Alopecia Areata (AA), a type of inherited skin disease commonly referred to as spot baldness, causes patches of hair loss that result in bald spots, which, over time, spread into ever-larger areas. The affliction can alternatively manifest as a more diffused hair loss, affecting a large area and thinning the hair substantially. unlike pattern baldness, which is permanent, spot baldness is often reversed with time. It’s a relatively common condition occurring in one out of every 100 people, men and women, in North America, and it may recur multiple times throughout life.
More serious cases of AA can manifest in two ways:
Alopecia totalis: All hair on the scalp falls out
Alopecia universalis: All hair on all parts of the body falls out
Less serious cases can manifest in two ways:
alopecia areata monolocularis: All baldness occurs in one specific place on the scalp—80% of cases fall into this category
alopecia areata barbae: Baldness occurs in patches within a man’s beard
AA can appear at any age, but most diagnoses occur in patients between ages 15 to 21. Half of these occur before the age of 20. The psychological impact on these young adults can be graver due to age of onset.
AA occurs when the patient’s white blood cells attach to and destroy the hair follicles; therefore, this makes it an autoimmune disease. Diagnosing AA can be tricky, though, since it doesn’t follow a predictable course. For some, burning and itching occurs in the balding area. Smooth, bald scalp is exposed in round or oval shapes. What is commonly termed “exclamation point hair” may occur on the edge of the bald spot. This condition results when the white blood cells attack the lower part of the follicle and cause a finally tapered end to the hair strand.
Hair grows back with treatment in 90% of people afflicted with AA. fortunately, available treatment options help alleviate symptoms. Doctors may inject steroids directly into the bald places or may prescribe a topical cream, which is applied to the head.
when the disease is more progressed, oral steroids taken for a short period of time may help. Long-term use is not recommended since this can cause osteoporosis, diabetes, or fragile skin. Other treatments include:
minoxidil, commonly referred to by the brand name Rogaine, has helped patients grow hair as a side effect of the drug. experts don’t know why, but its use generally results in success for AA patients.
Cyclosporine: Doctors may be hesitant to prescribe this medicine since its side effects include kidney damage and high blood pressure. Also, it attacks the body’s immune system, making the patient susceptible to other medical conditions. Most often it is taken orally.
DNCB: The full name of this chemical is dinitrochioro benzene. Severe AA can be relieved by continued application; however, it does not work in all cases. Because of its potency, DNCB should be taken only with close supervision of a doctor who is experienced and trained in its use.
Hair transplant surgery isn’t recommended for those suffering from AA but micro Scalp Pigmentation is a popular treatment for those suffering from this desease.