The 6 Main Types of Alopecia Areata and Treatment Methods

Alopecia Areata (hair breaker) is a condition that is not noticed before in most cases and results in the formation of small gaps in the hair, these gaps are caused by the hair shedding in small patches. In its most general form, there are many types of "Alopecia" that are in patch form. As a result, these patches can be attached and become noticeable in the future.

Alopecia Areata is formed as a result of the immune system attacking the hair follicles and ultimately causes hair loss.

It results in hair loss as a result of the sudden destruction of hair follicles on the skin where hair follicles are located and rarely in the eyebrows, eyelashes, face and other parts of the body. This situation may develop slowly in some cases and recur after years in some cases.

This condition may cause total hair loss called “Alopecia Universalis” and may prevent regrowth of all hair. It has also been observed in some cases that the hair falls out again even when the hair grows back.

Today's medical science has not yet developed a permanent cure for "Alopecia Areata". However, with alternative ways, there are some special methods of covering hair loss and treatments that can help hair grow faster and prevent hair loss in the future.

Alopecia Areata and Treatment Methods istavita Clinic
The 6 Main Types of Alopecia Areata and Treatment Methods

Types of Alopecia

As Istavita Clinic, we will talk about a few different types of "Alopecia Areata" in this article. Each type mentioned has been characterized by the degree of hair loss and other symptoms. Also, each type requires slightly different treatment methods and may have a different prognosis.

Alopecia Areata (irregular)

The most prominent feature of this type of Alopecia Areata can be said to be one or more coin-sized hair loss on the skin or body. If this process continues, "Alopecia Totalism" or "Alopecia Universalis" can be seen.

Alopecia Areata ( irregular ) istavita Clinic
Alopecia Areata ( irregular ) istavita Clinic

Alopecia Totalis

Alopecia Totalis occurs when the irregular Alopecia Areta process continues and there is hair loss in the entire scalp.

Alopecia Totalis istavita Clinic
Alopecia Totalis istavita Clinic

Alopecia Universalis

Defining "Alopecia Universalis", it loses all facial hair (eyebrows and eyelashes) with the hair loss on the scalp. It is also possible to lose other body hair with this type, such as chest back and pubic hair.

Alopecia Universalis istavita Clinic
Alopecia Universalis istavita Clinic

Common Alopecia Areata

Diffuse Alopecia Areata is very similar to female or male pattern hair loss. With the immune system attacking the hair follicles, it results in sudden and unexpected thinning of the scalp, not in a single area or patch.

Alopecia on Beard
Alopecia on Beard

Ophiaktid Alopecia. Hair loss that continues as a band on the sides of the head and lower back is called Ophiaktid Alopecia.

Alopecia Areata Prognosis

In general, it can be said that the Prognosis of Alopecia Areata is different for each person. And it would not be wrong to say even unpredictable.

Once the aforementioned autoimmune condition develops, these cases can live with hair loss and other related symptoms for the rest of their lives. Also, some people may experience hair loss at one time.

Symptoms and Signs of Alopecia

The most obvious signs and symptoms for different types of hair loss associated with "Alopecia Areata" are as follows:

Uneven Hair Loss

The number of patches at the onset of the condition is not indicative of the subsequent severity of the condition.

The patches are usually about the size of a coin (round patches 1-2 centimeters in diameter or smaller), mostly occurring on the scalp, but as previously mentioned, Aleposi Areata can also affect the limbs, beard, eyebrows, eyelashes and hairs.

Itching (itching) or Burning Sensation

Itching and burning sensation affects approximately 20% of the observed patients and is generally felt in the area that will be affected by the hair loss shortly before the hair loss. At the same time, it would not be correct to say that any itching sensation on the scalp results in Alopecia.

Changes in Nails (Fingers and Toes)

Noticeable changes in fingernails and toenails are sometimes an early indicator of "Alopecia Areata". Changes include dotted pits (pitting), white dots and streaks, rough texture and loss of gloss, thinning and splitting.

Other Hair Changes

These changes include the appearance of exclamation / point hair, cadaver hair (hair that broke before reaching the skin surface), and regrowth of white hair in patches previously affected by hair loss.

Hair loss can also trigger emotional reactions. Hair is an outstanding part of every person's appearance. Such sudden changes can emotionally disturb those who experience this problem.

Medical Treatments for Alopecia

Topical Agents

For the medical treatments of Aleposi, you can apply the medications to your scalp to help stimulate hair growth. In this context, there are a number of drugs available both over the counter (OTC) and over the counter, some of which are:

Minoxidil (Rogaine): Available as OTC and applied twice daily to the scalp, eyebrows and beard. It is relatively safe, but it can take up to a year to expect results using this drug. There is limited evidence that it is effective in people with alopecia areata.

Anthralin (Dorito-Scalp) is a drug that irritates the skin to promote hair regrowth.

Corticosteroid creams such as clobetasol (Impoyz), mousses, lotions, and ointments are thought to work by reducing inflammation in the hair follicle.

Topical immunotherapy is a technique in which a chemical similar to difencipron is applied to the skin to create an allergic rash. The poison oak-like rash can cause new hair growth within six months, but you will need to continue the treatment to maintain regrowth.


Steroid injections are a common option for mild, irregular alopecia to help hair grow back in bald spots. Small needles inject the steroid into the bare skin of the affected areas.

In order for the hair to regrow, the treatment should be repeated every 1-2 months. It does not prevent new hair loss from occurring.

Oral treatments

Cortisone tablets are sometimes used for common alopecia, but you should discuss this option with a doctor because of possible side effects.

Oral immunosuppressants such as methotrexate and cyclosporine are another option you can try. They work by blocking the immune system's response, but cannot be used for a long time due to the increased risk of side effects such as high blood pressure, liver and kidney damage, and serious infections. a type of cancer called lymphoma.

Light therapy

Light therapy is also called photochemotherapy or phototherapy. A type of radiation therapy using a combination of oral medications called psoralens and UV light.

Natural treatment

Some people with different types of alopecia areata choose alternative treatments to treat the condition. These can include:



Micro needling


Low level laser therapy (LLLT)

Vitamins such as zinc and biotin

Aloe vera drinks and topical gels

Onion juice is rubbed into the scalp

Essential oils such as tea tree, rosemary, lavender, and peppermint

Other oils such as coconut, castor, olive, and jojoba

An "anti-inflammatory" diet, also known as the "autoimmune protocol", which is a restrictive diet that mainly includes meat and vegetables.

Prevention of Types of Alopecia

As mentioned earlier, Alopecia Areata cannot be prevented as the cause is unknown.

This autoimmune disorder can be the result of several factors. These include family history, other autoimmune diseases, and even other skin conditions. However, not everyone who has any of these factors will improve their hair condition. Therefore, it is not possible to prevent this yet.

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