Alopecia areata (AA) is a form of non-scarring hair loss caused by an autoimmune disease. Symptoms range from a total or severe to an only mild patchy loss of hair. Spontaneous remission may occur. Even though AA is the third most frequent reason for pediatric dermatology consultations, treating alopecia areata in children is still difficult. A 4-year-old, healthy girl, presented with non-scarring multiple patchy alopecias on the scalp, and the hair pull test was positive. Trichoscopy demonstrated exclamation marks, black dots, short vellus hairs, and telangiectasia. Routine laboratory tests were unremarkable. The patient was clinically diagnosed with alopecia areata. Dermoscopy may confirm the diagnosis. Therapies are designed to alleviate symptoms and signs. More pediatric data are needed to evaluate therapies' safeness and recurrence rates in such treatment approaches. Topical treatment using high potency topical corticosteroid and minoxidil 2% combined with light-emitting-diode (LED) and oral immunomodulator (inosine pranobex) showed good response and well tolerated in pediatric alopecia areata. © 2023 Pakistan Association of Dermatologists. All rights reserved.