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Alopecia areata – what is it?

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This is article is written with Ilyse Lefkowicz, M.D. - Head & Shoulders dermatologist.Being a sufferer of scalp issues, she understands the importance of a scalp care system that delivers in technology and beauty benefits. Dr. Lefkowicz is a Board-Certified dermatologist specializing in general and cosmetic dermatology.

If you’re experiencing problems with hair loss, it’s possible that you might have alopecia areata. Read our guide to find out more.

Alopecia areata can be a particularly distressing condition – it begins with clumps of hair falling out. It affects around two percent of the global population.

Let’s look at it a little more closely.

What causes alopecia areata?

There are three recognized variations of alopecia areata, all with the same cause.

Alopecia areata is an autoimmune skin disease. While it has its origins in a person’s genetic make-up, it is not really hereditary in the classic sense, nor is it contagious. Scientists have also noted the possibility of other factors and triggers involved in the development of the condition.

It’s also worth noting that the two percent of the population mentioned above do not suffer from alopecia areata all the time. Rather, this figure refers to ‘lifetime risk’, which is the possibility that a given individual will suffer from the condition at some point.

So what does it look like?

The symptoms of alopecia areata

As we’ve said, alopecia areata is an autoimmune skin disease – but what does this mean?

Effectively, in the bodies of those suffering from alopecia areata, the immune system becomes confused. It begins to attack healthy hair follicles (which contain the roots of your hair). This causes hair to fall out in clumps, even in those who are otherwise healthy.

Other symptoms include nail problems such as:

  • Tiny dents in the nail (pitting)
  • White spots or lines
  • Rough texture and loss of shine
  • Thinning and split nails

This hair loss is not always permanent; often, the hair will grow back in a few months. This is because your hair follicles do not die when your immune system attacks them.

Alopecia areata is broken down into three types according to severity:

  • Alopecia areata is the most common form, characterized by coin-sized patches on the scalp and body
  • Alopecia areata totalis causes total hair loss on the scalp
  • Alopecia areata universalis causes total hair loss on the entire body, including the face and scalp

Treating alopecia areata

There is, unfortunately, no known cure for alopecia areata.However, since the follicles are still alive, it is possible to use medication to encourage re-growth of hair, such as prescription topical steroids.

The key to dealing with alopecia areata is talking to your doctor. They’ll be able to recommend a course of treatment tailored to the specifics of your condition, giving you the best chance of success.

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