Table 3

Quotes by patients and dermatologists referring to therapy options

Quote numberQuoteParticipant
Q1.1“No, except for taking zinc supplements, I don’t do anything anymore. I let it [the hair] come and go.”Patient, female, 30–39 years
Q1.2“I would have had to go to (city 8), I think every week or so (…)and that, um, I would not have managed in terms of time, to be honest. I then also heard, as soon as the treatment is finished, the hair will fall out again.”Patient, female, 50–59 years
Q1.3“The wig I got quite early, without the wig I would feel very stigmatised, because I have neither the strength nor the self-confidence to walk around without hair on my head.”Patient, female, 30–39 years
Q1.4“That worked well. I was symptom-free for a relatively long time. My hair stopped falling out.(…)Then it abruptly stopped working.”Patient, female, 20–29 years
Q1.5“So it was always said [by the dermatologist]: change of medication. Let’s look for something new. I didn't have much say in the matter.”Patient, female, 20–29 years
Q1.6“I would have liked to have the possibilities, treatment options in more detail, in an overview,(…) but instead we get something different [different information] from every dermatologist”Patient, male, 40–49 years
Q1.7“If the patient has a high level of suffering, I would send him to the university hospital, with the idea of getting into a study, because there is currently a lot happening. In our practice, we don't do too much, I have to say.”Dermatologist, female, 30–39 years
Q1.8“And with baricitinib, regarding the experience so far, you really have a great therapy option, but with the restriction that it is not reimbursed.”Dermatologist, male, 50–59 years
Q1.9“Sometimes the wig is so well made that you don't even see it. (…) And they [the patients] are really happy. With the wig, you have to say, a new phase begins for them.”Dermatologist, female, 40–49 years
Q1.10“But these are patients who have been to other places [physicians] and who are simply hoping that you will prescribe them a systemic therapy that you may not be able to get from other doctors. (…) I used to put a lot of work into asking the health insurance companies to cover it. (…) The answer is always: Yes, you can prescribe it, but it is a lifestyle medication”Dermatologist, female, 40–49 years
Q1.11“But for the patient, I think it’s an agony. It [the DCP therapy] is very tedious and almost always leads to a relapse when they stop taking it.”Dermatologist, male, 60–69 years
Q1.12“Of course, we have a number of patients where there is a spontaneous remission, who do not come back into the practice.”Dermatologist,
female, 30–39 years
Q1.13“What is important, patients must be educated well that this disease runs in relapses.” This means that once we have brought on a ‘cure’, we cannot guarantee that a relapse will not occur at some point (…)”Dermatologist, male, 40–49 years
Q1.14“But they are actually/do what we recommend. (…) I always explain to them that theoretically you can also just wait. (…) But they are very willing to undergo therapy”Dermatologist, female, 40–49 years