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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Does alopecia areata need treatment?

Alopecia areata is characterized by localized or patchy hair loss on the scalp. There are many causes for this condition, most of which are related to individual dietary habits and lifestyle. For instance, irregular meal times, malnutrition, or frequent consumption of spicy and stimulating foods can contribute to the condition. Additionally, staying up late, experiencing anxiety, tension, or overall poor mood can also lead to hair loss. In most cases, alopecia areata that appears for a short period can be treated through dietary adjustments. However, if the affected area is large, it is advisable to seek professional treatment at a dermatology department of a formal hospital; otherwise, the area of hair loss may continue to expand. If it progresses severely, it might lead to complete hair loss or even loss of eyebrows.

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Written by Liu Gang
Dermatology
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What should be paid attention to in daily life for alopecia areata?

Alopecia areata has many causes and complex contributing factors, and each person's triggering elements differ. Besides seeking treatment from qualified medical institutions, it is crucial to avoid spicy and stimulating foods, overly salty or strongly flavored foods, as well as to refrain from staying up late, feeling anxious, stressed, or upset. It is essential to enhance physical exercise to boost immunity and to avoid using irritating hair products such as gels or conditioners, or frequently perming or dyeing the hair, as these do not aid in treatment. Another important aspect is the need for long-term and persistent treatment because the effects of treatment for this condition are very slow to manifest. A single treatment cycle requires at least three months, but with long-term commitment, it is entirely possible to achieve a complete cure.

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Dermatology
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Can alopecia areata cure itself in women?

Common alopecia areata generally tends to heal on its own, especially when it has just developed. If one promptly regulates their diet and lifestyle habits, treatment might not be necessary for self-healing, It requires long-term dietary restrictions, avoiding spicy, over-salted or heavily flavored foods, enhancing exercise routines, boosting immunity, and avoiding staying up late, stress, anxiety, and bad moods, etc., If the symptoms have not self-healed after three months or even worsen, it is necessary to seek medication treatment at a dermatology department of a reputable hospital. Typically, treatment involves oral and topical medications, possibly combined with medicinal injections or other treatment methods, and can be completely cured ultimately. Persistence is crucial in treating this condition; long-term medication use is essential. (Please use medication under the guidance of a doctor.)

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Dermatology
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Is rubbing ginger useful for alopecia areata?

Alopecia areata is commonly treated by applying raw ginger topically, which has a certain effect. Rubbing ginger juice on the affected scalp area can stimulate hair follicles and improve local blood circulation, offering some therapeutic benefits for alopecia areata. However, this is generally only used for mild symptoms or cases that have just developed. If the alopecia areata has been present for a long time or if long-term medication has been ineffective, the application of ginger tends to be minimally effective. If the symptoms are severe, it is advisable to seek formal treatment at a dermatology department of a regular hospital. Adjusting one's diet and lifestyle habits is important; avoid spicy and irritating foods, and do not consume overly salty or highly flavored foods. Strengthening exercise, avoiding staying up late, and preventing anxiety and stress are also recommended.

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Do alopecia areata follicles necrotize?

After the appearance of bald patches, they are mostly benign and there won't be any necrosis of the hair follicles. Hair follicle necrosis usually occurs in several situations, such as local trauma or previous folliculitis, and in cases of alopecia areata that have not been treated for a long time, where the cause of the disease has not been corrected, leading to follicle atrophy and eventually necrosis. Once hair follicle necrosis occurs, treatment becomes quite complicated, and some people may never fully recover. Once alopecia areata occurs, it is crucial to seek medical care from reputable medical institutions, undergo proper testing and treatment, avoid spicy and irritating foods, refrain from eating overly flavorful foods, avoid staying up late, and minimize anxiety and stress. Strengthening exercises and enhancing immunity, if consistently maintained, can still lead to recovery.