What causes alopecia areata?

Written by Liu Gang
Dermatology
Updated on September 04, 2024
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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 Liu Gang
Dermatology
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What are the causes of alopecia areata?

The causes of alopecia areata are numerous, and the contributing factors may vary from person to person. Decreased immunity, frequent staying up late, anxiety, tension, poor mood, or long-term drinking and smoking, consuming spicy or strongly flavored foods, and lack of vitamins and trace elements, as well as local injuries, or frequent occurrences of folliculitis, abscesses, and cysts are all primary factors. Only a small number of cases may be related to genetics. Once diagnosed, it is essential to seek treatment from reputable medical institutions. Follicular tests can also be conducted to check for atrophy or necrosis. Generally, with persistent treatment, it is entirely curable.

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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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What should I do if alopecia areata has expanded?

When there is an expansion of alopecia areata, local injections of corticosteroids can be used. The treatment with corticosteroids is a kind of occlusive therapy, primarily involving injecting corticosteroids into the area of hair loss. This can suppress inflammation and immune responses around the hair follicles, enabling hair growth and potentially preventing the expansion of alopecia areata. However, some individuals may experience localized skin atrophy after corticosteroid injections, and some may experience depigmentation. Therefore, when alopecia areata is expanding, it is advisable to seek timely treatment at a dermatology department in a reputable hospital. Under the guidance of a doctor, treatment can include topical application of minoxidil solution, or the use of compound preparations like compound styradan tonic for hair growth, as well as oral medications such as cysteine tablets, compound glycyrrhizin capsules, and treatment based on Traditional Chinese Medicine diagnosis and differentiation.

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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 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.