Logo
Generic selectors
Exact matches only
Search in title
Search in content
Post Type Selectors

Alopecia Areata (Hair Loss)

Alopecia Areata is a patchy non-scarring hair loss condition that a person develops coin-sized round baldness over the scalp. It is postulated that the body’s immune system attacks the growing hair leading to hair loss.
Consult Us Now!
Table of Contents

What is Alopecia Areata?

Alopecia Areata is a patchy non-scarring hair loss condition that a person develops coin-sized round baldness over the scalp. It is postulated that the body’s immune system attacks the growing hair leading to hair loss.

What causes Alopecia Areata?

There are increasing evidence to suggest Alopecia Areata is due to underlying immune system reacting onto hair follicles, resulting in inflammation and hair loss. Hair follicle immune response can also be triggered by environmental factors such as infections, drugs, vaccinations or even stress.

What are the symptoms of Alopecia Areata?

Alopecia Areata typically presents with a well-circumscribed discrete smooth bald patch over the scalp. Sometimes, this condition can affect other parts of the body such as the beard, eyebrows, eyelashes, body and limbs. You may notice roughening of the nails or developing of little pits over the nail surface.

Is Alopecia Areata painful?

No, Alopecia Areata does not cause pain. However, Alopecia Areata can be a devastating condition. The loss of hair has a negative psychological impact and can be associated with low self-esteem. Patients with Alopecia Areata can be vulnerable to exploitation and should be cautioned against spending unnecessary money on remedies that are unproven.

Consult us today!

Who is at risk of Alopecia Areata in Singapore?

Both female and male are equally at risk of developing Alopecia Areata. The age demographics tends to occur between adolescence to mid adulthood. Uncommonly, it can also affect children less than 10 years old.

The following increase an individual’s risk of developing this condition:

  • A past history of Alopecia Areata
  • Autoimmune conditions
  • Thyroid disease
  • Family history of similar condition

How is Alopecia Areata diagnosed?

Alopecia Areata is diagnosed based on history and clinical examination findings. However, depending on individual cases, your doctor may consider to run some blood tests to screen for other causes of hair loss.

Can Alopecia Areata be cured?

Due to the association of autoimmune response, treatment of Alopecia Areata involves use of steroid. The most effective treatment for small areas of patchy Alopecia Areata is intralesional steroid (triamcinolone) injection. Depending on individual cases, your doctor may pair the injection treatment with topical/cream based steroid. You are advised to discuss with your doctor on the treatment alternatives for Alopecia Areata.

FAQ

What is the fastest treatment for managing Alopecia Areata?

First line treatment for Alopecia Areata which is fast and effective is intralesional steroid injection.

What do I expect when I consult my Doctor?
Your doctor will take a detailed relevant history regarding your scalp, and hair over other parts of your body. Your doctor will use a dermatoscope to review your scalp as well. In cases when the diagnosis is uncertain, your doctor may offer blood tests, a skin sample procedure (known as skin scalp biopsy) to obtain tissue scalp sample to review it in under microscope.
Can Alopecia Areata be cured?
The good news is: Hair loss secondary to Alopecia Areata usually do recover as the hair follicles are intact. Once the body’s immune system settles, the hair will regrow. You can discuss with your doctor on ways to treat and recover sooner from Alopecia Areata.
Can Alopecia Areata recur?
Some patients may only experience an episode of Alopecia Areata. Unfortunately, there are patients may have a few episodes or recurring Alopecia Areata. Thankfully, most patients recover well despite the recurrence! You are advised to discuss with your doctor on ways to manage the condition and lifestyle measures to avoid triggers that can cause relapse of Alopecia Areata.
Should I be worried if I develop Alopecia Areata?
Alopecia Areata is not a life threatening condition and the general prognosis of the condition is favourable. Nonetheless, Alopecia Areata hair loss can be a frustrating condition and can cause significant psychosocial distress. One can also be susceptible to scams or various street remedies that may not be cost effective. Speak to the professionals if you develop Alopecia Areata as there are clinically effective treatment to manage the condition.
Is Alopecia Areata infectious?
No, Alopecia Areata is not an infectious disease. It will not be transmitted through contact, touching, or sexual intercourse.
What should I avoid when I have Alopecia Areata? Can I stop Alopecia Areata from spreading?
You should keep your hair short, avoid braiding or pulling of the existing hair. Repeated chemical hair treatment should be avoided to reduce further scalp injury leading to hair fall.
Discuss with your doctor on treatment options to manage and recover from Alopecia Areata.
How do I know my hair is regrowing in Alopecia Areata?
You may notice overtime, there are small soft ‘baby’ hairs growing out the bald patch areas, and making the appearance of the bald patch less conspicuous and smaller. The ‘new’ regrowing hair may appear grey/white in some patients, and eventually revert back to its original color over months.
Is Alopecia Areata more common in male or female?
The risks of developing Alopecia Areata among both genders are equal.
Can lacking of microminerals/vitamins causes Alopecia Areata?
Vitamin D deficiency has been shown in clinical studies as a risk factor for development of alopecia areata. You are advised to replenish the level if your level are low. Discuss with your doctor on replacing vitamin D levels, and avoiding over-replenishing of the vitamin!
Can I go under the sun when I have Alopecia Areata?
Yes, you can. In fact, sun is the natural source of vitamin D which will stimulate hair follicle and encourages new hair regrowing in Alopecia Areata.
What food should I eat for Alopecia Areata?
You are advised for a balance, well nutrition daily meals. In particular, you can aim for a diet rich in anti-inflamamtory antioxidant properties. This includes fruits and vegetables, berries, cherries, broccoli, spinach and many more!

