Baldness is hair loss, or absence of hair. It's also called alopecia. Baldness is usually most noticeable on the scalp, but can happen anywhere on the body where hair grows. The condition is more common in men than in women.
For many people, the disease does not progress beyond patchy hair loss. However, in some cases the hair loss is extensive. A small minority of patients lose all the hair on their head (known as alopecia totalis) or all the hair on their head and body (alopecia universalis).
This type of baldness is not usually caused by a disease. It is related to aging, heredity, and changes in the hormone testosterone. Inherited, or pattern baldness, affects many more men than women. Male pattern baldness can occur at any time after puberty.
The first sign of alopecia areata is often a round or oval bald patch on the scalp.
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.
Anyone can have alopecia areata. Men and women get it equally, and it affects all racial and ethnic groups. The onset can be at any age, but most people get it in their teens, twenties, or thirties. When it occurs in children younger than age 10, it tends to be more extensive and progressive.
Ways to Stop Alopecia Areata from Spreading or Worsening
Avoiding unnecessary hair or scalp trauma, reducing stress and analyzing your diet are all worthwhile endeavors when attempting to prevent alopecia areata from spreading.
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.
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.
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.
How Long does Hair Loss Last? In half of patients with alopecia areata, individual episodes of hair loss last less than one year, and hair grows back without treatment. These patients may experience recurrent episodes of hair loss that spontaneously regrow or respond quickly to treatments.
If you are experiencing thinning or balding, our Bosley experts recommend washing no more than three times a week.
Ketoconazole shampoos help treat Alopecia by cleaning the skin area around your hair follicle of sebum, or the skins natural oils that are produced. Getting rid of these oils can allow your hair follicles to receive more nutrition and release for your hair to regrow.
A deficiency in vitamin D can be linked to many different types of autoimmune disease—including alopecia areata. This study found that vitamin D deficiency was a risk factor for developing alopecia areata and that a significant number of patients with this condition had low levels of vitamin D.
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.
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.
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.
Can Alopecia Be Reversed? Whether your hair loss is caused by hormones or an autoimmune disorder, regrowing your hair by using new medications and modifying your diet can be possible as long as you start treatment early.
There is currently no cure for alopecia areata, although there are some forms of treatment that can be suggested by doctors to help hair re-grow more quickly. The most common form of alopecia areata treatment is the use of corticosteroids, powerful anti-inflammatory drugs that can suppress the immune system.
A 2019 study also found that people with alopecia who got daily scalp massages reported a boost in hair regrowth. More than 300 people did scalp massages for 11 to 20 minutes a day for almost 6 months. Nearly 70% of participants reported less hair loss or more hair regrowth.
Most of the time, probably not. While certain shampoo ingredients may be less than ideal for healthy hair, existing evidence doesn't point to any specific ingredient as a potential cause of hair loss.
Minoxidil is a topical product that is available in both generic forms as well as popular trade names such as "Rogaine" in North America and "Regain" in part of Europe. Studies dating back to the 1980s have shown very clearly that minoxidil is beneficial in patients with alopecia areata.
Alopecia areata often begins suddenly with oval or round bald patches appearing most commonly on the scalp. Other areas of hairy skin may also be involved. Gradually, the affected skin becomes smooth. New patches may spread by joining existing bald patches.
On the AIP elimination diet, you will avoid grains, legumes, nightshades (such as potatoes and peppers), dairy, eggs, coffee, alcohol, sugar, oil and food additives. After a few months, you can work the excluded foods back in one at a time to figure out which foods trigger an inflammatory reaction.