Will alopecia areata heal itself without treatment?

Written by Liu Gang
Dermatology
Updated on September 10, 2024
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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 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.

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Written by Liu Gang
Dermatology
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Causes and Prevention of Alopecia Areata

Alopecia areata can be caused by a variety of factors and can occur at any age. Generally, alopecia areata in children is mostly related to picky eating or an imbalanced diet, including excessive snacks. Among adolescents or middle-aged individuals, alopecia areata can be related to high stress levels, vigorous sebaceous gland activity, or the frequent consumption of spicy and stimulating foods. For middle-aged and elderly people, it could be related to other diseases within the body, such as liver or kidney disease. Therefore, it is important to foster good dietary and lifestyle habits, strengthen physical exercise to boost immunity, include more legumes in the diet, and regularly massage the scalp, all of which can serve as preventive and therapeutic measures.

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Written by Liu Jing
Dermatology
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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 Qu Jing
Dermatology
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Which vitamins should be supplemented for alopecia areata?

Alopecia areata is a type of sudden, localized, patchy hair loss, the cause of which is not entirely clear and is not simply related to vitamin deficiency. It is currently believed to be related to genetics, emotional stress, over-tension, extreme joy or sorrow, as well as endocrine disorders, autoimmunity, and may fall within the category of polygenic diseases. In treatment, it is generally important to eliminate possible triggering factors, ensure a balance between work and rest, and avoid staying up late, with a recommended bedtime at 11 o'clock. Topical treatments can include the use of minoxidil, or a local injection of steroids, while systemic treatments can be supported by taking cysteine, calcium pantothenate, vitamin B, etc., which aid in hair growth. For rapid and widespread hair loss, including total baldness and universal baldness, oral steroid therapy can be used, but it is important to be aware of the potential systemic side effects associated with long-term use of steroids. Traditional Chinese medicine treatments such as nourishing blood and hair growth capsules, Qi Bao Mei Ran Dan, and Biotin Peptide Tablets may also be tried for alopecia areata.

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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.