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38 years male farmer with alopecia areata for 3-4 years multiple patches leading towards alopecia totalis. Started treatment with oral & topical immunosuppressive drugs along with topical Minoxidil and tacrolimus on the first visit after investigating patient. First, visit applied “ topical phenol” leading to erythema every month follow-up three phenol applications hair growth started.  After 4 months then intralesional drugs (triamcinolone acetonide). Every monthly Injection 2 injections given. Leading to better hair growth.Continuing oral and topical medicines, intralesional injectionscryospray after 6 months final outcomeup to 90% hair growth.