Alopecia Associated with Isoniazid in Cases of Isoniazid-Monoresistant Pulmonary Tuberculosis - Summary - MDSpire

Alopecia Associated with Isoniazid in Cases of Isoniazid-Monoresistant Pulmonary Tuberculosis

  • By

  • Emine Afşin

  • Şeref Özkara

  • Fatma Ceren Gökdemir

  • January 31, 2026

  • 0 min

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Objective:

To highlight the potential association between alopecia and drug resistance in tuberculosis treatment, emphasizing its clinical significance.

Key Findings:
  • Alopecia is a rare but significant adverse drug reaction associated with anti-tuberculosis treatment, particularly in drug-resistant cases.
  • The patient's alopecia was consistent with anagen effluvium, resolving within one month after discontinuation of isoniazid, highlighting the need for prompt recognition.
  • Isoniazid monoresistance was confirmed following the patient's alopecia, underscoring the importance of resistance testing.
Interpretation:

The case underscores the importance of monitoring for adverse drug reactions like alopecia during tuberculosis treatment, especially in patients with drug resistance, to improve patient outcomes.

Limitations:
  • The case is based on a single patient, limiting generalizability and highlighting the need for further research.
  • Further studies are needed to establish a broader understanding of alopecia in the context of tuberculosis treatment and its implications for clinical practice.
Conclusion:

Discontinuation of isoniazid led to hair regrowth, emphasizing the need for careful management of adverse drug reactions in tuberculosis therapy and the importance of recognizing rare ADRs.

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