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 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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Does alopecia areata spread?

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 eyebrows grow back if they fall out due to alopecia areata?

Alopecia areata commonly manifests as patchy hair loss from the scalp. If the condition causes eyebrow loss, it is considered more severe and requires professional treatment at a dermatology department in an accredited hospital. It can be completely cured eventually, but the treatment period may be lengthy. It's important to enhance your immune system through regular exercise, avoid spicy and irritating foods, and prevent staying up late, anxiety, or stress. A diverse diet rich in vegetables and fruits is recommended, along with appropriate medications, such as Traditional Chinese Medicine or Western medicine. Treatments like plum blossom needle tapping or local medicinal injections may also be used. Overall, this condition requires a comprehensive long-term treatment approach.

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Written by Liu Gang
Dermatology
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Does alopecia areata have anything to do with immunity?

There are many causes of alopecia areata. In general, alopecia areata in children is mostly related to their dietary habits, such as being picky eaters, having unbalanced nutrition, or being inherently weak in constitution. In adolescents or during puberty, it is mostly related to personal lifestyle habits, such as anxiety, tension, poor mood, or long-term consumption of greasy, spicy, and sweet foods. In the elderly, some cases may be related to other internal diseases, such as those of the liver or kidneys, and some cases may appear in patients with anemia. Overall, it is somewhat related to immunity, but the specific causes vary from person to person.

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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.