In the case of alopecia totalis, the condition manifests as the complete loss of hair on the scalp, including eyebrows and eyelashes. Unlike alopecia areata, which can cause patchy hair loss, alopecia totalis involves the loss of all scalp hair, leaving the affected individual entirely bald.
The exact cause of alopecia totalis is not fully understood, but it is believed to involve a complex interplay of genetic, environmental, and immunological factors. The immune system targets and attacks healthy hair follicles, triggering their premature entry into the resting (telogen) phase and subsequent shedding.
Alopecia totalis can have profound psychological and emotional effects due to its impact on appearance, self-esteem, and identity. The condition can occur at any age, and its course varies among individuals. While there is no cure for alopecia totalis, various treatment options may be explored to stimulate hair regrowth, including corticosteroid injections, topical immunotherapy, and systemic immunosuppressive medications. However, the effectiveness of these treatments varies, and regrowth is not guaranteed.
Individuals with alopecia totalis often benefit from support groups, counseling, and cosmetic strategies to manage the emotional challenges associated with significant hair loss.
--Nicole Trahan
Cranial Prosthesis Specialist
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