What should I do if a patch of alopecia areata doesn't grow back?

Written by Liu Jing
Dermatology
Updated on April 20, 2025
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Alopecia areata, commonly known as "ghost shaving," is a type of immune-related skin disease. It is important to rest, provide immune modulation and other symptomatic treatments, eat more black-colored foods, and maintain a good mood. Take oral thymopeptide enteric capsules, cysteine tablets, vitamin B6 tablets, folic acid tablets, and other medications. For the bald areas, apply a 5% concentration of minoxidil spray and heparin polysulfate mucopolysaccharide cream. The purpose is to improve scalp microcirculation to stimulate hair follicles and promote hair regeneration. Simultaneously, supplementary physical therapy measures can be used, including traditional Chinese medicine techniques such as plum-blossom needle tapping and local treatment with 308 nm excimer laser radiation, three times a week, for a total of ten sessions per treatment course.

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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 Huang Ling Juan
Dermatology
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How long does the hair loss phase of alopecia areata usually last?

The shedding phase of alopecia areata generally lasts about three months. Alopecia areata refers to the sudden occurrence of patchy hair loss on the top of the head, usually caused by excessive mental stress, fatigue, and disorders of the immune system. Alopecia areata typically arises when various factors cause the hair follicles on the scalp to shift from the growth phase to the resting phase, resulting in the hair no longer growing and subsequently falling out extensively. The occurrence of alopecia areata is also somewhat related to genetics. If dieting leads to malnutrition, alopecia areata may also occur. The clinical manifestation of alopecia areata is the appearance of round or oval patches of hair loss on the top of the head. Some occur individually, while others may appear in multiples, varying in size and without any subjective symptoms. If alopecia areata occurs, it is advisable to seek diagnosis and treatment in the dermatology department of a standard hospital.

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Written by Liu Gang
Dermatology
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What are the tests for alopecia areata?

The causes of alopecia areata are quite complex, mostly related to an individual's diet or lifestyle habits, such as long-term consumption of spicy and stimulating foods, or overly flavored foods. Additionally, some people have long-term poor nutrition, unhealthy eating habits, irregular meal times, and lifestyle habits such as frequent staying up late, feeling anxious, stressed, or being in a bad mood; all these are triggering factors. For a general examination, one can first go to the hospital to check for trace elements to see what is lacking. A complete blood count could also be performed to check for symptoms of anemia, or one could visit the dermatology department of a regular hospital to test the hair follicles and see if there is any local follicle necrosis. This disease can be completely cured by seeking treatment in the dermatology department of a regular hospital, using oral and topical medications, provided the treatment is adhered to.

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Written by Liu Jing
Dermatology
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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.)

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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.