How do you manage eyebrow and eyelash involvement in patients with alopecia areata?

The possible options are bimatoprost (either Latisse or the eyedrops) twice a day and compounded tofacitinib 2% solution twice a day. ILK 2.5 mg/ml every 6 weeks for eyebrows.

I start with ILK 2.5mg/mL + alternating desonide cream and pimecrolimus cream.

For severe patients and also patients developing dyspigmentation/atrophy from ILK, I have found pulses of IM kenalog to be a great adjunct.

If the patient has some area of eczematous dermatitis on the body, I will try and...