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

Written by Liu Jing
Dermatology
Updated on April 29, 2025
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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 Liu Jing
Dermatology
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What should I do if a patch of alopecia areata doesn't grow back?

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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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 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 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 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.