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Alopecia Areata (Sudden Unexplained Hair Loss)

Hair Transplant Surgeons sometimes are presented with patients with sudden unexplained hair loss. These completely healthy people with good eating habits and good diets suddenly start losing patches of their hair. In most cases the hair falls off leaving round patches of baldness spread out over the head and the body. In some extreme and rare cases this unexplained hair loss can lead to total loss of hair all over the head and the body. Hair Transplant Doctors call this unexplained sudden loss of hair Alopecia Areata. It was described by the Romans in 30 BC. Initially, it was thought to be an infections agent causing this patchy hair loss. It is now understood to be from an immunological basis. Alopecia Areata is found worldwide and affects both sexes equally. There is a genetic component involved as well.

There are different types of Alopecia Areata. Some of these are associated with different types of illnesses.

Clinical types:

  1. Single Patchy
  2. Multiple Patchy
  3. Diffuse

Causes considered with Alopecia Areata:

  1. Genetic
  2. Atopy ( or Allergic)
  3. Autoimmune Disorders


    • Thyroiditis
    • Diabetes, IDDM
    • Vitiligo
    • Rheumatoid Arthritis
    • Addison’s Disease
    • Pernicious Anemia
    • Ulcerative Colitis.

In most cases the hair begins to regrow by itself and people with this hair loss problem may never suffer from it again. If unexplained wide spread hair loss persists, medical treatment is a possibility in most cases. Various hair loss drugs have been discovered to counteract the type of hair loss diseases including various types of steroids, Rogaine, Propecia and various types of immunogens (drugs which interfere with the immune system).

The most common treatment that works most quickly is injection of steroids called Kenalog on a weekly or biweekly. The dosage and frequency is adjusted by the treating doctor. These patients do not need hair transplants and are less likely to be hair transplant candidates.

Sudden unexplained hair loss or Alopecia Areata is so dramatic in its effects that it often affects the mental state of its victims. Persons who get it often become very worried and upset. For this reason support groups such as hair loss forums have developed in many places. Hair transplant surgeons need to know the various hair loss diseases and their appropriate hair loss treatments.

Hair loss diseases

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