Alopecia Areata - best treatment according to Dermatologists

What is alopecia areata?

Alopecia is the medical term for baldness. Areata means patches. Alopecia areata causes smooth, round bald patches to develop on the scalp, beard, eyebrows, eyelashes, or armpits. In 10% of people with alopecia areata, the patchy baldness can develop into total baldness (alopecia totalis) or hair shedding from all areas of the body (alopecia universalis).

What causes alopecia areata?

The exact cause of alopecia areata is still unknown. Most evidence supports an autoimmune origin, genetic tendency, and external factors. It is believed that in people with alopecia areata, the immune system mistakenly attacks the hair follicles, reducing their ability to produce new hair. Studies have shown that 10-25% of people with alopecia had a relative with the same disorder.

Is alopecia areata related to other health conditions?

People with alopecia areata are more likely to have other autoimmune diseases such as autoimmune thyroid disorder (8-28% in different studies) or vitiligo (2.5% to 4.1% in further studies). People with alopecia areata also tend to have sensitive skin or atopic dermatitis (40% vs only 20% in the general population).

What is the best treatment for alopecia areata?

Unfortunately, there is no quick fix for alopecia areata. For most people, the hair will regrow on its own after 10-12 months. That said, in some cases, medicated and natural treatments can help the hair grow back more quickly.

Topical minoxidil

Minoxidil is a topical solution approved by the FDA to treat hair loss in men and women. It works by increasing blood flow to the scalp, thereby increasing the supply of oxygen and micronutrients in the hair follicles. Recent studies have shown that minoxidil can also help hair regrowth in people with alopecia areata. It was also demonstrated that combining minoxidil with oral steroids can help limit post steroid hair loss.

Topical corticosteroids

Topical corticosteroids can suppress the overactivity of the immune system on the scalp, allowing the hair follicles to resume hair growth.

Anthralin

Anthralin is a cream that irritates the skin to stimulate hair regrowth. It is a tar-like cream used in the past to treat psoriasis.

MDhair Restore Serum (plant-based alternative)

A healthy scalp is the key to healthier and faster hair regrowth. The MDhair Restore Serum stimulates blood circulation in the scalp, adds essential vitamins and minerals needed for hair regrowth, and acts as an antioxidant to reduce the harmful effects of toxic chemicals and air pollution.

Steroid injections

Steroid injections to the bald areas can stimulate temporary hair regrowth. These injections are painful and need to be repeated every two months to regrow hair.

Hair supplements

Serum vitamin D, zinc, and folic acid levels tend to be lower in patients with alopecia areata than controls. There is conflicting evidence about differences in iron, vitamin B12, copper, magnesium, or selenium levels. The MDhair Restore Supplements were specially formulated to support hair regrowth. They contain a powerful formula featuring biotin, vitamin C, vitamin E, vitamin B6, vitamin B12, pantothenic acid (vitamin B5), iron, iodine, magnesium, zinc, selenium, manganese, and chromium to replenish depleted micronutrients and support new hair regrowth.

What is the best daily hair care routine for people with alopecia areata?

For best results, dermatologists recommend a routine that includes minoxidil or a plant-based scalp treatment solution, an active treatment shampoo, and oral supplements. You may also want to consider taking collagen peptides.

What can I do to manage my alopecia?

  • Use a soft-bristled hairbrush and wide-toothed comb to protect your scalp from damage.
  • Avoid using harsh chemicals and heat hairstyling.
  • Avoid ponytails and other tight hairstyles
  • Increase your protein and vegetable intake.
  • Reduce stress.
  • Try to improve your sleep routine and daily exercise.

References:

Alopecia areata treated with topical minoxidil

Topical minoxidil dose-response effect in alopecia areata

Systemic steroids with or without 2% topical minoxidil in the treatment of alopecia areata

The role of micronutrients in alopecia areata: A Review

Alopecia areata.

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