The differences between alopecia areata, alopecia totalis, and androgenetic alopecia

Written by Liu Gang
Dermatology
Updated on September 10, 2024
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Alopecia areata generally occurs only on the scalp with patchy hair loss, usually mild, affecting just a few patches.

Total alopecia is an extension of alopecia areata, where hair loss progresses to complete baldness.

Universal alopecia is more severe, involving not only complete hair loss on the scalp but also potential loss of eyebrows, armpit hair, pubic hair, and even all body hair.

These three conditions represent a progressive worsening, with alopecia areata being the mildest and universal alopecia being the most severe. The treatment plans for these conditions are roughly the same, but the duration varies; long-term persistence is necessary, along with proper medication from a dermatology department in a reputable hospital.

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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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Written by Liu Gang
Dermatology
47sec home-news-image

The differences between alopecia areata, alopecia totalis, and androgenetic alopecia

Alopecia areata generally occurs only on the scalp with patchy hair loss, usually mild, affecting just a few patches. Total alopecia is an extension of alopecia areata, where hair loss progresses to complete baldness. Universal alopecia is more severe, involving not only complete hair loss on the scalp but also potential loss of eyebrows, armpit hair, pubic hair, and even all body hair. These three conditions represent a progressive worsening, with alopecia areata being the mildest and universal alopecia being the most severe. The treatment plans for these conditions are roughly the same, but the duration varies; long-term persistence is necessary, along with proper medication from a dermatology department in a reputable hospital.

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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.

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Written by Liu Gang
Dermatology
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Can people with alopecia areata dye their hair?

Alopecia areata often occurs mostly due to decreased immunity or eating spicy, irritating foods, foods with overly strong flavors, frequently staying up late, anxiety, tension, and bad moods. Once alopecia areata appears, it is necessary to seek formal treatment, avoid dyeing or perming hair, and avoid using irritating hair gels. It is advisable to maintain hair hygiene with clean water or warm water washing, in conjunction with formally prescribed oral and topical medications, and local medication occlusion treatment can also be coordinated. If the symptoms are severe, one may also visit a formal hospital to check if the hair follicles have atrophied or died. Avoiding spicy, irritating foods, enhancing exercise, and strengthening immunity can completely cure the condition.

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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.