Circular hair loss: Munich doctor explains “Bachelorette” disease

Circular hair loss: Munich doctor explains "Bachelorette" disease

When hair suddenly falls out, it is a nightmare, especially for many women. Bald spots on the head are still a taboo subject. This year’s “Bachelorette” wants to break away from that and bring attention to alopecia areata, an autoimmune disease.

Alopecia areata: Bachelorette Sharon Battiste is bald

Sharon Battiste dares to take the plunge and returns for the first time on television to her long-standing suffering. The 30-year-old has been battling alopecia areata since she was eight years old. Now Sharon no longer wants to keep her secret and proudly shows off her bald head. Because circular hair loss has been getting worse lately, the “Bachelorette” grabbed the razor. In the first episodes of the new season, Sharon Battiste always wears a wig everywhere.

Sharon Battiste participates in the RTL program

Bachelorette goes without a wig: Sharon Battiste is bald


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A to Z interview with dermatologist Sophie Müller-Wiefel

What is circular hair loss? who causes alopecia areata? What does the treatment look like? And what is the quality of baricitinib tablets? AZ wanted the knowledge of specialist Sophie Müller-Wiefel. The 39-year-old works in dermatology at Sendlinger Tor.

AZ: Dear Mrs. Müller-Wiefel, where does the hair most often fall out?
SOPHIE MUELLER-WIEFEL: The whole body can be affected. Eyelashes and eyebrows may also fall out. If rounded, hairless areas develop on the body, it should be investigated for alopecia areata. The top and back of the head are most affected.

Circular hair loss: men and women are equally affected

How many Germans suffer from circular hair loss?
It is assumed that one to two percent of the population suffers from it, or about 1.5 million Germans. Incidentally, women and men are equally affected.

What are the first signs and symptoms?
It’s a classic hair loss and not necessarily an itch. Baldness is often discovered after the shower or at the hairdresser.

Alopecia areata: hair regrows by half without treatment

What advice do you have for affected patients?
Don’t panic and don’t search on Google! In about 50% of cases, hair regrows within a year without treatment.

What are the causes ?
Alopecia areata is a form of autoimmune disease. The immune system defends itself against its own body, especially against the hair follicles. Why this is so has not yet been definitively investigated. Genetics play a major role, but other factors such as environmental influences or (emotional) stress can also trigger patchy hair loss.

What can you do? Cortisone cream reduces inflammation

What does the treatment look like?
Alopecia areata often occurs in phases, with years in between. The disease is chronic. Circular hair loss cannot be cured, but it can be treated. Thyroid values ​​as well as zinc and vitamin D levels should be checked. You can cream the affected areas with cortisone to curb the inflammation.

Active ingredient baricitinib with side effects

For the past few weeks, people have also been reading about baricitinib tablets.
The drug whose active ingredient is baricitinib has already been approved in the United States. Studies have shown that when ingested, hair regrows. But there are side effects: the immune system weakens, viruses can be reactivated; Herpes and shingles may therefore appear more frequently. If the patient suffers severely psychologically from bald spots, the benefits and risks should be weighed. Regular blood tests are essential.

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