The differences between alopecia areata, alopecia totalis, and androgenetic alopecia

Written by Liu Gang
Dermatology
Updated on September 10, 2024
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Alopecia areata generally occurs only on the scalp with patchy hair loss, usually mild, affecting just a few patches.

Total alopecia is an extension of alopecia areata, where hair loss progresses to complete baldness.

Universal alopecia is more severe, involving not only complete hair loss on the scalp but also potential loss of eyebrows, armpit hair, pubic hair, and even all body hair.

These three conditions represent a progressive worsening, with alopecia areata being the mildest and universal alopecia being the most severe. The treatment plans for these conditions are roughly the same, but the duration varies; long-term persistence is necessary, along with proper medication from a dermatology department in a reputable hospital.

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Written by Huang Ling Juan
Dermatology
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What is the cause of itchy scalp with alopecia areata?

The occurrence of itchy alopecia areata scalp is primarily related to the use of certain medications. Frequent use of drugs to treat alopecia areata can lead to allergic reactions, which may also cause scalp itching. Additionally, in the early stages of alopecia areata recovery, hair growth requires a significant supply of nutrients, and rapid local blood circulation can also lead to localized scalp itching. The itchy scalp associated with alopecia areata can also be related to irregular lifestyle, long-term mental tension, frequent staying up late, and deficiencies in vitamins and trace elements, which can lead to endocrine disorders. The itching associated with alopecia areata might also result from not maintaining cleanliness and hygiene of the scalp, using shampoos or conditioners with strong irritants, frequent exposure to excessive ultraviolet rays, and using excessively hot water when washing hair.

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Written by Liu Gang
Dermatology
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Can alopecia areata cure itself?

Alopecia areata is characterized by patchy hair loss on the scalp, with most symptoms being mild. This is especially true for some children, who do not require special treatment after onset. Adjusting their diet or lifestyle, avoiding picky or unbalanced eating, and consuming more vegetables and fruits can lead to self-healing. However, if the area of alopecia areata is large or the symptoms are progressively worsening, with increasing patchy hair loss, formal treatment is then necessary. It can be helpful to check for trace elements to see if there are any deficiencies, or to visit the dermatology department of a formal hospital for a hair follicle test to check for any atrophy or necrosis. Subsequently, formal medication can be used for treatment, which can completely cure the condition ultimately. It is important to maintain a regular diet and lifestyle habits, avoid staying up late, anxiety, and stress, strengthen exercises, and enhance immunity, all of which can aid in treatment.

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Dermatology
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Can people with alopecia areata perm their hair?

After the symptoms of alopecia areata appear, try not to perm or dye your hair, or use hair gels or creams that are highly irritating. These can easily scald the scalp or irritate the hair follicles, affecting local blood circulation, leading to exacerbation of alopecia areata symptoms or increasing the difficulty of treatment. Once symptoms occur, be sure to seek treatment with standard medications at reputable medical institutions. Also, regulate your diet and lifestyle habits. Avoid spicy and heavily flavored foods, try not to stay up late, and avoid anxiety, tension, or bad moods. Persistent treatment is key to managing this condition. As long as the treatment is consistently followed for at least a three-month course, it can ultimately be completely cured.

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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 Liu Gang
Dermatology
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Which department should I go to for alopecia areata?

Alopecia areata is characterized by patchy hair loss on the scalp. The causes of this condition are complex, generally associated with dietary and lifestyle habits, or reduced immunity, and in some cases, it may also involve genetic predisposition. Once diagnosed, treatment should be sought at a dermatology department of a formal medical institution. An initial examination of the hair follicles in the affected area can reveal whether there is follicle atrophy or necrosis. Treatment often involves a combination of oral and topical medications, and localized medication occlusion therapy can also be employed. The more treatment methods utilized, the higher the likelihood of cure. It is advisable to avoid spicy and irritating foods, refrain from staying up late, and avoid stress and anxiety. Strengthening exercise and enhancing immunity can also improve the cure rate.