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.
Hair loss (alopecia) can affect just your scalp or your entire body, and it can be temporary or permanent. It can be the result of heredity, hormonal changes, medical conditions or a normal part of aging. Anyone can lose hair on their head, but it's more common in men.
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.
Can it be cured? No, alopecia areata cannot be cured. Depending on the extent of hair loss there is a good chance that, for 4 out of 5 affected people, complete regrowth will occur within 1 year without treatment. There may, however, be further episodes of hair loss in the future.
What is alopecia? 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.
Causes of Alopecia Areata
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.
Unfortunately, male and female pattern baldness is not reversible without surgical intervention. However, if detected early enough, certain medications, such as minoxidil, finasteride, and Dutasteride can help halt the progression of thinning hair.
Prescription-strength corticosteroids in liquid form can be applied directly to the scalp. This is often an effective treatment for children affected by alopecia areata. Corticosteroid injections into areas of patchy hair loss on the scalp may help revive hair growth within several weeks in people with alopecia areata.
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.
Injections of corticosteroids: To help your hair regrow, your dermatologist will inject this medication into the bald areas. These injections are usually given every 4 to 8 weeks as needed, so you will need to return to your dermatologist's office for treatment.
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.
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.
Alopecia areata is more common among African Americans but less common among Asians, compared with whites, according to a new study involving registry data for more than 11,000 individuals.
Female-pattern baldness is a pattern of hair loss (alopecia) caused by hormones, aging and genetics. Unlike male-pattern baldness, female-pattern baldness is an over-all thinning which maintains the normal hairline.
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.
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.
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.
“Alopecia areata may be reversed through diet, possibly with antioxidants or an anti-inflammatory diet, probiotics, zinc, biotin and healthy oils,” Kimberly Langdon, MD, an OB/GYN based in Ohio who works at Medzino, tells WebMD Connect to Care. Add probiotics to your diet.
Permanent Hair Loss:
When hair fall is triggered by predisposed genetic causes then the follicles are also affected and they miniaturize. This condition cannot be overcome without extensive hair treatment and this is termed as permanent hair loss.
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.
Overall, the risk of developing the condition is greater for first-degree relatives (such as siblings or children) of affected individuals than it is in the general population. People with alopecia areata are also more likely to have family members with other autoimmune disorders.
Calcipotriol, a vitamin D analog, has been reported to be topically used in treating alopecia areata with promising results. Combination therapy of vitamin D analogs with corticosteroids might also be used in treating alopecia areata.
INTRALESIONAL CORTICOSTEROID INJECTIONS
This method of treatment — the most common form of treatment for alopecia areata — uses corticosteroids that are injected into bare patches of skin with a tiny needle. These injections are repeated about every four to six weeks and are usually given by a dermatologist.