Alopecia is small, round patches or larger areas of missing hair. Typically, the hair falls out quickly, preferably within a few weeks. Other hair areas such as eyebrows and beards can also be affected.
It is the body's own immune system that attacks the hair follicles. There are no scars and the hair follicles are not damaged. Environmental factors such as food, infections or stress have little or no significance as a cause.
The effect of any treatment is uncertain. If treatment is attempted, cortisone creams or injections directly into the scalp are most appropriate. The treatment must be repeated every 4-6 weeks. The treatment can result in thinner skin. Sometimes tablet treatment with cortisone tablets or methotrexate is also used.
Half of people with spotty hair loss get their hair back within a year, but then new hair loss can also occur. The risk of long-term hair loss is greatest in those with extensive hair loss and with early onset of hair loss.