Alopecia Areata

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Alopecia areata is an autoimmune disease characterised by small patches of hair loss. It is believed to be due to a genetic predisposition and an environmental trigger. The beard or any other part of the body can be affected.

There may be one or several patches which are round or oval in shape. The scalp can look normal or have a glossy appearance and it is unusual to see any erythema or scaling within the hair loss area.

Sometimes exclamation mark hairs can be seen within the patch. There is also a loss of pigment at the bulb end of the shaft and hairs can break at scalp level leaving a black dot in the follicles, the loss of hair leaves the follicle empty. This is often accompanied by pitting of the nails.

Regrowth of new hair may be white before it takes on any natural colour.

A pull test can indicate whether active or not.

Alopecia Treatment Mackay

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  • Male and Female Pattern Hair Loss
    Androgenetic Alopecia known as male or female pattern hair loss or baldness
  • Central Centrifugal Cicatricial Alopecia (CCCA)
    Central Centrifugal Cicatricial Alopecia is the most common scarring alopecia in African American females. Clinically this presents as a central area of progressive hair loss that extends to the periphery.
  • Frontal Fibrosing Alopecia
    Patients with Frontal Fibrosing Alopecia typically present with hair loss in the frontal scalp region and can affect the eyebrows and eyelashes. This a form of Lichen Planopilaris.
  • Anagen Effluvium
    Anagen Effluvium is a rapid amount of hair loss in a short period of time. This is usually the result of an environmental shock. The hairs stop growing although they are in the Anagen (growing) phase.
  • Telogen Effluvium
    Telogen Effluvium is a common form of diffuse hair loss when the body goes through a traumatic event such as severe infection, virus, major surgery, child birth or nutrient deficiency.
  • Traction Alopecia
    Traction Alopecia is caused by the gradual loss of hair which is primarily the result of pulling by force. Chronic pulling or traction can result in the recession of the hairline

Printed from 'Hair Loss Handbook' with permission of the IAT and David Salinger

Frontal Fibrosing Alopecia

Frontal Fibrosing Alopecia

Patients with Frontal Fibrosing Alopecia typically present with hair loss in the frontal scalp region and can affect the eyebrows and eyelashes. This a form of Lichen Planopilaris.

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Anagen Effluvium

Anagen Effluvium

Anagen Effluvium is a rapid amount of hair loss in a short period of time. This is usually the result of an environmental shock. The hairs stop growing although they are in the Anagen (growing) phase.

read more
Telogen Effluvium

Telogen Effluvium

Telogen Effluvium is a common form of diffuse hair loss when the body goes through a traumatic event such as severe infection, virus, major surgery, child birth or nutrient deficiency.

read more
Traction Alopecia

Traction Alopecia

Traction Alopecia is caused by the gradual loss of hair which is primarily the result of pulling by force. Chronic pulling or traction can result in the recession of the hairline

read more
Alopecia Totalis and Alopecia Universalis

Alopecia Totalis and Alopecia Universalis

Alopecia Totalis and Universalis are both more extreme versions of Areata. Totalis is the total loss of hair on the head including the brows and eye lashes. Universalis is the total loss of all hair throughout the whole body.

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