Hair loss can be a devastating symptom for men and women alike. When it happens during adolescence or young adulthood it can be even more so. Alopecia areata, a type of hair loss that affects up to 0.2% of the population (that’s over 50 000 people in Toronto alone) most often starts in people under 20 years of age.
Men and women suffer equally from alopecia areata and it occurs in all ethnic groups. While we don’t know exactly what causes alopecia areata the evidence suggests it is an autoimmune condition with genetics and environmental factors contributing to its onset.
DIAGNOSIS of ALOPECIA AREATA
Alopecia areata has a characteristic appearance of well-defined round or oval areas of hair loss. Typically occurring on the scalp, the circular patches of hair loss are free from scarring and the skin is not discoloured. Around the patch of hair loss some hairs will have an “exclamation point” appearance showing signs of the abnormal transition of the hair through it’s growth phase.
While alopecia areata usually occurs as defined patches on the scalp, alopecia totalis occurs when there is total loss of the scalp hair and alopecia universalis refers to loss of all hair on the scalp and body.
Diagnosis of alopecia areata should consist of a detailed history, a thorough clinical examination and appropriate laboratory testing. Markers of inflammation and nutritional status should be included in any blood work to identify potential contributing factors in the onset and development of alopecia areata.
TREATMENT of ALOPECIA AREATA
Treatment of alopecia areata is difficult to assess because spontaneous recovery and hair regrowth occurs within 6 to 12 months for more than half of all patients. However, recurrence is high so efforts should be made to determine the underlying cause of alopecia areata and treat accordingly.
While many things can contribute to the development of alopecia areata research suggests that some of the most significant factors are:
- Stress (physical or emotional)
- Hormone fluctuations
- Infectious diseases or illnesses
- Autoimmune conditions
- Pre-existing health conditions such as celiac disease, ulcerative colitis, psoriasis, multiple sclerosis, vitiligo and lupus
- Nutritional deficiencies – especially zinc and iron
As a Naturopathic Doctor my focus is on uncovering potential imbalances that may be contributing to the development of disease. With alopecia areata there are often multiple factors that must be addressed – nutrient deficient diets, stress, poor immune function and hormone imbalances being the most common.
Potential natural treatments depend on individual needs – unfortunately there is no one diet or supplement that can cure alopecia areata. The best course of action is to understand your health – what are the potential causes of your hair loss and how can they be addressed through dietary, nutritional and supplemental support.
To learn more about my individualized approach to hair loss, book a complimentary 15 minute meet-and-greet. Learn how you can improve your health today.
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