What causes alopecia areata?

Written by Liu Gang
Dermatology
Updated on April 26, 2025
00:00
00:00

The causes of alopecia areata are varied, and the specific factors for each individual may differ. However, it is mainly related to reduced immunity, lack of vitamins and trace elements, long-term consumption of spicy and irritating food, frequent staying up late with anxiety and tension, and poor mood. Some teens may also develop alopecia areata if they frequently suffer from scalp folliculitis, abscesses, or cysts, which can damage the hair follicles. Only a small number of cases may be related to genetic inheritance. Therefore, once this condition occurs, it is essential to seek treatment at a formal medical institution. With long-term persistence, it is possible to cure the condition, and adopting good dietary and lifestyle habits can help with the treatment.

Other Voices

doctor image
home-news-image
Written by Liu Gang
Dermatology
41sec home-news-image

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.

doctor image
home-news-image
Written by Liu Gang
Dermatology
1min 2sec home-news-image

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.

doctor image
home-news-image
Written by Huang Ling Juan
Dermatology
1min 9sec home-news-image

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.

doctor image
home-news-image
Written by Liu Jing
Dermatology
1min 6sec home-news-image

How long does it generally take for a small patch of alopecia areata to recover?

Alopecia areata, commonly known as "ghost shearing", is often related to immune factors in its causes and mechanism of onset. It is important to rest and provide symptomatic treatment with immune modulation. Generally, recovery can be expected within about a month. Oral medications such as cysteine tablets, folic acid tablets, vitamin B6 tablets, and pimecrolimus granules can be taken. In the area affected by alopecia areata, topical application of dermatan sulfate polysaccharide cream, tacrolimus ointment, combined with the use of minoxidil solution is recommended to promote local circulation and thereby facilitate hair regrowth. Additionally, other physical therapy measures can be supportive, including traditional Chinese medicine treatments such as plum-blossom needle tapping and local intense pulsed light therapy. (Medication should be used under the guidance of a doctor.)

doctor image
home-news-image
Written by Liu Gang
Dermatology
49sec home-news-image

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.