Alopecia > Prognosis

Effects of alopecia areata are mainly psychological (loss of self image due to hair loss). However, patients also tend to have a slightly higher incidence of asthma, allergies and atopic dermal ailments and even hypothyroidism. Loss of hair also means that the scalp burns more easily in the sun. Loss of nasal hair increases severity of hay fever and similar allergic conditions. They may also have aberrant nail formation because keratin forms both hair and nails.

Episodes of alopecia areata before puberty predispose to recurrent episodes after puberty. Pitting of the fingernails can hint at a more severe or prolonged course.

Initial stages may be kept from increasing by applying topical corticosteroids. However, since the exact mechanisms are not ultimately understood, there is no known cure to date. Hair implants may help covering bald spots, but cannot guarantee satisfactory outcome, since the bald areas might expand. Wigs should be prescribed if patients, especially female patients, mention social discomfort.

Table of Contents:
Types
Causes
Diagnosis
Treatment