Alopecia areata

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Written by Liu Jing
Dermatology
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Should alopecia areata take vitamin B2 or B6?

Alopecia areata is an autoimmune disease, commonly known as "ghost shaving." Its mechanism is related to the immune system, and its treatment generally involves immune modulation and symptomatic support. It is important to rest, manage emotions, consume more black foods, and combine scalp massages with oral cysteine, vitamin B6 tablets, and compound glycyrrhizin tablets. Topically, a 5% minoxidil solution and tacrolimus ointment, among other medications, can be applied to the areas of hair loss. Additionally, there are various supplementary approaches including traditional Chinese medicine treatments and physical therapies, such as helium-neon laser irradiation and plum blossom needle tapping. Ensuring adequate sleep and avoiding habits like staying up late are crucial.

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Written by Liu Jing
Dermatology
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What causes alopecia areata?

Alopecia areata, colloquially known as "ghost shaving," is often associated with immune factors. It is important to rest, ensure adequate sleep, manage poor emotions, and avoid anxiety. Additionally, consuming black foods can benefit hair regeneration. Topical treatments include minoxidil spray, dermatan sulfate chondroitin polysulfate cream, pimecrolimus cream, etc., along with oral intake of cysteine tablets, vitamin B6 tablets, and compound glycyrrhizin tablets. Support can also come from other traditional Chinese medicine treatments or physical therapies, such as local tapping with plum blossom needles, and the assistance of 308-nanometer excimer laser and intense pulsed light, all of which can improve scalp microcirculation.

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Written by Li Ya Ping
Dermatology Department
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How long will it take for a patch of alopecia areata to grow back?

Alopecia areata, also known as "ghost shearing," primarily manifests as a sudden appearance of a bald patch on the scalp. The skin on the surface of the bald patch is smooth, and its hair follicles are not atrophied, so most of the hair can usually regrow. For typical cases of alopecia areata, where the affected area is not too large and not too widespread, if one pulls on the hair at the edge of the bald patch by hand after entering a stable phase, the hair is quite secure and not easily pulled out, indicating a negative hair pull test. After entering this stable phase, it is common for some fuzz or fine hair to appear within three to four months, eventually leading to the complete restoration of hair. However, in rare cases, alopecia areata can progressively worsen, increasing in area and potentially leading to total baldness, where all hair on the scalp falls out. This can also extend to alopecia universalis, where hair from other parts of the body is also lost.

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Written by Liu Gang
Dermatology
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Does washing hair aggravate hair loss in alopecia areata?

The causes of alopecia areata are complex and mostly related to individual factors, so ordinary hair washing generally does not exacerbate the condition. The main factors are still linked to a decrease in personal immunity, genetic inheritance, lack of vitamins and trace elements in the body, or long-term consumption of spicy and stimulating foods, frequent staying up late, anxiety, tension, and poor mood. However, frequent hair dyeing or perming, and the use of hair products with strong irritants such as hair gels and conditioners, may aggravate the symptoms of alopecia areata. Once this disease occurs, it is essential to seek treatment at accredited medical institutions. With long-term persistence, it is entirely possible to cure the disease completely.

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Written by Liu Jing
Dermatology
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How long does it generally take for a small patch of alopecia areata to recover?

Alopecia areata, commonly known as "ghost shearing", is often related to immune factors in its causes and mechanism of onset. It is important to rest and provide symptomatic treatment with immune modulation. Generally, recovery can be expected within about a month. Oral medications such as cysteine tablets, folic acid tablets, vitamin B6 tablets, and pimecrolimus granules can be taken. In the area affected by alopecia areata, topical application of dermatan sulfate polysaccharide cream, tacrolimus ointment, combined with the use of minoxidil solution is recommended to promote local circulation and thereby facilitate hair regrowth. Additionally, other physical therapy measures can be supportive, including traditional Chinese medicine treatments such as plum-blossom needle tapping and local intense pulsed light therapy. (Medication should be used under the guidance of a doctor.)

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Written by Liu Gang
Dermatology
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What causes alopecia areata?

