ALOPECIA AREATA: Signs of Disease Activity

Active Disease in AA

Trichoscopy of active alopecia areata in a well formed patch of hair loss. Black dots (asterisk *) and exclamation mark hairs (arrow) are signs of activity. Without treatment this patch is likely to enlarge. Treatments for patch stage alopecia areata generally start with topical steroids, steroid injections, and possibly minoxidil. A variety of other options are also possible.