How long does the hair loss phase of alopecia areata usually last?

Written by Huang Ling Juan
Dermatology
Updated on February 03, 2025
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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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Can alopecia areata heal itself?

For most people, alopecia areata can gradually heal on its own initially through dietary adjustments or personal lifestyle attention. However, if the condition does not improve after three months or six months, formal medical treatment is necessary. It is important to avoid spicy and highly seasoned foods, maintain a regular schedule, and try to avoid staying up late, feeling anxious, tense, or in a bad mood. Also, avoid irritating the scalp with hair dyeing or perming. Formal treatment is essential, otherwise the condition may worsen, potentially leading to complete hair loss, including loss of eyebrows, armpit hair, and pubic hair. It is crucial to adhere to a regulated diet and lifestyle habits, strengthen exercise, and enhance immunity.

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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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Dermatology
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Can ginger be used for alopecia areata?

Applying ginger to the localized skin of alopecia areata can stimulate hair follicle growth and improve local blood circulation, which has a certain effect in treating alopecia areata. However, it is generally only limited to patients with relatively mild symptoms, smaller areas of hair loss, or a shorter duration of the condition. If the duration of the actual alopecia areata is long, or the patch area is large, it is advisable to seek formal treatment at a regular medical institution. This condition also relates to personal diet and lifestyle habits. It's important to exercise regularly, strengthen immunity, avoid eating spicy and stimulating foods, and refrain from frequently perming or dyeing hair, or using aggressive styling products like hair gels or creams. Generally, as long as treatment is adhered to, it is possible to be completely cured.

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Written by Huang Ling Juan
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How long will it take for alopecia areata to fully recover once fuzz has started to grow?

Alopecia areata, once showing new fuzz, usually takes three to six months to return to normal. The appearance of fuzz indicates that the alopecia areata is in the recovery phase. In the early recovery stage, lighter-colored fuzz will grow in the area where hair was lost, and this fuzz will gradually turn into normal hair. During the active phase of alopecia areata, there will be noticeable hair loss, while in the dormant phase, the hair loss will stop. Three to four months after the dormant phase, most patients enter the recovery phase, reaching the stage where this small fuzz appears. Hence, the appearance of such fuzz signifies that the alopecia areata is nearing recovery, and new hair will grow during this phase. There are many causes of alopecia areata; it is important to avoid staying up late regularly.

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Can alopecia areata be cured after two years?

If alopecia areata has not improved after two years, it may be related to one's treatment plan or dietary and lifestyle habits. Some individuals might not have received treatment or used improper treatment methods. Consuming spicy and heavily flavored foods, enduring prolonged periods of staying up late, feeling anxious or stressed, or having poor physical health could all potentially contribute to persistent alopecia areata. It is advisable to visit a dermatology department at a reputable hospital to examine the hair follicles to see if there is any atrophy or necrosis. If the hair follicles are found to be atrophied or necrotic, the treatment will be more challenging. Generally, the most conventional treatment involving oral medication along with topical applications must be complemented by proper dietary and lifestyle habits. With long-term treatment, it is entirely possible to fully recover. It is essential to maintain a good mood, engage in regular exercise, and boost the immune system.