Question 1

What causes alopecia areata?

Accepted Answer

Alopecia areata is caused by an autoimmune attack on hair follicles, often triggered by genetics, stress, or infections. High stress levels are a common factor observed in patients in Kathmandu.

Question 2

Is alopecia areata permanent?

Accepted Answer

No, it is not necessarily permanent. Approximately 50-80% of patients experience spontaneous hair regrowth within one year, and early treatment significantly improves these outcomes.

Question 3

How quickly does alopecia areata treatment work?

Accepted Answer

Intralesional steroid injections typically show regrowth in 4-12 weeks. Cryotherapy generally requires 3-5 sessions. Full results are often visible between 3 to 6 months.

Question 4

Does alopecia areata affect only the scalp?

Accepted Answer

No, it can affect eyebrows, beard, and eyelashes. Additionally, nail changes such as pitting occur in approximately 10-20% of cases.

Question 5

Can alopecia areata be cured completely?

Accepted Answer

While there is no absolute cure, the condition is highly manageable. About 80% of patients achieve long-term remission with proper dermatological treatment.

Question 6

What are the side effects of steroid injections?

Accepted Answer

Side effects are minimal under dermatologist supervision but may include temporary skin thinning, pain at the injection site, or rare hypopigmentation.

Question 7

Is cryotherapy painful for alopecia areata?

Accepted Answer

Patients may feel mild stinging during the procedure. Blistering can occur occasionally but typically resolves within 7-10 days.

Question 8

Can children get alopecia areata treatment?

Accepted Answer

Yes, children can be treated safely with options such as topical steroids, anthralin cream, or oral steroids depending on the case.

Question 9

How much does alopecia areata treatment cost in Kathmandu?

Accepted Answer

At Derma Clinic, steroid injections typically cost NPR 2,000-4,000 per session. A full course of treatment generally ranges from NPR 15,000 to 30,000 depending on severity.

Question 10

When should I consult a dermatologist for patchy hair loss?

Accepted Answer

You should consult immediately if you notice more than 5 patches, rapid hair loss progression, nail changes, or if the condition causes emotional distress.

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