Circular hair loss: A Munich doctor explains the illness of a single woman

When hair suddenly falls out, it is a nightmare, especially for many women. Bald spots on the head are still taboo. This year’s “Bachelor” wants to end this and draw attention to the autoimmune disease alopecia areata.

Alopecia areata: Bachelorette Sharon Battiste is bald

Sharon Battiste dares to take a step and is on television for the first time about her long-term suffering. A 30-year-old woman has been battling alopecia areata since she was eight. Now Sharon doesn’t want to keep it a secret and proudly shows off her bare head. As circular hair loss has worsened recently, the “bachelor” has picked up a razor. Sharon Battiste still wears a wig in the first episodes of the new season.

Sharon Battiste participates in the RTL program

Bachelorette appears without a wig: Sharon Battiste is bald


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AZ interview with dermatologist Sophie Müller-Wiefel

What is circular hair loss? who causes does alopecia areata have? What does the treatment look like? And how good are baricitinib tablets? AZ wanted to know from specialist Sophie Müller-Wiefel. The 39-year-old man works in dermatology at Sendlinger Tor.

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

Circular hair loss: Men and women are affected equally

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

What are the first signs and symptoms?
It’s classic hair loss and not necessarily itching. Bald spots often appear after a shower or at the hairdresser’s.

Alopecia areata: Hairs grow to half without treatment

What advice do you have for affected patients?
Don’t panic and google! About 50 percent of hair grows within a year without treatment.

What are the causes?
Alopecia areata is a form of autoimmune disease. The immune system defends itself against the body itself – specifically against the hair follicles. Why this is the case has not yet been definitively investigated. Genetics plays a major role, but other factors, such as environmental influences or (emotional) stress, can also cause irregular hair loss.

What can you do? Cortisone cream reduces inflammation

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

Active substance baricitinib with side effects

People have also been reading about baricitinib tablets for a few weeks now.
The drug with the active substance baricitinib has already been approved in the USA. Studies have shown that hair grows back when swallowed. However, there are side effects: the immune system declines, viruses can be reactivated; Herpes and shingles can therefore break out more often. If a patient has severe bald spots, the benefits and risks should be considered. Regular blood tests are necessary.

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