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 people with alopecia areata perm their hair?

After the symptoms of alopecia areata appear, try not to perm or dye your hair, or use hair gels or creams that are highly irritating. These can easily scald the scalp or irritate the hair follicles, affecting local blood circulation, leading to exacerbation of alopecia areata symptoms or increasing the difficulty of treatment. Once symptoms occur, be sure to seek treatment with standard medications at reputable medical institutions. Also, regulate your diet and lifestyle habits. Avoid spicy and heavily flavored foods, try not to stay up late, and avoid anxiety, tension, or bad moods. Persistent treatment is key to managing this condition. As long as the treatment is consistently followed for at least a three-month course, it can ultimately be completely cured.

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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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What causes alopecia areata?

The factors contributing to alopecia areata are complex, such as frequently eating spicy and irritating foods, or food with strong flavors, consistent late nights, anxiety, stress, and poor mood, which can all lead to the condition. Additionally, some people often experience folliculitis, abscesses, or cysts on the scalp, damaging the hair follicles and leading to alopecia areata. Only a minority of cases are somewhat related to genetic heredity. Therefore, the treatment of this disease is comprehensive, involving not only oral and topical medications but also a variety of other approaches. With long-term persistent treatment, it is possible to completely cure the condition. Developing good dietary and lifestyle habits also aids in treatment.

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Written by Huang Ling Juan
Dermatology
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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.

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Written by Huang Ling Juan
Dermatology
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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.