than vellus type hair and it stays for an undefined time after the treatment is finished. They gave some theories as to why the results were so good.
# (1) During wound repair process, several growth factors are released which could be Stimulating the affected follicle.
# (2) Various cytokines are released during wound healing which might neutralise the peribulbar lymphocytic infiltrates causing regrowth of hair through immunomodulation.
# (3) Most of the follicles in AA are in the telogen phase and thus lie high in the dermis. It is possible that phenol may be passing through the follicular opening and directly stimulating the germinal centre.
These are just theories however. Still, even though I've had good results with other treatments, it makes me very curious to try it.