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Prognosis and poor prognostic factors

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

  • in people with mild hair loss spontaneous regrowth occurs in 80% of cases; recurrence is more likely, the more extensive the hair loss
  • Around 34-40% of patients recover with in 1 year
  • Progression to alopecia totalis or alopecia universalis occurs in around 14-25% of the patients (1)

Poor prognostic factors

  • ophiasis pattern - multiple lesions at the scalp margins
  • loss of eyebrows and eyelashes
  • nail change
  • associated atopy
  • childhood onset
  • Chronic and extensive alopecia areata
  • Down's syndrome
  • Presence of other autoimmune disease (1)


1. Darwin E, Hirt PA, Fertig R, et al. Alopecia Areata: Review of Epidemiology, Clinical Features, Pathogenesis, and New Treatment Options. Int J Trichology. 2018 Mar-Apr;10(2):51-60.

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