Sudden Circular Hair Loss: Is It Normal? - Dermatology

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Hair loss


I recently noticed a sudden loss of hair in a circular patch, approximately 4 cm in diameter, located above my left ear.
I currently have no other health issues.
Is this normal hair loss?

Fei Ying, 50~59 year old female. Ask Date: 2008/06/16

Dr. Lin Mingxiu reply Dermatology


Alopecia areata, commonly referred to as "spot baldness" or "ghost shaving," is a prevalent form of hair loss seen in dermatology clinics, with its exact cause remaining unknown.
It can affect individuals of any age, particularly young people.
The condition typically begins on the scalp, where most patients experience one or more smooth, coin-sized patches of hair loss.
In the early stages of the disease, a gentle tug on a cluster of hair may result in its easy removal, but most patients do not experience pain or itching.
It is advisable to consult a dermatologist for further evaluation and management.

Reply Date: 2008/06/16

More Info


Sudden circular hair loss, often referred to as "alopecia areata," is a condition that can be alarming for those experiencing it. This type of hair loss typically presents as round patches of baldness on the scalp, and it can occur suddenly, as you have described. While it may seem concerning, it is essential to understand that alopecia areata is relatively common and can affect individuals of all ages, including those who are otherwise healthy.

Alopecia areata is an autoimmune disorder, where the body's immune system mistakenly attacks hair follicles, leading to hair loss. The exact cause of this condition remains unclear, but it is believed to involve a combination of genetic and environmental factors. Stress, allergies, and other underlying health issues may also play a role in triggering or exacerbating the condition.

In your case, the circular patch of hair loss measuring approximately 4 cm in diameter behind your left ear suggests that you may be experiencing alopecia areata. It is important to note that this condition is not typically associated with any systemic illness, meaning that individuals with alopecia areata often do not have other health problems. However, it can be a sign of underlying stress or other factors that may need to be addressed.

While alopecia areata can be distressing, the good news is that hair often regrows in the affected areas, although the timeline can vary significantly from person to person. Some individuals may see regrowth within a few months, while others may take longer. In many cases, the hair may grow back white or gray initially before returning to its original color.

If you are concerned about your sudden hair loss, it is advisable to consult a dermatologist or a healthcare professional specializing in hair disorders. They can provide a thorough examination, confirm the diagnosis, and discuss potential treatment options. Treatments for alopecia areata may include topical corticosteroids, minoxidil, or other immunotherapy options, depending on the severity and extent of hair loss.

In addition to medical treatments, managing stress and maintaining a healthy lifestyle can also be beneficial. Stress management techniques such as mindfulness, yoga, or regular exercise may help reduce the frequency or severity of hair loss episodes.

In summary, while sudden circular hair loss can be alarming, it is often a manageable condition. Consulting with a healthcare professional is crucial for an accurate diagnosis and appropriate treatment plan. Remember that you are not alone in this experience, and many individuals successfully navigate alopecia areata and see hair regrowth over time.

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