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Alopecia Areata Causes, Symptoms, and Treatments

Struggling with sudden hair loss? Learn what causes Alopecia Areata, how to spot the symptoms early, and explore proven treatments that help patients regain confidence.

Alopecia Areata is an extremely common condition and will affect 1% to 2% of the population at some point in their lives. Most sufferers are children and young adults (below 40 years old), though it can affect people of all ages. The exact cause of Alopecia Areata is still unknown, although current theories include a form of auto-immune disease, stress or a genetic basis.

What Happens with Alopecia Areata?

Alopecia Areata is an autoimmune condition that causes sudden, patchy hair loss, often beginning on the scalp.

The condition often begins with small, smooth bald patches that may gradually widen over time. It can also affect the nails, causing them to appear pitted, ridged, or brittle.

Alopecia Areata occurs when the immune system mistakenly attacks hair follicles, interrupting hair growth. Most people experience only a few bald spots, but in more severe cases, the hair loss may be more extensive and affect other parts of the body.

Although not physically painful, Alopecia Areata can be distressing and emotionally challenging, but it’s important to know that recovery is possible.

Recovery Stories

Leah’s Alopecia Areata Recovery – Before and After

These before-and-after images show Leah’s Alopecia Areata recovery over the course of six months (from August 2025), from the beginning to healthy regrowth and recovery. Read Leah’s full story.

Giovanni’s Hair Loss Transformation

Giovanni, aged 70, successfully recovered from Alopecia Areata under our care. Read his story.

Rachel’s Hair Loss Transformation

See how we helped Rachel overcome severe alopecia and restore her confidence. Read her story.

What Are the Symptoms of Alopecia Areata?

Alopecia Areata typically starts with one or more small, round patches of sudden hair loss, most often on the scalp or beard. The skin where hair falls out is usually smooth and not inflamed. While the condition varies from person to person, here are the most common symptoms:

Early Signs

  • Sudden appearance of round bald patches
  • Scalp, beard, and eyebrows are the most commonly affected
  • Nail changes like pitting, ridging, or brittleness (in some cases)

Progression (for some people)

  • Bald patches may widen or multiply over time
  • Rarely, eyebrows and eyelashes may also fall out
  • In some cases, it may lead to:
    • Alopecia Totalis: Complete loss of scalp hair
    • Alopecia Universalis: Total loss of body hair

What’s Happening in the Body

  • Believed to be an autoimmune disorder, where the body attacks its own hair follicles
  • T cells cluster around follicles, leading to hair loss without damaging the skin
  • The exact trigger is unclear, but stress, genetics, and other autoimmune conditions may play a role

Other Key Facts

  • Affects men, women, and children, often begins in childhood
  • Not contagious and does not cause physical pain
  • Can affect anyone, but tends to be more common in those with a family history of autoimmune diseases
  • Hereditary links have been found, including genes on chromosome 8p21–22

What Triggers Alopecia Areata?

The exact cause of Alopecia Areata isn’t fully understood, but several potential triggers are believed to play a role, especially those involving stress or immune system disruption.

Commonly Reported Triggers

  • Sudden or prolonged emotional stress
  • Physical trauma or injury
  • Surgery or illness
  • Bereavement or major life changes
  • Family history of autoimmune disorders (e.g., thyroid issues, eczema, asthma)

What’s Happening in the Body?

Alopecia Areata is widely considered an autoimmune condition. For reasons not yet fully clear, the body begins attacking its own hair follicles.

This immune response may be influenced by:

  • Hormonal imbalance
  • Genetic predisposition
  • Psychosomatic factors (emotional stress affecting the body)

“Triggers are often outside of your control. The important thing to know is that you didn’t cause this, and effective treatment is possible.”

Gary Heron, Chief Trichologist

Alopecia Areata FAQ

Is Alopecia Areata permanent?
Not always. In many cases, hair can regrow, especially with early treatment. However, some people may experience recurring or long-term episodes.
What triggers Alopecia Areata?
It can be triggered by stress, illness, genetics, or immune system responses. The exact cause varies by person and is not always identifiable.
Is it contagious?
No. Alopecia Areata is not contagious and cannot be passed from one person to another.
Can it affect areas beyond the scalp?
Yes. While the scalp is most commonly affected, hair loss can also occur on the eyebrows, eyelashes, and other parts of the body.
What treatments are available?
There are several treatment options including topical therapies, steroid injections, immunotherapy, and natural approaches. The best course depends on your individual case.
When should I see a specialist?
As soon as you notice patchy hair loss or changes in hair texture. Early intervention can make a significant difference in treatment outcomes.

Our Alopecia Areata Treatments

The Hair Loss Centre’s trichologically formulated treatments and lotions reduce the immune response. It is best to treat the condition as soon as it is diagnosed. Let us help you. Book a free video consultation.

Hair Loss Issue? Book a Free Video Consultation

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