Hay IC, Jamieson M, Ormerod AD
Department of Dermatology, Aberdeen Royal Infirmary, Foresterhill, Scotland. ad.ormerod@abdn.ac.uk
OBJECTIVE: To investigate the efficacy of aromatherapy in the treatment of patients with alopecia areata.
DESIGN: A randomized, double-blind, controlled trial of 7 months' duration, with follow-up at 3 and 7 months. SETTING:
Dermatology outpatient department.
PARTICIPANTS: Eighty-six patients diagnosed as having alopecia areata.
INTERVENTION: Eighty-six patients were randomized into 2 groups. The active group massaged essential oils (thyme,
rosemary, lavender, and cedarwood) in a mixture of carrier oils (jojoba and grapeseed) into their scalp daily.
The control group used only carrier oils for their massage, also daily.
MAIN OUTCOME MEASURES: Treatment success was evaluated on sequential photographs by 2 dermatologists (I.C.H. and
A.D.O.) independently. Similarly, the degree of improvement was measured by 2 methods: a 6-point scale and computerized
analysis of traced areas of alopecia.
RESULTS: Nineteen (44%) of 43 patients in the active group showed improvement compared with 6 (15%) of 41 patients
in the control group (P = .008). An alopecia scale was applied by blinded observers on sequential photographs and
was shown to be reproducible with good interobserver agreement (kappa = 0.84). The degree of improvement on photographic
assessment was significant (P = .05). Demographic analysis showed that the 2 groups were well matched for prognostic
factors.
CONCLUSIONS: The results show aromatherapy to be a safe and effective treatment for alopecia areata. Treatment
with these essential oils was significantly more effective than treatment with the carrier oil alone (P = .008
for the primary outcome measure). We also successfully applied an evidence-based method to an alternative therapy.
In research conducted in Aberdeen Royal Infirmary in Scotland, 43 alopecia patients received daily 2-minute scalp
massges with essential oils of thyme, rosemary, lavender, cedarwood, mixed with jojoba and grapeseed oils. Another
43 received scalp massages using just jojoba and grapeseed oils. After seven months, 19 people in the essential-oil
group grew hair, compared to 6 people in the control group. The results included one man who regrew a full head
of hair from an almost completely bald scalp, says Isabelle C. Hay, MRCP, the medical doctor and specialist in
dermatology who spearheaded the study.
The above comments were excerpted from Prevention Magazine.
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