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How to Stop Alopecia Areata From Spreading

Katelyn Hagerty

Reviewed by Katelyn Hagerty, FNP

Written by Rachel Sacks

Published 03/27/2023

Want to know how to stop alopecia areata from spreading to other areas of the body — or at least from getting any worse? You’ve come to the right place.

Along with unexplained aches and pains, hair loss is one of the unfortunate, not-so-fun side effects of getting older. But knowing what type you’re dealing with (yep, there are different types of hair loss) can help you find the best ways to stop hair loss.

For example, many men will experience androgenetic alopecia — more commonly known as male pattern baldness. A receding hairline, starting at the temples, is a typical sign.

But that’s not the only type of hair loss. You might find round bald patches, a sign of another kind known as alopecia areata. These small patches might spread and join together to form larger bald patches.

This can understandably be distressing, and you’re probably looking for information on how to stop alopecia areata from spreading naturally.

Fortunately, there may be ways to prevent this hair loss from getting worse. Here’s what to know about how to stop alopecia areata from spreading

Half of knowing how to stop alopecia areata from spreading is knowing what’s causing your hair loss. But alopecia areata isn’t just hair loss — it’s caused by your immune system mistakenly attacking your hair follicles, which can result in spot hair loss on your scalp or all over your body.

Other potential triggers include emotional stress, family history or an autoimmune disease, such as psoriasis or thyroid disease.

The signs of alopecia areata are typically a patch of baldness rather than receding hairlines, thinning hair or other signs of hair loss.

There are three types of alopecia areata:

  • Patchy alopecia areata. This is one of the most common types of alopecia areata, occurring when someone experiences patches of hair loss.

  • Alopecia totalis. When people lose hair on their entire scalp, it’s known as alopecia totalis.

  • Alopecia universalis. In this rare type, there’s a complete or nearly complete loss of hair on the scalp, face and rest of the body.

This guide on alopecia areata goes more in-depth on the causes and symptoms of this hair loss.

Keep reading to learn how to stop alopecia areata from spreading naturally.

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While there’s no cure for alopecia areata, some treatment options can help grow the hair back. Your immune system attacks your hair follicles but doesn’t usually completely destroy them — meaning new hair growth is possible.

It’s important to talk to a medical doctor or dermatologist for a proper diagnosis if you think you have alopecia areata. They may complete a physical exam, with a focus on your scalp, hair and nails, or order a blood test. You might also be asked about your symptoms or if you have any family members with a similar pattern of hair loss.

Your healthcare provider can determine the best course of treatment to keep it from spreading based on how severe your alopecia areata is, where you’re losing hair, your age, health and other factors.

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Once your healthcare provider or a dermatologist has determined your condition, they can figure out how to stop alopecia areata from spreading — or at least help curb your existing hair loss issue.

Corticosteroids

Corticosteroids like prednisone work to reduce inflammation for a number of ailments, from arthritis to carpal tunnel syndrome — and even alopecia areata. Treatment options may include corticosteroid injections or oral corticosteroids.

Corticosteroid injections are considered an effective treatment for people with patchy hair loss. In one study of 101 patients with patchy hair loss, more than 80 percent who were treated with these injections experienced hair regrowth in just over 12 weeks.

These injections are done about every four to six weeks, with new hair growth occurring after about four weeks of treatment. There are few side effects, but some people may feel minor discomfort from the needle or notice temporary depressions in the skin that disappear over time.

While injections are usually a more effective option, you might take oral corticosteroids like prednisolone instead.

Topical Treatment

Commonly known as Rogaine®, minoxidil can help keep hair growth going once it’s started by another treatment. This medication can also stimulate hair growth by moving hair follicles into the anagen (or growth) phase of the hair growth cycle.

A review of multiple studies found that, over a 48-week period, minoxidil resulted in a total hair count increase of up to 18 percent as well as noticeably thicker hair for some participants.

Other topical treatments can include topical corticosteroids, which act in the same way as corticosteroid injections by reducing inflammation around the hair follicle.

Enzyme Inhibitor

Minoxidil isn’t the only FDA-approved treatment for alopecia areata.