The causes of alopecia areata are varied, and the specific factors for each individual may differ. However, it is mainly related to reduced immunity, lack of vitamins and trace elements, long-term consumption of spicy and irritating food, frequent staying up late with anxiety and tension, and poor mood. Some teens may also develop alopecia areata if they frequently suffer from scalp folliculitis, abscesses, or cysts, which can damage the hair follicles. Only a small number of cases may be related to genetic inheritance. Therefore, once this condition occurs, it is essential to seek treatment at a formal medical institution. With long-term persistence, it is possible to cure the condition, and adopting good dietary and lifestyle habits can help with the treatment.

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Written by Liu Jing
Dermatology
1min 3sec home-news-image

What should I do about alopecia areata?

Alopecia areata, commonly known as "ghost shaving," has an unknown cause and its onset mechanism is related to the immune system. Factors such as fatigue, anxiety, nervousness, and lack of sleep can all trigger this condition, and it requires supportive symptomatic treatment such as immune modulation. Oral administration of L-cysteine tablets, vitamin B6 tablets, and compound glycyrrhizin tablets, along with topical application of 5% minoxidil spray in the affected area, as well as chondroitin sulfate polysulfate cream or pimecrolimus cream, combined with physical therapy measures like helium-neon laser irradiation, are recommended. It is also important to rest, consume dark-colored foods including black sesame, black fungus, and black rice, and maintain a good emotional state. (Note: The use of medications should be under the guidance of a physician.)

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Written by Liu Jing
Dermatology
1min 1sec home-news-image

What should I do if a patch of alopecia areata doesn't grow back?

Alopecia areata, commonly known as "ghost shaving," is a type of immune-related skin disease. It is important to rest, provide immune modulation and other symptomatic treatments, eat more black-colored foods, and maintain a good mood. Take oral thymopeptide enteric capsules, cysteine tablets, vitamin B6 tablets, folic acid tablets, and other medications. For the bald areas, apply a 5% concentration of minoxidil spray and heparin polysulfate mucopolysaccharide cream. The purpose is to improve scalp microcirculation to stimulate hair follicles and promote hair regeneration. Simultaneously, supplementary physical therapy measures can be used, including traditional Chinese medicine techniques such as plum-blossom needle tapping and local treatment with 308 nm excimer laser radiation, three times a week, for a total of ten sessions per treatment course.

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Written by Liu Jing
Dermatology
1min 4sec home-news-image

What is causing the itchy alopecia areata?

Alopecia areata, commonly known as "ghost shaving," often manifests itching symptoms which usually indicate a local inflammatory response. It requires comprehensive treatment including regulation and immunity, attention to rest, ensuring adequate sleep, and maintaining a good mood. It's advisable to consume more black foods and take oral medications like compound glycyrrhizin tablets and folic acid tablets. For the affected alopecia areata areas, topical applications of minoxidil spray, dermatan sulfate chondroitin sulfate cream, or pimecrolimus cream can be used. Additional physical measures include treatment with fractional laser and helium-neon laser radiation. If necessary, local injections of compound betamethasone injection solution or triamcinolone acetonide can be administered to achieve anti-inflammatory effects.

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Written by Huang Ling Juan
Dermatology
1min 7sec home-news-image

What causes alopecia areata?

There are many causes of alopecia areata, the most common being various infections, such as bacterial and fungal infections. Psychological factors also play a significant role, such as excessive mental stress, frequent anxiety, depression, irritability, etc. Additionally, traumatic injuries can trigger alopecia areata. If there are underlying internal diseases, they can also cause alopecia areata. Hormonal imbalances, especially in women before and after pregnancy due to irregular secretion of estrogen and androgen, can lead to alopecia areata. Therefore, there are various reasons for alopecia areata. If you have patches of hair loss on your scalp, it is advisable to visit a reputable hospital for a check-up to determine the specific cause. Under a doctor's guidance, you might use hair regrowth medications such as compound scytonemin hair tonic or minoxidil solution for treatment. It is also important to avoid staying up late.