An alopecia areata diagnosis depends mostly on the history of hair loss and the symptoms. The most obvious alopecia areata symptom is hair loss, but how the hair loss presents (looks) is different according to the type. You may see: Small, round or oval patches of hair loss on the: Scalp Beard area of the face Other areas of the body with hair Hair loss and regrowth at the same time in different areas of the body Significant hair loss in a very short period Hair loss that’s mostly on one side of the scalp instead of both sides Hair loss can be anywhere and in more than one place: Scalp, up to 95% of the time Beard (males), 28% of the time Eyebrows, 3.8% of the time Extremities, 1.3% of the time There are some other alopecia areata symptoms that you might experience: Burning or itching in the areas where you lost hair (up to 14% of people with the disease experience this.) Gray or white hairs that remain in the spots where most of the hair is gone Hair loss that occurs during colder winter months (fewer flare-ups during warmer months) “Exclamation point” hairs – hair that started regrowing but broke off after just a few millimeters of growth Stippling or pitting (rows of tiny dents) on the fingernails. There can also be trachyonychia, rough ridges going lengthwise down the nails. These nail changes can cause pain. Although more commonly associated with severe alopecia areata, up to 30% of all people with alopecia areata have nail changes. Tingling, itching, or burning sensation in the areas just before losing the hair. What to Expect When You See a Dermatologist Dermatologists are doctors who specialize in diseases and conditions that affect the skin. To diagnose and treat alopecia areata, look for a board-certified dermatologist. They have proven, in-depth knowledge and training in their field and must stay updated to renew their certification every few years. In addition, some nurse practitioners and physician assistants have completed additional dermatology training and have experience treating alopecia areata. You can use the NAAF Doctor Finder to identify a healthcare provider with expertise in alopecia areata. Learn more about Partnering with your Healthcare Provider and Understanding Shared Decision Making Learn how dermatologists determine disease severity Read about types of alopecia areata
