Many people suffer from hair loss. Often, it is a genetic condition which results in male-patterned balding or thinning hair in men and women. Another form of hair loss is alopecia areata. This is when the hair falls out in round patches. It is often seen on the scalp but can affect other parts of the body as well. Hair can grow back but may fall out again. This condition not only affects your looks but your self-esteem as well. If you are experiencing alopecia areata then come into Essential Dermatology to get a diagnosis and treatment plan started.
What Causes Alopecia Areata?
Anyone can get alopecia areata, it often begins during childhood. You are more likely to get this condition if a family member of yours has it. Alopecia areata is an autoimmune disease, meaning that the body attacks its own hair follicles which causes them to die. This results in bald spots. If you notice any symptoms of alopecia areata consult with a dermatologist to learn about your treatment options.
Symptoms of Alopecia Areata
- Patchy hair loss
- Widespread hair loss
- Short hairs occur in or at the edges of bald spots
- White spots or lines on the nails
- Thin nails
- Pitting in the nails
Treatments for Alopecia Areata
Hair often grows back on its own, but if you have been suffering from alopecia areata for a long time then there are certain remedial options. Though it cannot be cured, it can be managed. Depending on the severity of your condition, along with your medical history, goals, and personal concerns, board-certified dermatologist Dr. Krathen will help choose a treatment plan for you. Often, topical medications such as corticosteroids, minoxidil, and anthralin are used to help the hair grow back.
Alopecia Areata FAQs
Can alopecia areata affect more than just the scalp?
Yes. Although many people first notice alopecia areata on the scalp, the condition can affect hair anywhere on the body. Some individuals develop patchy hair loss in the beard area, eyebrows, eyelashes, arms, legs, or other regions. The extent of involvement varies greatly from person to person. Because the pattern and progression can be unpredictable, a dermatologic evaluation can help determine the severity of the condition and identify appropriate management options.
Why do some people develop alopecia areata while others do not?
Researchers believe alopecia areata develops because of a combination of genetic and immune system factors. People with a family history of alopecia areata or certain autoimmune conditions may have a higher likelihood of developing it. However, many individuals diagnosed with alopecia areata have no known family history. Scientists continue to study why the immune system targets hair follicles in some people but not others.
Can alopecia areata begin suddenly?
Yes. One of the characteristics of alopecia areata is that hair loss can appear unexpectedly. Many patients report noticing a smooth bald patch that seems to have developed over a relatively short period of time. In some cases, the area may enlarge over several days or weeks. Because sudden hair loss can have multiple causes, a professional diagnosis is important to confirm whether alopecia areata is responsible.
Are children able to develop alopecia areata?
Absolutely. Alopecia areata can occur at any age, including childhood. Some individuals experience their first episode during elementary school years or adolescence. Early diagnosis can be helpful because children and parents often have questions about treatment options, future hair growth, and long-term expectations. A dermatologist can provide guidance and monitoring tailored to the child’s needs and symptoms.
Can changes in my nails be related to alopecia areata?
Yes. Some individuals with alopecia areata notice changes involving their fingernails or toenails. These changes may include pitting, ridges, roughness, thinning, or small white markings. Nail involvement does not occur in every case, but it can be a useful clue when evaluating hair loss symptoms. If nail changes accompany patchy hair loss, mention them during your dermatology appointment.
Does alopecia areata damage the hair follicles permanently?
In many cases, the hair follicles remain alive despite the loss of visible hair. This is one reason why regrowth is possible for many patients. However, the timing and extent of regrowth can vary significantly. Some individuals experience complete regrowth, while others have recurring episodes of hair loss over time. Regular follow-up visits can help monitor changes and assess treatment response when therapy is pursued.
Can alopecia areata affect emotional well-being?
Yes. Hair loss can have a significant emotional impact regardless of age or gender. Many people experience frustration, embarrassment, anxiety, or reduced self-confidence when visible patches of hair loss develop. These feelings are common and understandable. In addition to discussing medical treatment options, it can be helpful to address the emotional aspects of living with alopecia areata. Dr. Michael Krathen can evaluate your symptoms, discuss available management strategies, and help you better understand what to expect as the condition changes over time.
Schedule a Consultation
If alopecia areata is affecting you then talk to Dr. Krathen about treatment options. To get started, call our office at (508) 545-9713 or request a consultation by filling out our online form. To book an appointment, schedule your visit as a new patient using our online scheduler or as an existing patient using the Mass General Brigham Patient Gateway.
