What is the big deal about alopecia?

Author: Dr. Margie Hessel Sr.  |  Last update: Friday, June 16, 2023

Alopecia areata is a disease that happens when the immune system attacks hair follicles and causes hair loss. Hair follicles are the structures in skin that form hair. While hair can be lost from any part of the body, alopecia areata usually affects the head and face.

Is alopecia a serious problem?

While the disease is not medically serious, it can impact people psychologically. Support groups are available to help people with alopecia areata deal with the psychological effects of the condition. Further information may be found at the National Alopecia Areata Foundation (www.naaf.org).

What's the big deal about alopecia?

Alopecia areata (AA) is a chronic autoimmune inflammatory disease characterized by hair loss that can affect the scalp, face (e.g. eyebrows and eyelashes) and body [1].

Why is alopecia a problem?

Alopecia is, simply put, hair loss. If you have alopecia, you might see extra hair on pillows or in shower drains, or you might notice bald patches on your scalp. Over time hair loss can grow back or fall out permanently, depending on the cause. Alopecia is not curable, but it's treatable and not life-threatening.

Can you live a normal life with alopecia?

The good news is most people who have alopecia areata are healthy. It's still normal to want to camouflage small symptoms, though. If you have small patches, you can use a hair-colored powder, cream, or crayon. If they are larger, you can try a wig, hairpiece, scarf, or hat.

The Biggest Mistake When Dealing with Hair Loss

How can I stop alopecia getting worse?

Avoiding unnecessary hair or scalp trauma, reducing stress and analyzing your diet are all worthwhile endeavors when attempting to prevent alopecia areata from spreading.

Is alopecia considered a disability?

Alopecia areata is not medically disabling; persons with alopecia areata are usually in excellent health. But emotionally, this disease can be challenging, especially for those with extensive hair loss.

What triggers alopecia?

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.

What is the root cause of alopecia?

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.

What is the number one cause of alopecia?

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.

Do most people recover from alopecia?

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.

Is there any hope for alopecia?

In June 2022 , a medication called baricitinib (Olumiant) received approval from the Food and Drug Administration (FDA) to treat severe cases of alopecia areata. It's the first FDA-approved systemic treatment for alopecia. This type of systemic treatment helps treat hair loss all over the body.

Does everyone with alopecia go bald?

A few people who develop alopecia areata will progress to total scalp baldness (alopecia totalis). Even fewer people will lose all scalp and body hair (alopecia universalis).

How long does alopecia usually last?

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.

Does alopecia affect the brain?

Androgenic alopecia (AGA) is associated with significant cardiovascular risk factors that also have a negative impact on brain aging.

What are the 3 types of alopecia?

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.

Is alopecia because of stress?

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.

What age does alopecia start?

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.

What causes alopecia in females?

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.

What foods to avoid if you have alopecia?

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.

Does vitamin D help alopecia areata?

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.

How quickly does alopecia spread?

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.

How rare is alopecia?

Alopecia areata affects 1 in every 500 to 1,000 people in the United States. It is one of many recognized forms of alopecia; alopecia areata is the second most common form after androgenetic alopecia (male-pattern baldness in men and female-pattern baldness in women).

Do any celebrities have alopecia?

Jada Pinkett Smith is one of the most famous celebrities with alopecia. She was diagnosed with alopecia areata in 2018, and has been open about it on social media since then. Jada has used steroid treatment and covered her hair with wigs and headscarves to disguise her condition.

Does alopecia affect quality of life?

Alopecia areata is a common autoimmune disorder which causes hair loss. It has been previously reported that both alopecia disorders can have negative effects on quality of life.

Previous article
What ethnicity has curly hair?
Next article
Will I have cystic acne forever?