Alopecia: diagnosis and treatment

Written by: Dr Ravi Ratnavel
Published: | Updated: 21/01/2021
Edited by: Robert Smith

Its estimated that alopecia affects about 15 in 10,000 people. The condition can result in a loss of self-esteem, anxiety and even depression.


We recently spoke with leading dermatologist, Dr Ravi Ratnavel, to learn about the signs of this condition and to find out whether there are overlapping symptoms with other conditions. We also found out what some of the home remedies are and whether alopecia can be cured.


What signs/symptoms indicate that someone should see a dermatologist for alopecia?

The term alopecia covers a large number of conditions with hair loss.

If a patient can see definite bald patches (rather than increased hair loss with normal hair growth) they should see a dermatologist as soon as possible.

Most causes of alopecia are treatable but delay can lead to irreversible loss of hair. This is particularly important when there are signs of inflammation visible on the scalp.

Can alopecia have overlapping symptoms with other conditions?

Yes. There may be underlying issues such as anaemia or an underactive thyroid gland. In other cases, there may be a skin rash (e.g. lichen planus or psoriasis) joint pains (lupus erythematosus) or acne / hirsutism (polycystic ovary syndrome).

How is alopecia diagnosed?

Most patients can be diagnosed following clinical examination by a qualified consultant dermatologist (as listed on the GMC register). Trichologists are not doctors.

Occasionally a scalp hair biopsy is required to confirm the diagnosis or distinguish between similar-looking conditions.

Alopecia conditions are broadly divided into non-scarring and scarring types. Known forms of alopecia have a physiological basis such as pregnancy, post-menopause, and the normal ageing process.

What treatment can a dermatologist provide for alopecia?

An accurate diagnosis is a cornerstone for proper treatment. Options include steroid injections and anti-inflammatory drug therapies.

If the condition is already well established, then the goal of therapy is to prevent further hair loss. Alopecia can usually be reversed in early cases only.

Can home remedies or lifestyle habits support alopecia treatment?

A healthy balanced diet, stress management and good sleep can all definitely help. Most patients are not vitamin/mineral deficient but broad-spectrum supplements do no harm and can help.

There is little role for special shampoos other than keeping the scalp clean and healthy, which can help with symptoms of itch.

Can alopecia be fully cured?

It depends upon the underlying cause of which there are many and how advanced the condition is at the time of presentation.

Effective treatment can prove very challenging in some aggressive and rare types of alopecia.

If you require treatment for alopecia, we recommend getting in contact with leading dermatologist Dr Ravi Ratnavel . Feel free to visit his profile today for more information.

By Dr Ravi Ratnavel

Dr Ravi Ratnavel is a leading consultant dermatologist based on Harley Street, London and in Buckinghamshire. He is renowned for his professional, expert and friendly service. His expertise covers all aspects of dermatology, including skin cancer; hair, skin and nail disorders; acne; difficult rashes; suspicious moles and psoriasis. He also provides a paediatric service for children's rashes and other skin conditions. What's more, he's also highly skilled at performing both surgical and non-surgical skin procedures.

His primary medical education took place at Oxford University, and after his studies, his practical training took place at university hospitals associated with London and Cambridge universities. When it comes to his speciality training in dermatology, Dr Ratnavel has trained at the world-renowned St John's Institute for Dermatology in London. With his first-class training, over 30 years of experience working for the NHS and many years in the private health sector, he has developed expertise that he uses to provide care of the highest quality to all his patients. 

His special interest in skin cancer underpinned his research studies for a doctoral thesis and subsequently was put to clinical use in establishing specialist multi-disciplinary skin cancer services for the Buckinghamshire and Oxford regions, where he acted as the Clinical Lead for several years.

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