Alopecia (Hair Loss)
Alopecia areata, an example of a type of hair loss that presents with circular patches of complete hair loss. The area will feel smooth with no growth.
Credit: DermNet NZ
What is alopecia?
Alopecia refers to hair loss in various forms, affecting both men and women. While commonly associated with male or female pattern baldness, alopecia can manifest in multiple ways, impacting any area of the body. The condition may lead to thinning hair, scalp baldness, bald patches on different body parts, or in extreme cases, total baldness.
What causes alopecia?
The causes of alopecia are diverse and may include:
Hormonal changes, as seen in male or female pattern baldness
Fungal infections affecting the scalp
Certain medications, including chemotherapy drugs
Endocrine disorders such as thyroid or pituitary abnormalities
Autoimmune conditions, notably alopecia areata
Hair follicles stuck in the shedding phase
Trichotillomania, a condition characterized by compulsive hair-pulling
Harmful hair treatments like chemical straighteners, hot combs, and waxes
Emotional or physical stress
In some instances, the cause may remain unidentified
What are the symptoms of alopecia?
Alopecia primarily manifests as hair loss, the extent and pattern of which can vary depending on the specific type of alopecia involved.
How do I treat alopecia?
The treatment for alopecia generally focuses on addressing the root cause. Diagnostic tests, such as blood work, may be conducted to identify underlying issues. Treatment options can range from topical medications for fungal infections or to stimulate hair growth, to systemic treatments for underlying medical conditions. For some cases, like chemotherapy-induced alopecia, hair may regrow after the completion of treatment. The therapeutic approach is highly individualized and depends on the specific cause of the alopecia.
For further information on over-the-counter treatments, please refer to our hair loss recommendation sheet.
Male pattern baldness, a type of alopecia. Note the prominent hair loss in the front, sides, and center of the scalp.
Credit: DermNet NZ
Female pattern hair loss can appear as thinning of the part and crown areas.
Credit: DermNet NZ