Alopecia areata is identified by the loss of hair on one's scalp in patchy, sporadic spots from one to three centimeters in diameter. It is believed to be a hereditary condition affecting hair follicles and can begin to show up as early as puberty in both men and women. In rare cases, individuals may experience alopecia totalis, which means all of the follicles in the scalp are destroyed. While alopecia is most commonly thought of as small spots of balding on the scalp, it can actually develop with any hair follicles on the body. Over six million Americans suffer from alopecia so it is likely that you or someone you know will be affected eventually. Thankfully, there are many available methods to help treat and manage alopecia, which could slow the progression of your hair loss or even stimulate new hair growth. At Pacific Skin and Cosmetic Dermatology in San Francisco, CA, board-certified dermatologist Tracy Evans and her team provide some of the most effective alopecia treatments on the market. Schedule a consultation at Pacific Skin and Cosmetic Dermatology San Francisco to see how we can help you.
"I've always been treated with kindness and respect by everyone. Dr. Evans is a wonderful doctor. Patient, trustworthy, and kind."- B.B. / Google / Jul 21, 2019
"I've been a patient for several years, and undergone several biopsies and skin cancer excisions. The level of care is excellent. The attention to detail is unsurpassed. Their work is always first rate, in a clean, friendly, caring environment. It is clear that Dr. Evans and her excellent staff truly cares about achieving the best possible result with every procedure."- S.E. / Google / Jul 17, 2019
"Tracy Evans, MD makes time to answer all of your questions, takes your concerns very seriously, no matter how small they may seem to you. Her staff is excellent and very respectful."- R.A. / Google / Jun 21, 2019
"Dr. Tracy Evans and her medical as well as office staff are a pleasure to interact with. They are always respectful, kind, friendly, skilled and competent. They are each and all excellent in their provision of care. I have seen them over 2-3 yrs for evaluation and treatment of skin with considerable sun damage. I frequently require minor surgery (MOHS - 3-5 times a year); Dr. Evans and her assistants are invariably gentle, thorough and kind. The doctor always calls the evening after surgery to check on me. I am grateful for their care.One point: if you have a copay, don't go unless you can cover it, you will not be seen without it. Also don't miss appts without cancelling in advance, you will be charged a penalty except in emergencies.😃😃😃😃😃"- M.M. / Google / Jun 20, 2019
"Dr Evan's has been treating my various dermatological issues for several years. Every visit is met with professionalism and complete confidence with what I present. When I needed further diagnosis she was quick to refer me to a specialist. Dr Evans has made herself available on a few occasions after hours to discuss my emergent needs."- Anonymous / Healthgrades / May 28, 2019
The hair loss associated with alopecia areata is believed to be the result of an autoimmune disorder that causes the body's immune system to mistakenly attack hair follicles. It has been associated with other autoimmune diseases, like vitiligo, lupus, and rheumatoid arthritis, though these diseases do not cause alopecia or vice versa. About one in five people with the condition have relatives who also suffer from it, meaning it is likely hereditary. There is evidence that reducing a person's anxiety or stress can alleviate alopecia-related hair loss, but there is no strong evidence that stress actually causes the condition.
Hair loss is the main indicator of alopecia. A person with alopecia may notice small round patches of baldness on the scalp or clumps of hair on their pillow or in the shower. It is also common that a hair stylist is the first to notice the small bald patches, which are usually about the size of a quarter or smaller. The hair loss associated with alopecia is unpredictable and random. The hair may grow back at any time and then may fall out again. The extent of hair loss and regrowth varies greatly from person to person. However, hair loss alone shouldn't be used to diagnose alopecia because other types of diseases can also cause hair to fall out in a similar pattern. Alopecia needs to be diagnosed by a dermatologist who may be able to determine the cause of the hair loss right away or may need to have a tissue sample laboratory tested.
At Pacific Skin and Cosmetic Dermatology San Francisco, Dr. Evans and her team provide corticosteroid treatments and/or immunotherapy to manage alopecia. These methods are shown to be quite effective in slowing or stopping hair loss and even producing new hair growth in many cases. Corticosteroid treatments can be topical creams or injections, based on the extent of the hair loss, and work as anti-inflammatory drugs. Immunotherapy is usually applied in a topical solution and works by changing the immune system's response to your hair follicles.
Diagnose, then Treat
Sudden hair loss resulting from alopecia or any other condition can be frustrating, embarrassing, or even frightening. If you think you may be experiencing alopecia, we encourage you to schedule an appointment at Pacific Skin and Cosmetic Dermatology San Francisco. Dr. Evans and her team of professionals can help put your mind at ease by getting you a true diagnosis and starting you on the most effective treatment plan.