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Sir, Chronic graft versus host disease (cGVHD) is a systemic complication that occurs after allogeneic haematopoietic stem cell or solid organ transplantation. Its incidence after allogeneic haematopoietic cell transplantation ranges between 27% and 72% (1). The immune system itself is a major target for cGVHD and the development of dysfunction may lead to autoimmune disorders. The association of vitiligo, myasthenia gravis, thrombocytopenia, autoimmune haemolytic anemia and polymyositis with cGVHD has been reported previously (2 – 6). We present three patients with alopecia areata (AA) occurring during the course of cGVHD. To the best of our knowledge, such an association has not been reported previously.

Simultaneous Onset of Chronic Graft Versus Host Disease and Alopecia Areata Following Allogeneic Haematopoietic Cell Transplantation