Circular Hair Loss: Causes and Stress Factors

Alopecia areata

Hello, doctor.
A few days ago, we noticed that my father's scalp and the back of his head have 3 to 4 areas that are about the size of a coin that are bald.
I would like to ask the doctor about the possible causes of this condition.
Additionally, can significant mental stress also lead to this situation? Thank you for your help!

Mr. Li, 20~29 year old female. Ask Date: 2001/08/05

Dr. Zheng Lizhen reply Dermatology

Based on your description, your father's issue may be alopecia areata.
Alopecia areata refers to patchy hair loss, and it is sometimes colloquially referred to as "ghost shaving" because in the past, people would wake up to find a patch of hair missing and attributed it to supernatural causes.
The causes of alopecia areata include: 1.
Genetic factors, as some individuals with alopecia areata have family members who also experience this condition.
2.
Stress-related factors, which can be both physical and psychological.
3.
A small percentage of individuals may have underlying conditions such as anemia, thyroid disorders, or vitiligo.
Therefore, managing stress appropriately is very important!

Reply Date: 2001/08/05

More Info

Circular hair loss, commonly referred to as alopecia areata, is a condition characterized by sudden, patchy hair loss. It can affect individuals of any age and is often distressing for those experiencing it. The exact cause of alopecia areata is not fully understood, but it is believed to be an autoimmune disorder where the immune system mistakenly attacks the hair follicles, leading to hair loss.
Several factors can contribute to the onset of alopecia areata, including genetic predisposition, environmental triggers, and psychological stress. In your father's case, the appearance of circular patches of hair loss on his scalp could indeed be linked to these factors. If there is a family history of hair loss or autoimmune conditions, this could increase the likelihood of developing alopecia areata.
Stress is another significant factor that has been associated with the onset of alopecia areata. While the exact mechanism is not clear, it is thought that stress may trigger or exacerbate the immune response that leads to hair follicle damage. Psychological stressors, such as anxiety, depression, or significant life changes, can impact overall health and may contribute to hair loss. In your father’s situation, if he has been experiencing heightened stress levels, it could potentially be a contributing factor to his hair loss.

In terms of management, it is essential to consult a dermatologist or a healthcare provider specializing in hair loss. They can conduct a thorough examination and may recommend treatments such as topical corticosteroids, which can help reduce inflammation and promote hair regrowth. Other treatment options may include immunotherapy, which involves applying a topical solution to stimulate the immune system to attack the hair loss.

Additionally, it is crucial to address any underlying stressors. Stress management techniques such as mindfulness, meditation, regular exercise, and adequate sleep can be beneficial. Encouraging your father to engage in activities that promote relaxation and well-being may help mitigate the impact of stress on his overall health and potentially improve his hair condition.

It’s also important to note that while alopecia areata can be distressing, it is often a temporary condition. Many individuals experience regrowth of hair over time, although the duration and extent of recovery can vary. In some cases, hair may regrow in the affected areas, while in others, it may take longer or require ongoing treatment.

In conclusion, circular hair loss can be influenced by a combination of genetic, environmental, and psychological factors. Stress is a notable contributor and addressing it may help in managing the condition. Seeking professional medical advice is crucial for appropriate diagnosis and treatment options tailored to your father's specific situation.

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