Anyone can develop alopecia; however, your chances of having alopecia areata are slightly greater if you have a relative with the condition. In addition, alopecia areata occurs more often among people who have family members with autoimmune disorders such as diabetes, lupus or thyroid disease.
Frontal fibrosing alopecia
It can come on suddenly or gradually and affect just your scalp or your whole body. Signs and symptoms of hair loss may include: Gradual thinning on top of head. This is the most common type of hair loss, affecting people as they age.
In alopecia areata, the immune system mistakenly attacks hair follicles, causing inflammation. Researchers do not fully understand what causes the immune attack on hair follicles, but they believe that both genetic and environmental (non-genetic) factors play a role.
A variety of factors are thought to cause alopecia areata (al-o-PEE-she-uh ar-e-A-tuh), possibly including severe stress. With alopecia areata, the body's immune system attacks the hair follicles — causing hair loss.
Alopecia areata is sometimes triggered by viral infections such as influenza that causes excess production of interferons (IFN). IFN- γ is one of the key factors that lead to the collapse of immune privilege.
Alopecia areata affects people of all ages including young children. It produces circular patches of hair loss that appear overnight. More patches appear over time and eventually about 5% of people affected lose every hair on their body.
The first sign of alopecia areata is often a round or oval bald patch on the scalp.
In most people, new hair eventually grows back in the affected areas, although this process can take months. Approximately 50 percent of people with mild alopecia areata recover within a year; however, most people will experience more than one episode during their lifetime.
Alopecia is a general term for hair loss and represents many different types of hair loss conditions. Generally we categorize alopecia as non-scarring, which may be reversible/temporary, and scarring, which is irreversible, although the cause can be addressed to stop further hair loss.
Thankfully, mild cases of alopecia areata often get better without treatment within a few months to a year. In some cases, patchy baldness may come and go over many months or years. The size of the bald patch or patches and how long they last are quite variable.
The extent of alopecia (how much hair has fallen out) varies and links to the different subtypes. Some said their hair loss involved one small patch about the size of a 1p coin which regrew after a few weeks or months. Others developed more patches which sometimes joined up into bigger bald areas over time.
When does alopecia areata begin? You can get alopecia areata at any age; however, most people develop it by 30 years of age. For many, the disease begins during childhood or the teenage years.
Alopecia areata (AA) occurs when the immune system attacks the hair follicle. Studies have shown a relationship between AA and low vitamin D levels. Vitamin D should be supplemented if levels are low.
Most people know alopecia to be a form of hair loss. However, what they don't always know is that there are three main types of the condition – alopecia areata, alopecia totalis and alopecia universalis.
Hair often looks noticeably different on the edges of bald patches caused by alopecia. These small hairs bordering the hairless spots are referred to as exclamation mark hairs since the hairs taper, thinning as they go down and looking like a classic exclamation mark.
There is no cure for AA. While treatments may promote hair growth, new patches of hair loss may continue to appear. The treatments are not a cure. Only the body, itself, can eventually turn off the condition.
Sometimes, hair regrows on its own without treatment. This happens more often when someone has a few patches of alopecia areata, which have been there for less than 1 year. When hair fails to grow back, treatment can help. Self-care also plays an important role in the lives of people who have alopecia areata.
Hereditary hair loss
Both men and women develop this type of hair loss, which is the most common cause of hair loss worldwide. In men, it's called male pattern hair loss. Women get female pattern hair loss. Regardless of whether it develops in a man or women, the medical term is androgenic alopecia.
So while hair loss from alopecia areata cannot be prevented, it can be treated. According to the National Alopecia Areata Foundation, your hair follicles remain alive even during active periods of alopecia areata and you can experience hair regrowth even if you have already lost more than 50 percent of your hair.
Diagnosis of Alopecia Areata
Doctors usually diagnose alopecia areata by: Examining the areas where the hair has been lost and looking at your nails. Examining your hair and hair follicle openings using a handheld magnifying device. Asking about your medical and family history.
Alopecia areata isn't usually a serious medical condition, but it can cause a lot of anxiety and sadness. Support groups are out there to help you deal with the psychological effects of the condition. If you lose all your hair, it could grow back.
Alopecia areata is a common autoimmune disease leading to non-scarring hair loss [1]. In the last year, there have been reported numerous cutaneous manifestations due to coronavirus disease 2019 (COVID-19), among these acute telogen effluvium [2] and alopecia areata can be encountered [3,4,5].
Additional autoimmune diseases that can sometimes be associated with alopecia areata through common genes include type 1 diabetes, celiac disease and rheumatoid arthritis, among others.
The Ludwig scale defines three broad stages of hair loss. In stage 1, the hair on the top of the head begins thinning. In stage 2, the scalp starts to become visible. In stage 3, all of the hair at the crown may be lost, resulting in baldness.