Alopecia areata literally means
‘baldness in
spots’, this is a
form of hair loss from areas of the
body, usually the scalp. Because it
causes baldness on the head, especially
in the first stages, it is called
‘spot
baldness’, though
hair loss can also extend to eyebrows,
eyelashes and facial and nasal hair and
create more bald areas elsewhere on the
body. Loss of nasal hair can increase
the severity of hay fever and similar
allergic conditions.
There are a few different types of
alopecia areata:
- Alopecia areata monolocularis
describes baldness in only one
spot
- Alopecia areata multilocularis
is when hair is lost in multiple
areas
- Alopecia areata totalis refers
to the total loss of all hair on
the scalp
- Alopecia areata universalis is
the term used to describe when all
hair on the body is lost, including
pubic hair
- Alopecia areata barbae refers
to the loss of hair in the
beard
- Diffuse alopecia areata may
cause a person with mixed grey and
dark hairs to lose all their dark
hairs at once due to a
psychological trauma, causing the
patient’s hair
to appear as though it has turned
white overnight.
- Traction alopecia is a form of
the disease which causes gradual
hair loss. It is caused by a
pulling force applied to the hair
in the case of a person wearing a
pony tail or braids too tightly on
a frequent basis. It is also known
as Traumatic Alopecia.
Alopecia areata is thought to be
an autoimmune disease in which the body
mistakenly treats its hair follicles as
foreign tissue and stops or suppresses
growth. It is not contagious but might
be hereditary –
there are a few recorded cases of
babies being born with congenital
alopecia areata. Stress has not been
proven to be a crucial factor, though
this is still being disputed.
First symptoms are small, soft, bald
patches which can take on just about
any shape but are most usually round.
Initial presentation most commonly
occurs in the late teenage years but
can happen with people at any age. It
most often affects the scalp, but may
occur on any hair-bearing part of the
body. There may be different skin areas
with hair loss and regrowth in the same
body at the same time. It may go into
remission for a time or permanently.
The longer the lair loss persists, the
smaller the chance that it will grow
back. Fingernails may be affected,
especially in severe cases where
various nail changes may appear
– the most common of
which is pitting of the nails.
If you have suffered from alopecia
areata around the time of puberty, it
is more likely that you will suffer it
again later in life.