Methods of treatment of focal alopecia in men


Table of contents

  • Such a different pattern of alopecia
  • The causes of nerve (focal) alopecia in men
  • Diagnosis and recommendations for the treatment of alopecia areata in men
  • Treatment of male alopecia areata

Focal alopecia in men is an interesting and ambiguous disease. It often happens that a slight baldness in a few weeks turns into a vast bald patch. There are also opposite cases: a man who has suffered from alopecia for many years, in a short time grows wonderful thick hair, and then again loses it. Or does not lose.


Sometimes it seems that hair loss does not depend on either external or internal factors. The hairstyle seems to exist by itself, then activating, then slowing down its life cycle. And what do doctors-trichologists think about this?

Such a different pattern of alopecia

It is not a secret that a successful treatment of any disease requires knowledge of its causes. Hair loss in men is no exception. To treat different types of baldness, doctors use different methods, so before starting treatment, doctors determine the affiliation of the disease to one of the types. Alopecia can be:

  1. Androgenic. The disease occurs in nine trichologist patients out of ten. It is believed that androgenetic alopecia is caused genetically. Hair loss by this type is due to increased sensitivity of hair bulbs to androgen hormones (ie, male hormones). Hair loss can begin at the time of puberty (from about 14 years old). Significantly more often, men begin to lose their hair in 20-30 years, and most clearly male baldness manifests itself to 40 years. The causes of androgenetic alopecia in men are well studied, the disease is very well treatable.
  2. Diffuse alopecia. This type of hair loss, in which the hair falls over the entire surface of the head, is more common in women, but can develop in men. The causes of diffuse alopecia most often become severe skin diseases, thyroid gland, infectious lesions, hormonal failures. Treatment involves getting rid of a primary disease.
  3. Alopecia areata. It is also called a nest. First, a place appears on the head where the hair extensively falls out. Then a well-developed bald patch develops. It is interesting that alopecia areata can develop not only on the head, but also affect the eyebrows, body, eyelashes. About the causes of nest hair loss doctors are still arguing. Focal alopecia is treated most difficultly.

The causes of nerve (focal) alopecia in men

It can not be asserted that baldness of this kind is a rare occurrence. However, the reasons for the rejection have not yet been clearly established. Different experts put forward different theories. Here are just some of them.

  1. Immune disorders. Cells designed to fight viruses, suddenly begin to destroy hair follicles, taking them for alien invaders and provoking a strong hair loss in men.
  2. Genetic features.
  3. Autoimmune abnormalities.
  4. Overwork: nervous, mental, physical.
  5. Craniocerebral injury.
  6. Infectious diseases.
  7. Diseases of the intestine and stomach.
  8. Different sensitivity of hair bulbs to the effects of male hormones.

The latter theory is called L-mosaic. Adherents of this theory believe that, since the composition of the scalp on different sites is different, the sensitivity of the bulbs is also different. This can explain why in some men hair falls only on the crown, others - on the back of the neck, etc. However, this the theory of male alopecia does not explain why in some cases, hair loss occurs only around moles or moles stains. She also does not explain why blondes are less prone to nesting hair loss.

Naturally, depending on the cause of hair loss, specialists choose different treatment methods and different drugs.Interestingly, despite the lack of an accurate definition of the causes of baldness, trichologists have learned to bring the disease into the stage of remission, which can last for decades.

Diagnosis and recommendations for the treatment of alopecia areata in men

A reliable test, which allows diagnosis of alopecia areata, does not exist. Doctors diagnose the disease, carefully watching the development of alopecia and consistently excluding all possible causes. Hair loss in any part of the skin (not necessarily on the head) can develop within 24 hours. First, protruding hair appears around the hearth. At this point, some patients may feel tingling, itching, or even pain in the part of the body where the hair will begin to fall out.

At this time, it is good to conduct a primary diagnosis. It is enough just to pull a few hairs. If they are freely pulled out, then the disease is in the most active and dynamic stage. Hair loss will continue. To determine the cause of baldness in a particular patient, a dermatologist or trichologist must take the scalp for a biopsy. Usually there is enough plot of 4x4 mm.

Depending on the results of the biopsy, the treatment of alopecia is prescribed. There are no universal methods and recipes. In some patients, hair can grow only with constant treatment. Another only one course is enough for hair loss to go into remission or completely stopped.


Before appointing treatment, trichologists and dermatologists recommend the patient to strictly adhere to the following recommendations:

  1. The effectiveness of hair growth directly depends on the psychological state of the patient. If he does not believe in a positive outcome of treatment, then it will not help.
  2. To improve hair structure and accelerate their growth, each person is recommended to take (courses) multivitamins.
  3. Any, even the most active treatment can give results not earlier than in 3 months. Count on an earlier appearance of the effect is not worth it.
  4. To eliminate focal alopecia, it is necessary to treat the entire surface of the head.
  5. If hair loss occurs periodically, then stopping the disease will help take antihistamines.

These recommendations should be adhered to by all men suffering from hair loss. Treatment of the same doctor picks up individually for each balding man.

Treatment of male alopecia areata

The sufferer of alopecia (focal) should know: all forms of treatment are effective only with mild disease.

The techniques used by doctors to restore hair growth can be divided into several types:

  1. Use of nonspecific irritants. These include dithranol, chrysarobin, iodine, croton oil, formaldehyde solution. The technique works in the event that baldness is caused by a violation of immunity. Causing mild inflammation around the hair follicles, nonspecific irritants distract the immune cells, causing them to fight inflammation.
  2. Use of substances that cause contact dermatitis. These chemical stimulants cause skin inflammation, the treatment of which switches the immune system. The mechanism of action of DNCB, DPCP, SADBE dinitrochlorobenzine, squaric acid, and the like. substances is very similar to the previous one.
  3. The use of nonspecific and specific immunosuppressors (the so-called substances that suppress immunity). The first include 8-methoxypsoralen, corticosteroids, which are injected or are part of shampoos. The second representative is cyclosporin.
  4. Minoxidil. This drug, which can be used orally, and locally, directly affect the follicles, forming a hair fiber. Minoxidil treatment is often combined with other types of treatment.
  5. Non-traditional methods of treatment. Their effectiveness is not proven, but the range of methods used is very wide. This includes recipes of traditional medicine, irritation of hair follicles with light electrical discharges, use of mud, lotions, etc.
  6. Experimental treatment of alopecia. This includes treatment with hormone-like peptides and proteins (cytokines), the use of natural macrolides (for example, tacrolimus), etc.

Trichologists and dermatologists have not yet been able to obtain a sustainable result and to draw up an accurate treatment regimen.

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However, in 45-70% (according to different sources) of patients with focal alopecia after treatment, the disease permanently passes into the stage of remission.