Dr. Abdulaziz AlRashed — Consultant Dermatologist, Cosmetic & Laser
Advice for Alopecia Areata Patients
A patient advice sheet — 9 practical points. Reviewed and updated by Dr. Abdulaziz AlRashed, July 2026.
Last reviewed: July 2026
The advice
- Alopecia areata is an immune condition that pauses hair growth without destroying the follicles — so regrowth is always possible, and it is not contagious.
- Small patches often regrow within months, even without treatment.
- For limited patches: local cortisone injections are the best-established treatment, with helper creams.
- For extensive disease: effective new oral medicines (JAK inhibitors) now exist, some approved from age 12 — discuss whether they suit your case.
- It is not your fault and not "weak nerves" — it is genetic and immune; stress may only act as a trigger.
- It can be associated with thyroid disease — tested when needed.
- Nail changes (fine pitting) can accompany it; mention them to your doctor.
- Cosmetic hair fibres, wigs and camouflage are completely safe and do not affect treatment.
- Relapses can occur; regular follow-up allows early intervention.
See also the full treatment page: Hair loss treatment — options, evidence and expected timelines.
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