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Exclamation Point Hairs: A Sign of Alopecia Areata?

Angela Sheddan

Reviewed by Angela Sheddan, FNP

Written by Rachel Sacks

Published 06/05/2023

If you’re wondering about exclamation point hair and whether it’s a sign of active hair loss, you’ve come to the right place.

Exclamation points are typically a sign of excitement and joy. But when your hair resembles an exclamation point? Perhaps not as much joy and excitement.

Hair can take on several shapes and lengths throughout our lives, whether because of changes we make ourselves (like a haircut) or factors out of our control (such as genetics and age).

Hair loss — or alopecia, the clinical term for hair loss — is often caused by genetics and hormones. Other types of hair loss are caused by health conditions, such as alopecia areata.

Exclamation point hair may not be quite the look you’re going for. But beyond that, could these hairs be a sign of hair loss — particularly alopecia areata — and a bigger underlying health issue?

We’ll explore the possibility of exclamation mark alopecia areata and what else could be causing your exclamation mark hair.

What Do Exclamation Point Hairs Look Like?

Exclamation point hair looks how it sounds — a short stub of hair that’s narrower at the base than the tip, creating the appearance of an exclamation point.

In some cases, exclamation mark hair appears when the hair follicle (the structure hair grows from) has grown, but the hair shaft (the visible part of hair) has broken off. In other instances, exclamation point hair may appear around the edges of a patch of hair loss.

Oftentimes, exclamation point or broken hairs are associated with alopecia areata, a patchy hair loss that develops when your immune system attacks your hair follicles.

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Exclamation Point Hairs and Alopecia Areata

As mentioned above, alopecia areata is an autoimmune condition that causes patches of hair loss due to the immune system attacking and damaging your hair follicles.

Hair typically falls out in small, round patches about the size of a quarter, but in some cases, hair loss might extend to the entire body. Alopecia areata usually involves loss of scalp hair, though it may also lead to a patch of hair loss in your beard, eyebrows or body hair.

While anyone can get this type of hair loss, you may be more at risk if you’re affected by an autoimmune disease, such as thyroid disease or psoriasis.

Exclamation mark hairs and alopecia areata often go hand-in-hand, as hair may regrow in the hairless patches, causing exclamation mark hairs to be a common sign of this type of hair loss. That said, there could be other causes of exclamation mark hairs.

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Other Causes of Exclamation Point Hairs

Besides patchy alopecia areata, there may be other causes of exclamation point hairs.

You might experience hair growth after a different type of hair loss, leading to short exclamation point hair:

  • Androgenetic alopecia. Also known as male pattern baldness, androgenetic alopecia is one of the most common types of hair loss. It’s typically characterized by a receding hairline and scalp hair loss at the crown. If you start treatment for androgenetic alopecia, initial hair regrowth may result in exclamation point hair.

  • Telogen effluvium. Another common form of hair loss, telogen effluvium is caused by severe stress, illness or certain types of medication interrupting the hair growth cycle. Telogen effluvium causes a noticeable loss of hair volume, but when spontaneous regrowth begins, you may have upright regrowing hairs — exclamation mark hairs, in other words.

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Exclamation Point Hairs: What to Do Next

If you’re noticing short hairs that resemble an exclamation mark, it could be a sign of hair loss — namely, alopecia areata.

Caused by the immune system attacking hair follicles and leading to hair loss, alopecia areata is a type of hair loss that results in bald patches. Spontaneous hair regrowth might occur in those with less extensive hair loss or no family history of the disease.

Though there’s currently no cure for alopecia areata, exclamation point hair could be the result of another type of hair loss. Schedule a visit with a healthcare provider for a hair loss diagnosis to determine the cause of your hair loss.

From there, your provider can recommend treatments for hair loss, such as topical treatments like minoxidil or finasteride. You can also check out our guide on how to stop alopecia areata from spreading for more information on this condition.

7 Sources

Hims & Hers has strict sourcing guidelines to ensure our content is accurate and current. We rely on peer-reviewed studies, academic research institutions, and medical associations. We strive to use primary sources and refrain from using tertiary references.

  1. Baldness (Alopecia). (n.d.). Johns Hopkins Medicine. Retrieved from https://www.hopkinsmedicine.org/health/conditions-and-diseases/baldness-alopecia
  2. Alopecia Areata - Hair loss Causes & Living With It | NIAMS. (2021, April 1). National Institute of Arthritis and Musculoskeletal and Skin Diseases. Retrieved from https://www.niams.nih.gov/health-topics/alopecia-areata
  3. Alopecia areata. (n.d.). Cigna. Retrieved from https://www.cigna.com/knowledge-center/hw/medical-topics/alopecia-areata-ug2838spec
  4. Alopecia areata Information. (n.d.). Mount Sinai. Retrieved from https://www.mountsinai.org/health-library/diseases-conditions/alopecia-areata
  5. Ho, C.H., Sood, T., Zito, P.M. (updated 2020 Sep 29). Androgenetic Alopecia. In: StatPearls internet. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK430924/
  6. Asghar, F., Shamim, N., Farooque, U., Sheikh, H., & Aqeel, R. (2020). Telogen Effluvium: A Review of the Literature. Cureus, 12(5), e8320. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7320655/
  7. Al Aboud AM, Zito PM. Alopecia. (2023). Treasure Island (FL): StatPearls Publishing. Retrieved from: https://www.ncbi.nlm.nih.gov/books/NBK538178/
Editorial Standards

Hims & Hers has strict sourcing guidelines to ensure our content is accurate and current. We rely on peer-reviewed studies, academic research institutions, and medical associations. We strive to use primary sources and refrain from using tertiary references. See a mistake? Let us know at [email protected]!

This article is for informational purposes only and does not constitute medical advice. The information contained herein is not a substitute for and should never be relied upon for professional medical advice. Always talk to your doctor about the risks and benefits of any treatment. Learn more about our editorial standards here.

Angela Sheddan, FNP

Dr. Angela Sheddan has been a Family Nurse Practitioner since 2005, practicing in community, urgent and retail health capacities. She has also worked in an operational capacity as an educator for clinical operations for retail clinics. 

She received her undergraduate degree from the University of Tennessee at Chattanooga, her master’s from the University of Tennessee Health Science Center in Memphis, and her Doctor of Nursing Practice from the University of Alabama in Tuscaloosa. You can find Angela on LinkedIn for more information.


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