by Dr. Rose Windale
Around 2% of the total population of
the world experience an erratic hair loss disorder called
alopecia areata. In the last decade, there has been a huge
transition on the treatment of this disease as there have
been constant researches and studies about it.
Alopecia
areata which can be a distressing
cosmetic and health condition are of several
categories. There is alopecia areata moltilocularis
wherein there is hair loss in multiple areas of the
head whereas only one spot in any part of the head
becomes bald in alopecia areata monolucolaris.
Alopecia areata totalis on the other hand causes loss
of all hair on the scalp while alopecia areata
universalis has the manifestation of hair loss on all
body parts including the pubic hair.
A psychological trauma may cause a person to lose all
his dark hairs leaving him only with mixed gray and dark
hair and this condition is called diffused alopecia areata.
Alopecia areata, also called "spot baldness" causes bald
spots on the head on its initial stages. In general,
alopecia areata is a disease which includes autoimmunity
that is, there is a failure for the system to recognize its
own constituent parts. The indication of this disease is
that it regards hair follicles as foreign tissues thereby
suppressing and hampering hair growth. To further explain
an autoimmune disease, the body's immune system basically
turns against itself.
It perceives the body's own tissues as foreign elements
thereby attacking them instead. The nature of alopecia
areata is that it initially affects all growing hairs but
the resting hair follicles are spared from the damage it
instigates. The hair becomes trunctuated and subsequently,
the disease allows the hair follicles to enter into s
telogen resting state. Significant shedding of hair usually
results from this process. In alopecia areata, the hair
follicles remain in the telogen resting state for prolonged
periods and if they try to proceed to the anagen growth
state, it is when the immune system attacks the hair
follicles.
Based on this theory, treatment measures for spot
baldness are being carried out. As an intervention for the
disease, professionals aim to reduce the action of the
immune system on the hair follicles and to promote the
growth of the resting hair follicles. There are several
treatment options for alopecia areata. There are those
directed only on hair regrowth for cosmetic purposes but by
no means prevent hair loss. They are immune inhibitors such
as steroids or Psoralen and UV-A light; squaric acid
dibutylester which is a topical sensitizer and
diphenylcyclopropenone; non- specific irritants such as
anthralin; and minoxidil hair treatments considered as
vasodilators.
Other treatment options for alopecia areata which are
widely available include the application of topical
corticosteroids. Corticosteroids can be injected locally or
used in conjunction with minoxidil therapy. Anthralin has
also gained a wide acceptance as treatment for alopecia
areata. When one decides on the most appropriate treatment
approach for the disease, factors like the duration and the
extent of the condition must initially be taken into
consideration. As much as there are several treatment
options available for alopecia areata, most dermatologists
use a combination of anthralin or corticosteroids along
with minoxidil as of now.