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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Dermatology
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What is alopecia areata a precursor to in terms of cancer?

Alopecia areata is a condition characterized by patchy hair loss on the scalp caused by various triggering factors. This disease generally has no correlation with cancer nor is it a precursor to cancer. Most of the factors contributing to the condition are related to reduced immunity, genetic predisposition, lack of vitamins and trace elements, consumption of spicy and stimulating food, frequent staying up late, and stress. Therefore, the treatment of this disease involves a comprehensive approach. It is advised to consult a dermatologist at a reputable hospital for a holistic diagnosis and subsequent treatment. With long-term persistence in treatment, the condition can be completely cured. It is also important to regulate one's diet and lifestyle habits, engage in regular exercise to boost immunity, and ensure a diverse diet to avoid selective or partial eating.

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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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Will alopecia areata heal itself without treatment?

Most cases of alopecia areata, especially those that have just appeared or in children, generally do not require treatment and can resolve on their own. The prerequisite is to maintain a proper diet and lifestyle habits, eat more vegetables and fruits, ensure children do not become picky eaters or have an unbalanced diet, engage in appropriate exercise, and avoid staying up late. If alopecia areata persists for three months or even longer without signs of self-recovery, it may then be necessary to seek medical intervention using medications or other methods. One should visit the dermatology department of a reputable hospital, where treatment might involve oral medication combined with topical drugs. Other options can include plum blossom needle tapping or local medicinal injections. Employing a variety of treatment methods can often speed up recovery. It is essential to maintain long-term commitment to treatment, typically in courses of three months each, but ultimately, the condition is generally treatable.

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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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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.