More Than Hair Loss: Global Perspectives on the Clinical Diagnosis and Management of Alopecia Areata

This activity is part of a series


Nekma Meah, MBChB, MRCP (UK), MRCP (Derm), FACD
Consultant Dermatologist, Blackburn, UK
Honorary Secretary, British Hair and Nail Society
Consultant Dermatologist, BMI The Beardwood Hospital, Blackburn, UK
Nekma Meah, MBChB, MRCP (UK), MRCP (Derm), FACD

Dr Nekma Meah is a Consultant Dermatologist with a specialist interest in the management of hair and scalp disorders. She has undertaken an international hair fellowship under Professor Rodney Sinclair in Australia in 2017 and published extensively including co-leading The Alopecia Areata Consensus of Experts (ACE) study and the Global eDelphi Exercise to Identify Core Domains and Domain Items for the Development of a Global Registry of Alopecia Areata Disease Severity and Treatment Safety (GRASS) project. She runs the specialist hair clinic at St Helens and Knowsley NHS Trust and is currently the Honorary Secretary of the British Hair and Nail Society.

She obtained her MBChB from the University of Manchester in 2007 and undertook her junior doctor training in the West Midlands before entering the specialist dermatology programme in Liverpool. She qualified as a Consultant Dermatologist in 2017.

Dr Meah is passionate about dermatology, teaching and research and helped to establish the BHNS national hair and nail teaching day for dermatology trainees in 2021. She is Honorary Clinical Lecturer at The University of Manchester and serves on the steering committee for the global COVID-19 alopecia registry – SECURE alopecia.

Dmitri Wall, MB BCh BAO, MRCP (UK), MSc
Assistant Professor, University College Dublin School of Medicine, Dublin, Ireland
Assistant Professor, Charles Institute of Dermatology, University College Dublin School of Medicine
Hair Restoration Blackrock, Dublin
Dmitri Wall, MB BCh BAO, MRCP (UK), MSc

Dr. Dmitri Wall is a consultant Dermatologist with a special interest in hair disorders. A graduate of University College Dublin, Ireland, he completed higher specialist training with the Royal College of Physicians of Ireland before undertaking an international hair fellowship in Melbourne, Australia with Professor Rodney Sinclair. Since his return in 2019, he has worked as a consultant in St James’s Hospital, Dublin, Ireland and Hair Restoration Blackrock, Dublin, Ireland.

Dr. Wall is Assistant Professor in the Charles Institute of Dermatology, University College Dublin School of Medicine. He is actively engaged in both basic scientific and clinical research with national and international colleagues, focusing primarily on hair and scalp disorders and has published in a number of journals. He is a member of the scientific committee of the Irish Association of Dermatologists (IAD) and is also a member of the British Association of Dermatologists, European Academy of Dermatology and Venereology, International Society of Dermatology, Australasian Hair and Wool Research Society and the International Society of Hair Restoration Surgery.

Dr. Wall also has a special interest in health informatics. He has obtained an MSc through Trinity College Dublin, Ireland and has worked with Professor Alan Irvine and the Irish Skin Foundation charity, over the last decade, to develop the not-for-profit charity National and International Skin Registries (NISR), that develops international patient registries, including a role in the development of the emerging global network of patient registries for alopecia areata (GRASS) with a view to improving international collaboration and facilitating re-use of comparable clinical data.

Most recently Dr. Wall has worked with colleagues internationally to establish two global, physician-entered, anonymized patient registries, SECURE-AD (Alan Irvine – Ireland, Carsten Flohr – United Kingdom, Phyllis Spuls – The Netherlands) and SECURE – Alopecia (Rodney Sinclair – Australia; Nekma Meah – United Kingdom; Katherine York – South Africa; Alan Irvine – Ireland), to record and analyze outcomes of COVID-19 positive patients suffering from atopic dermatitis and all forms of alopecia, respectively.

Statement of Need

Alopecia areata (AA) is an immune-mediated disorder causing patchy hair loss on the scalp, face, or body. It is associated with several comorbidities including depression, anxiety, and additional autoimmune diseases. The frequency of concurrent conditions and overall symptomatology of AA differs among geographically separate populations, suggesting a genetically variable etiology. To form an appropriate differential diagnosis, clinicians must be able to recognize clinical manifestations and disease severity among diverse subtypes of AA.

Join Drs. Nekma Meah and Dmitri Wall for the second installment of this three-part virtual Journal Club series as they discuss the clinical manifestations of AA and associated autoimmune disorders in different patient populations.

Learning Objectives

At the end of this CME/CE activity, participants should be able to explain the clinical manifestations of alopecia areata.

Financial Support

Supported by an educational grant from Pfizer Inc.

Target Audience

Physicians, PAs, and nurse practitioners specializing in dermatology, allergy/immunology, general practice, and/or pediatrics located outside of the United States

Credit Information

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Nurses (ANCC) .50

This activity is designated for 0.5 contact hours.

Pharmacists/Pharmacy Tech (ACPE) .50

This application-based activity is approved for 0.50 contact hour (0.05 CEUs) of continuing pharmacy credit.
Activity UAN: JA0007185-0000-21-095-H01-P

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Disclosure Declaration

It is the policy of CME Outfitters, LLC, to ensure independence, balance, objectivity, and scientific rigor and integrity in all of their CE activities. Faculty must disclose to the participants any relationships with commercial companies whose products or devices may be mentioned in faculty presentations, or with the commercial supporter of this CE activity. CME Outfitters, LLC, has evaluated, identified, and attempted to resolve any potential conflicts of interest through a rigorous content validation procedure, use of evidence-based data/research, and a multidisciplinary peer review process. The following information is for participant information only. It is not assumed that these relationships will have a negative impact on the presentations.

Dr. Meah reports no financial relationships.

Dr. Wall reports the following financial relationships: Consultant: Bristol Myers Squibb and Pfizer Inc. (on behalf of the National and International Skin Registry); Grants/Research Support: Janssen Global Services, LLC and Pfizer Inc. Other: National and International Skin Registry Solutions (Charity)

The following peer reviewer and CME Outfitters staff report no financial relationships:

  • Shirley Michelle Franks, MSN, APRN, FNP-BC (peer reviewer)
  • Kellie Busby, PharmD (planning committee)
  • Susan Perry (planning committee)
  • Susan H. Yarbrough, CHCP (planning committee)
  • Sharon Tordoff (planning committee)

Faculty of this CE activity may include discussions of products or devices that are not currently labeled for use by the FDA. The faculty have been informed of their responsibility to disclose to the audience if they will be discussing off-label or investigational uses (any uses not approved by the FDA) of products or devices.

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NOTE: Pharmacist CE Universal Activity Number, Enduring: JA0007185-0000-21-095-H01-P

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More Than Hair Loss: Global Perspectives on the Clinical Diagnosis and Management of Alopecia Areata
Event Date: 06/16/2022