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What is alopecia areata?

The alopecia areata condition is a chronic inflammatory disease that affects hair follicles; it leads to hair loss which is often reversible. Alopecia areata is a condition whose origin is unknown but probably related to an abnormality of immunity and family predisposition

The alopecia occurs usually by one or more areas of limited size where there is no more hair growth. The areas of alopecia areata are of varying size, and mainly located on the scalp. Nevertheless, the areas can occur on the beard, eyebrows, eyelashes or other areas of the body. The alopecia can extend to the periphery and then can come together to form large areas baldness. Alopecia areata is not a critical alopecia, meaning that the root of the hair is not affected or permanently destroyed.

At the areas of alopecia areata the skin is smooth and white; the openings of the hair follicle are sometimes dilated. When alopecia areata is evolving hair stands out easily at the edge of the bald area. The very attentive examination of the scalp can display short hair; we also see some black spots at the openings when the hair should be coming from.

alopecia areata

Alopecia areata often heals on its own after several months of development even without any treatment, but relapses are frequent. Many therapeutic treatments allow re-growth of hair sometimes lasting, even during severe episodes. These treatments are not yet able to provide a definitive cure.

A better understanding of the condition, an exchange with other patients through forums and discussion groups and a psychological support are essential to help patients live better with this benign condition which can be difficult to accept.

The exact factors behind the causes of alopecia areata are unknown. It is believed that it is an autoimmune disorder (the body considers its own cells as foreign and destroys them), and also many think that there is a genetically predisposed issue. There were isolated observations of hair loss after episodes of severe stress, but most recent studies do not reveal a psychological factor behind the alopecia areata or trigger flare-ups, alopecia areata is not a "nervous" illness.

The risk of developing alopecia areata during a lifetime is 1.7%. But if there is a family predisposition, family members of a subject affected are victims of alopecia areata on one in three occasions.

Alopecia areata starts abruptly at any age but most often in children or young adults, it operates in episodes that can be repeated throughout life, alopecia areata results in hair loss and / or a depilation of body hair.

Alopecia areata in a small area is the most common form; it results in one or more areas devoid of hair. These areas have a size and shape that is variable, they can “join together” to form larger areas. The diffuse version of alopecia areata is rare; it results in a substantial hair loss that affects the entire scalp. The alopecia areata Universal has a total and complete depilation of all body hair.


The alopecia areata is a chronic condition which often lasts several years, its evolution is unpredictable. A small area of alopecia areata often goes away its own without any treatment in a time variable from 3 to 12 months. The hair growth after alopecia areata are often white, we must often wait several months before their colour returns to normal.

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