Hi there. Alopecia Areat has various theories of orginin..one of them being autoimmune. Are you referring to alopecia areata
or are you diagnosed with some other 'autoimmune' disease & alopecia areata also co-exists? This will affect the prognosis.
No two dermatologists agree on a particular line of management as regds this condition.
Both opinions are justified & either/or may be successful.
Remember that 'stress' plays a major role in perpetuating & aggravating AA (alopecia areata)..so please do address this issue & you may visit a counsellor for help to deal with issues if they so exist.
Personally, i would go in for an injectable (intralesional) corticosteroid administered by a competent dermatologist coupled with topical immunomodulant like 1% pimecrolimus
(akin to tacrolimus)
For added quick 'friends with benefits', one could throw in topical 2% minoxidil
Cheers & wish you a quick recovery!
Dr Praveen Rodrigues MD
Dermatologist, Cosmetologist, Venereologist
Vikram Hospital, Bangalore, India