Processed food, food additives, MSGs, diary, eggs, caffeinated drinks, sugar, alcohol are common food that promotes inflammation in the body and should be avoided. You can discuss your dietary intake with your doctor to tailor a suitable meal to aid the symptoms of Alopecia Areata.

Related Articles

Hay Fever

Hay Fever is also medically termed as rhinitis. It can be divided into Allergic Rhinitis and Non-Allergic Rhinitis.

Continue Reading →
February 23, 2023

Drug Allergy

The same medication may not cause any reaction to a person, yet may cause unforeseen allergic reactions to another person.

Continue Reading →
November 16, 2020

The Change of Allergy Paradigm

The concept of early avoidance as prevention of future allergy has been challenged over recent years.

Continue Reading →
October 20, 2020

Allergy Immunotherapy

Allergy Immunotherapy modifies a person’s body immune response towards allergens, hence easing allergy symptoms.

Continue Reading →
October 20, 2020

Anaphylaxis: All I Need to Know

Recognizing the signs and symptoms of anaphylaxis are important. This can be life-saving.

Continue Reading →
October 20, 2020

Sublingual Immunotherapy (SLIT)

It is useful in allergic respiratory diseases such as allergic rhinitis and asthma.

Continue Reading →
October 15, 2020

Pet Allergies

Furthermore, the fur of pets can act as a reservoir for pollen and mould spores.

Continue Reading →
October 9, 2020

Latex Allergy

This allergy is common among healthcare workers, people who have undergone multiple surgeries

Continue Reading →
October 9, 2020

Insect Sting Allergy

Common insect stings in Singapore come from yellow jackets, hornets, wasps, and honey bees.

Continue Reading →
October 2, 2020

Related Services

Wood Lamp Skin/ Hair Screening

Checking the skin or nail lesion with wood lamp involves shining a hand-held wood lamp device on the area of concern by your physician.

Cryotherapy Services

Cryotherapy or colloquially known as ‘cold therapy’ is a procedure that uses liquid nitrogen to deliver freezing cold temperature locally to destroy and remove abnormal skin lesion.

Electrocautery

Electrocautery is a bedside procedure where your doctor will use an ‘electric pen’ to deliver high frequency electric current onto the skin to generate heat in order to stop bleeding or remove abnormal skin cells

Steroid Injections

A steroid injection is simple bedside procedure where your doctor will inject minute amount of steroid onto the skin.

Skin cancer screening/Mole check

Skin cancer screening is usually performed by your physician using a dermatoscope. Dermatoscope is a medical magnifying glass that allows your physician to visualize the size and shape of the mole that you are concerned of.

Skin Scrape Test (Fungal Scrape Test)

Fungal scrape and bacterial culture tests allow physician to confirm or debunk fungal/bacterial diagnosis of skin condition

Skin Tag Removal

Skin tags are benign. They are also known as acrochordons medically. They are small, soft overgrowth of the skin commonly located among the face, eyelids neck, armpit, groin, breasts and buttock folds.

Excision Biopsy

An excision biopsy is a bedside procedure where your doctor uses a surgical blade to remove the entire skin lesion under the use of local anaesthesia.

Shave Biopsy

A shave biopsy a bedside procedure where your doctor uses a surgical superficial shaving blade to remove the skin lesion under the use of local anaesthesia.

Skin biopsy /Punch biopsy

A skin biopsy, or punch biopsy, is a bedside surgical procedure where your physician will use a small knife ‘puncher’ to obtain a small skin sample under local anaesthesia.

Shingles

Herpes zoster, commonly referred to as shingles, is a painful blistering rash caused by the varicella-zoster virus— the same virus that causes chickenpox.

Seborrheic Dermatitis

Seborrheic Dermatitis is a common chronic inflammatory condition of the skin. It is categorized as a type of chronic eczema, affecting the body area that has more sebaceous glands. characterized by red, greasy scaly patches.

Skin Fungal Infection

Living in a hot humid climate of Singapore, fungal infection of the skin is common. The fungus thrives and favors body areas that are moist and warm such as the armpit, breast folds, groin, buttocks, feet, toes or even nails.

Eczema

Eczema is a common inflammation condition of the skin. Although eczema can occur any time in one’s life, it typically starts presenting when one is a child.

Psoriasis

Psoriasis is a chronic inflammatory skin condition. It is a common skin disease that can affect 1 in 50 people.

Hives

Nearly 20% of people will get hives at some point in their lifetime. While they may not be life-threatening, hives can potentially cause both physical and emotional issues, particularly if they occur frequently.

cross