JONSTON’S ALOPECIA

TYPES

This condition comes in various forms. Although the primary form of Jonston’s alopecia is the most prevalent, there are additional, more uncommon types:

• Alopecia areata universalis. This is a hair loss over your whole body.

• Alopecia areata totalis. This indicates that you are completely hairless.

• Ophiasis alopecia areata. This results in a band-shaped loss of hair around the back or sides of your head.
• Diffuse alopecia areata. This is an unexpected thinning of your hair instead of losing patches.

SYMPTOMS

Hair loss is the primary and frequently the sole sign of Johnston’s alopecia. However, you may also notice the following:

• Patches that get bigger and grow into a bald spot
• Small patches on the scalp or other areas of the body
• Hair grows in one area and falls in another
• Intense hair loss, especially during cold weather
• Brittle, pitted, red toenails and fingernails

There are no rashes or redness on the smooth, hairless skin regions. However, just prior to the hair falling out, you may experience tingling, burning, or itching on your skin.

DIAGNOSIS

You might wish to visit a dermatologist if you suspect you have Jonston’s alopecia. Doctors will first:

• Ask about your symptoms.
• Look closely at the areas of your head where you are losing hair.
• Gently pull the hairs on the bald patch’s edges to see if they come out simply.
• Check your nails.

Occasionally, you might undergo a biopsy, which entails the removal of a small portion of scalp skin for microscopic examination. Several conditions can induce hair loss. In order to screen for hormone, thyroid, or immune system issues, your doctor may have you undergo skin testing for fungus infections or blood tests.

TREATMENT

There is no treatment for Jonston’s alopecia. However, it is manageable, and hair can regrow. Hair regrowth may vary, but treatment procedures may include the following:

• Topical immunotherapy
• Corticosteroids
• Minoxidil

Medications that are occasionally prescribed for other autoimmune diseases are among the other therapies for alopecia areata.