Alopecia totalis

Alopecia totalis is a more severe form of Alopecia areata, one Autoimmune diseasewhich leads to hair loss. While alopecia areata typically causes circular patches of hair loss on the scalp or body, alopecia totalis results in the complete loss of all hair on the scalp. It is a rare condition that can affect people of any age, but often begins in childhood or early adulthood.

causes

The exact cause of alopecia totalis is unknown, but as with other forms of alopecia areata, the immune system mistakenly attacks the Hair follicles This leads to hair loss. Genetic predisposition along with environmental triggers appear to play a role.

Symptoms

The main characteristic of alopecia totalis is the complete loss of all hair on the scalp. Unlike alopecia areata, where hair loss is usually limited to small areas, in alopecia totalis there is no hair presence left on the scalp.

diagnosis

The diagnosis of alopecia totalis is usually based on the clinical appearance of the scalp. Doctors may also perform a scalp biopsy to rule out other causes of hair loss and to confirm the diagnosis.

Treatment

Treating alopecia totalis can be difficult, and there is currently no guaranteed cure. Available treatment options aim to promote hair growth and modulate the immune system

  • Corticosteroids : Can be administered as injections or in oral form to reduce inflammation and suppress the immune system.
  • Immunotherapy : Certain chemicals such as DPCP (diphenylcyclopropenone) are applied to the scalp to create an allergic reaction that can stimulate hair growth.
  • JAK inhibitors : Drugs that block Janus kinases, an enzyme important for the immune response, have shown positive results in some cases.

forecast

The prognosis for people with alopecia totalis varies. While some may experience partial or complete hair regrowth, in others the condition persists or worsens Alopecia universalis, the loss of all body hair.

Coping with the illness

Coping with alopecia totalis can be emotionally challenging, as it significantly impacts one's appearance. Supportive measures such as psychotherapy, self-help groups, and wearing wigs or head coverings can help improve self-esteem and quality of life.

If you suspect you have alopecia totalis, it is important to consult a dermatologist in order to obtain an accurate diagnosis and develop an individual treatment plan.

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