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29 years
No she haven't this problem before , i want to know if this is going to be fine in future and if will grow again thanks in advance
Jun 19, 2015

Dr. Zakia Dimassi Pediatrics
The most frequent causes of childhood alopecia that is not congenital are usually reversible if detected early. These include:
1- tinea capitis: this is by far the most common cause of patchy (as opposed to diffuse) hair loss in children in the developing countries, and is basically associated with poor socioeconomic conditions. It is an infection of the scalp and associated hair, caused by dermatophytes (a type of fungi). There are various presentations of this hair disorder, so the clinical picture may vary. The diagnosis of tinea capitis is done by culture or potassium hydroxide and requires systemic (oral) treatment
2- alopecia areata: a chronic condition during which the immune system is "overactivated" in specific locations, in this case it attacks the hair follicles and sometimes the nail. Hence it is termed an auto-immune condition. Typically, alopecia areata presents as an oval, totally bald, smooth patch over the scalp or any other area on the body that grows hair. Luckily, most patients have complete hair regrowth within 1 year without treatment, so we usually like to simply observe and follow-up. Now in the event of worsening or persistence of the alopecia, treatment can be considered. Indicators of a poor prognosis are the presence of other immune diseases, atopy (skin allergy), family history of alopecia, young age at onset, nail disease, and extensive hair loss 
3- traction alopecia: induced by prolonged traction of scalp hair by use of hair styles, such as tight braids and high pony tails. Reversible but if continuous insult to the hair it may become permanent
4- trichotillomania:  compulsive habit or desire to pull out the hair. Reversible if treated properly.  
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