Can alopecia areata heal itself?

Written by Liu Gang
Dermatology
Updated on August 31, 2024
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For most people, alopecia areata can gradually heal on its own initially through dietary adjustments or personal lifestyle attention. However, if the condition does not improve after three months or six months, formal medical treatment is necessary.

It is important to avoid spicy and highly seasoned foods, maintain a regular schedule, and try to avoid staying up late, feeling anxious, tense, or in a bad mood. Also, avoid irritating the scalp with hair dyeing or perming. Formal treatment is essential, otherwise the condition may worsen, potentially leading to complete hair loss, including loss of eyebrows, armpit hair, and pubic hair. It is crucial to adhere to a regulated diet and lifestyle habits, strengthen exercise, and enhance immunity.

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Written by Liu Jing
Dermatology
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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 Gang
Dermatology
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What should be paid attention to in daily life for alopecia areata?

Alopecia areata has many causes and complex contributing factors, and each person's triggering elements differ. Besides seeking treatment from qualified medical institutions, it is crucial to avoid spicy and stimulating foods, overly salty or strongly flavored foods, as well as to refrain from staying up late, feeling anxious, stressed, or upset. It is essential to enhance physical exercise to boost immunity and to avoid using irritating hair products such as gels or conditioners, or frequently perming or dyeing the hair, as these do not aid in treatment. Another important aspect is the need for long-term and persistent treatment because the effects of treatment for this condition are very slow to manifest. A single treatment cycle requires at least three months, but with long-term commitment, it is entirely possible to achieve a complete cure.

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Written by Huang Ling Juan
Dermatology
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How long does the hair loss phase of alopecia areata usually last?

The shedding phase of alopecia areata generally lasts about three months. Alopecia areata refers to the sudden occurrence of patchy hair loss on the top of the head, usually caused by excessive mental stress, fatigue, and disorders of the immune system. Alopecia areata typically arises when various factors cause the hair follicles on the scalp to shift from the growth phase to the resting phase, resulting in the hair no longer growing and subsequently falling out extensively. The occurrence of alopecia areata is also somewhat related to genetics. If dieting leads to malnutrition, alopecia areata may also occur. The clinical manifestation of alopecia areata is the appearance of round or oval patches of hair loss on the top of the head. Some occur individually, while others may appear in multiples, varying in size and without any subjective symptoms. If alopecia areata occurs, it is advisable to seek diagnosis and treatment in the dermatology department of a standard hospital.

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Written by Liu Jing
Dermatology
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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 Gang
Dermatology
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How long does it generally take for hair to regrow from alopecia areata?

The causes of alopecia areata are numerous, including reduced immunity, long-term consumption of spicy and irritating foods, frequent anxiety and stress, poor mood, or prolonged lack of nutrition. For milder cases of alopecia areata, hair can usually regrow within 1 to 3 months through self-adjustment of diet and lifestyle habits, along with increased exercise. However, for more severe cases, where hair loss covers a larger area, in addition to standard medical treatments, enhancing exercise, strengthening immunity, consuming more vegetables and fruits, and diversifying the diet are recommended. Typically, one treatment cycle lasts at least 3 months, and for severe symptoms, treatment may be needed for half a year or even longer. Persistence is crucial in managing this condition.