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 Liu Gang
Dermatology
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Is rubbing ginger useful for alopecia areata?

Alopecia areata is commonly treated by applying raw ginger topically, which has a certain effect. Rubbing ginger juice on the affected scalp area can stimulate hair follicles and improve local blood circulation, offering some therapeutic benefits for alopecia areata. However, this is generally only used for mild symptoms or cases that have just developed. If the alopecia areata has been present for a long time or if long-term medication has been ineffective, the application of ginger tends to be minimally effective. If the symptoms are severe, it is advisable to seek formal treatment at a dermatology department of a regular hospital. Adjusting one's diet and lifestyle habits is important; avoid spicy and irritating foods, and do not consume overly salty or highly flavored foods. Strengthening exercise, avoiding staying up late, and preventing anxiety and stress are also recommended.

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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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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 Huang Ling Juan
Dermatology
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What causes alopecia areata on the head?

Spots of baldness on the head can be associated with many reasons, usually due to excessive mental stress. Being in a state of tension and anxiety for a long period can easily lead to the occurrence of bald spots. Bald spots also have a certain relationship with genetic factors, generally related to family genetics. Frequent perming, hair dyeing, and other actions that damage hair quality can also lead to bald spots. Additionally, some endocrine disorders, immune factors, and infections such as fungi and bacteria, such as tinea capitis or folliculitis, can also cause bald spots. Therefore, if bald spots occur, it is recommended to promptly visit a dermatology department at a formal hospital for diagnosis and treatment. After the doctor identifies the specific cause, an appropriate treatment plan can be implemented, which may include oral cysteine tablets or choosing compound glycyrrhizin capsules and traditional Chinese medicine treatments.

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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.