A Janus kinase (JAK) inhibitor called Olumiant was recently approved to treat adult patients with severe alopecia areata. This drug works by blocking the activity of specific enzymes, thereby reducing inflammation.

The side effects of this medication include headache, acne, high cholesterol, stomach pain, urinary tract infection and fatigue.

Hair loss treatments, delivered

Alopecia areata may have you experiencing patchy hair loss from your scalp, beard or other body parts. Fortunately, there are ways to stop alopecia areata from spreading and causing you more discomfort.

Conventional treatment plans typically include corticosteroid injections or topical treatments. Corticosteroids work by reducing the inflammation caused by the autoimmune disease alopecia, while topicals like minoxidil stimulate new hair growth. We offer minoxidil as part of our range of men’s hair loss treatments.

In addition to using medication, you may benefit from making changes to your lifestyle to reduce the severity of alopecia areata and prevent your symptoms from getting worse.

For example, using sunscreen or wearing a hat to protect areas of your skin with noticeable hair loss will safeguard your skin from UV-related damage. You can also use our guide on how to cover up bald spots for a short-term solution — or while you’re undergoing treatment for alopecia areata.

If you’re struggling with stress, anxiety or depression as a result of your condition, it’s important to talk to a mental health professional. You can connect with a mental health provider from home using our online mental health services, allowing you to easily access support and ongoing care.

13 Sources

  1. Androgenetic alopecia. (2015, August 1). MedlinePlus. Retrieved from https://medlineplus.gov/genetics/condition/androgenetic-alopecia/
  2. Alopecia Areata. (2021, April). Retrieved from https://www.niams.nih.gov/health-topics/alopecia-areata
  3. Hair loss types: Alopecia areata causes. (n.d.). American Academy of Dermatology. Retrieved from https://www.aad.org/public/diseases/hair-loss/types/alopecia/causes
  4. Alopecia Areata: Diagnosis, Treatment, and Steps to Take. (2021, April 1). National Institute of Arthritis and Musculoskeletal and Skin Diseases. Retrieved from https://www.niams.nih.gov/health-topics/alopecia-areata/diagnosis-treatment-and-steps-to-take
  5. Hair loss types: Alopecia areata diagnosis and treatment. (n.d.). American Academy of Dermatology. Retrieved from https://www.aad.org/public/diseases/hair-loss/types/alopecia/treatment
  6. Injectable Corticosteroids. (n.d.). Johns Hopkins Medicine. Retrieved from https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/injectable-corticosteroids
  7. Chanprapaph, K., Pomsoong, C., Kositkuljorn, C., & Suchonwanit, P. (2021). Intramuscular Corticosteroid Therapy in the Treatment of Alopecia Areata: A Time-to-Event Analysis. Drug Design, Development and Therapy, 16, 107-116. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8752075/
  8. Treatments for Alopecia Areata | National Alopecia Areata Foundation. (n.d.). National Alopecia Areata Foundation |. Retrieved from https://www.naaf.org/alopecia-areata/alopecia-areata-treatments
  9. Efentaki, P., Altenburg, A., Haerting, J., & Zouboulis, C. C. (2009). Medium-dose prednisolone pulse therapy in alopecia areata. Dermato-endocrinology, 1(6), 310-313. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3092572/
  10. Badri, T., Nessel, T. A., & Kumar, D. (n.d.). Minoxidil - StatPearls - NCBI Bookshelf. NCBI. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK482378/
  11. Suchonwanit, P., Thammarucha, S., & Leerunyakul, K. (2018). Minoxidil and its use in hair disorders: A review. Drug Design, Development and Therapy, 13, 2777-2786. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6691938/
  12. Drug Approval Package: Men's Rogaine (5% Minoxidil) NDA #021812. (2008, May 6). Accessdata.fda.gov. Retrieved from https://www.accessdata.fda.gov/drugsatfda_docs/nda/2006/021812s000TOC.cfm
  13. FDA Approves First Systemic Treatment for Alopecia Areata. (2022, June 13). FDA. Retrieved from https://www.fda.gov/news-events/press-announcements/fda-approves-first-systemic-treatment-alopecia-areata
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