Does alopecia areata spread?

Written by Liu Gang
Dermatology
Updated on September 10, 2024
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Alopecia areata manifests as patchy hair loss on the scalp. In its early stages, or when symptoms are mild, many people can fully recover by adjusting their diet or lifestyle habits, without experiencing any spread of the condition. However, if left to develop over a long period, the symptoms might worsen. It is necessary to avoid spicy, highly flavorful, or irritating foods, and to maintain a healthy lifestyle free of anxiety, stress, sleep deprivation, and bad moods. Upon noticing symptoms, it is advisable to consult the dermatology department of a reputable hospital. There, doctors can make a comprehensive diagnosis and create a treatment plan. With long-term adherence, the condition is entirely treatable.

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Written by Liu Gang
Dermatology
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Will alopecia areata heal itself without treatment?

Most cases of alopecia areata, especially those that have just appeared or in children, generally do not require treatment and can resolve on their own. The prerequisite is to maintain a proper diet and lifestyle habits, eat more vegetables and fruits, ensure children do not become picky eaters or have an unbalanced diet, engage in appropriate exercise, and avoid staying up late. If alopecia areata persists for three months or even longer without signs of self-recovery, it may then be necessary to seek medical intervention using medications or other methods. One should visit the dermatology department of a reputable hospital, where treatment might involve oral medication combined with topical drugs. Other options can include plum blossom needle tapping or local medicinal injections. Employing a variety of treatment methods can often speed up recovery. It is essential to maintain long-term commitment to treatment, typically in courses of three months each, but ultimately, the condition is generally treatable.

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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.

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Can people with alopecia areata dye their hair?

Alopecia areata often occurs mostly due to decreased immunity or eating spicy, irritating foods, foods with overly strong flavors, frequently staying up late, anxiety, tension, and bad moods. Once alopecia areata appears, it is necessary to seek formal treatment, avoid dyeing or perming hair, and avoid using irritating hair gels. It is advisable to maintain hair hygiene with clean water or warm water washing, in conjunction with formally prescribed oral and topical medications, and local medication occlusion treatment can also be coordinated. If the symptoms are severe, one may also visit a formal hospital to check if the hair follicles have atrophied or died. Avoiding spicy, irritating foods, enhancing exercise, and strengthening immunity can completely cure the condition.

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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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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.)