What should I do if alopecia areata has expanded?

Written by Huang Ling Juan
Dermatology
Updated on March 29, 2025
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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 Huang Ling Juan
Dermatology
1min 9sec home-news-image

What is the cause of itchy scalp with alopecia areata?

The occurrence of itchy alopecia areata scalp is primarily related to the use of certain medications. Frequent use of drugs to treat alopecia areata can lead to allergic reactions, which may also cause scalp itching. Additionally, in the early stages of alopecia areata recovery, hair growth requires a significant supply of nutrients, and rapid local blood circulation can also lead to localized scalp itching. The itchy scalp associated with alopecia areata can also be related to irregular lifestyle, long-term mental tension, frequent staying up late, and deficiencies in vitamins and trace elements, which can lead to endocrine disorders. The itching associated with alopecia areata might also result from not maintaining cleanliness and hygiene of the scalp, using shampoos or conditioners with strong irritants, frequent exposure to excessive ultraviolet rays, and using excessively hot water when washing hair.

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Written by Liu Gang
Dermatology
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Does alopecia areata inherit?

Alopecia areata is not hereditary; it is mostly caused by personal factors, such as irregular and unbalanced diets, or consuming spicy and overly salty foods. Additionally, frequent anxiety, tension, and bad moods can also lead to the condition. Generally, by regulating one's diet and lifestyle habits, milder cases can improve without medication. However, if the symptoms of alopecia areata worsen and the area of hair loss expands, formal medication is needed. With long-term persistence, complete recovery is possible. During treatment, it is important to regulate diet and lifestyle habits, strengthen exercise, and enhance immunity, all of which aid in treatment.

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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 Qu Jing
Dermatology
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Which vitamins should be supplemented for alopecia areata?

Alopecia areata is a type of sudden, localized, patchy hair loss, the cause of which is not entirely clear and is not simply related to vitamin deficiency. It is currently believed to be related to genetics, emotional stress, over-tension, extreme joy or sorrow, as well as endocrine disorders, autoimmunity, and may fall within the category of polygenic diseases. In treatment, it is generally important to eliminate possible triggering factors, ensure a balance between work and rest, and avoid staying up late, with a recommended bedtime at 11 o'clock. Topical treatments can include the use of minoxidil, or a local injection of steroids, while systemic treatments can be supported by taking cysteine, calcium pantothenate, vitamin B, etc., which aid in hair growth. For rapid and widespread hair loss, including total baldness and universal baldness, oral steroid therapy can be used, but it is important to be aware of the potential systemic side effects associated with long-term use of steroids. Traditional Chinese medicine treatments such as nourishing blood and hair growth capsules, Qi Bao Mei Ran Dan, and Biotin Peptide Tablets may also be tried for alopecia areata.

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Written by Liu Gang
Dermatology
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Can alopecia areata dye hair?

There are many causes for alopecia areata, most of which are related to diet and lifestyle habits. For example, frequently being picky about food, having an unbalanced diet, or consuming spicy and heavily flavored foods can trigger it. Long-term staying up late, anxiety, stress, and being in a bad mood can also cause it. Once alopecia areata occurs, try to avoid dyeing or perming your hair, as these chemical materials can potentially irritate the scalp and exacerbate the condition. It is recommended to seek proper treatment immediately after discovery, otherwise the condition might worsen, leading to complete hair loss or loss of eyebrows. Regular consumption of beans and maintaining a healthy diet and sleep schedule are also advised.