Is Your Hair Loss a Sign of Alopecia Areata?
Published: Dec 21, 2023
Hair loss can be distressing, but recognizing the signs of alopecia areata might give you answers. Let's identify these symptoms.
Contents
Patchy Hair Loss
The hallmark sign of alopecia areata is smooth, patchy hair loss that can occur on the scalp or any hair-bearing area. These patches may start small but can grow or merge into larger areas over time. The loss is usually sudden and painless, though some may experience itching or burning before hair falls out.
Exclamation Point Hairs
Exclamation point hairs are short hairs that are narrower at the base and can be found at the edges of bald patches. These are a classic sign of alopecia areata and often indicate ongoing hair follicle damage. They can be easily identified upon close examination.

Nail Changes
Around 10 to 20 percent of people with alopecia areata experience changes in their nails, such as pitting or roughness. These changes can occur alongside hair loss or independently, sometimes preceding or following hair issues.
Frequently Asked Questions
It appears as smooth, patchy hair loss.
These are short, tapered hairs at bald patch edges.
Yes, nail pitting and roughness are common.
Hair loss is typically painless.
Final Thoughts
Spotting these symptoms early can guide effective management of alopecia areata.
References
- Liu LY, et al. Health-related quality of life in alopecia areata. J Am Acad Dermatol 2016; 75:806.
- Kasumagic-Halilovic E, Prohic A. Nail changes in alopecia areata. J Eur Acad Dermatol Venereol 2009; 23:240.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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