TLDR Alopecia areata causes hair loss due to an immune attack on hair follicles, influenced by genetics and environment.
The document provided a comprehensive review of alopecia areata (AA), an autoimmune disorder characterized by localized hair loss. It affected 0.05-0.1% of the population, with a lifetime risk of 1.7%, and involved a T-lymphocyte-mediated attack on hair follicles, influenced by genetic and environmental factors. Histopathological features included peribulbar lymphocytic infiltrate and changes in hair follicle structure. Prognosis varied, with 65% of patients experiencing hair regrowth within 6 months to 2 years. The review highlighted the role of HLA antigens, cytokines, and genetic predisposition in AA, and discussed its association with other autoimmune disorders, potential viral origins, and psychological triggers. Experimental models like C3H/HeJ mice were used to study AA and test treatments, emphasizing the disease's complex pathogenesis and multifactorial triggers.
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131 citations
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November 1998 in “The journal of investigative dermatology/Journal of investigative dermatology” Skin grafts on mice can cause an immune response leading to hair loss, useful for studying human hair loss conditions.
64 citations
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July 1997 in “Journal of The American Academy of Dermatology” Finding eosinophils near hair bulbs helps diagnose alopecia areata.
16 citations
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January 1995 in “Dermatology” The treatment for alopecia areata with diphenylcyclopropenone was unsuccessful.
85 citations
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February 1989 in “Journal of The American Academy of Dermatology” Children with loose anagen hair have easily pluckable hair due to root sheath problems, and it might improve without treatment.
3 citations
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January 1989 in “PubMed” The review found that specific changes in scalp tissue can help diagnose different types of hair loss.
122 citations
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November 1984 in “Journal of the American Academy of Dermatology” No single treatment is consistently effective for alopecia areata, and more research is needed.
22 citations
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June 1980 in “International Journal of Dermatology” The document concludes that correct diagnosis of alopecia types is crucial, scalp biopsies are important, and more research is needed.
April 2019 in “International journal of research in dermatology” A child with rough nails also had hair loss and allergies.