Alopecia Areata on the back of head

[jimcasy]

Hey there Dr. Rockoff,

A hairdresser recently alerted me to a bald spot on the back of my head which my family doctor subsequently diagnosed as Alopecia Areata.  Right now this single patch is about the size of a quarter.  My question and concern is whether or not this patch will continue to grow and how many more will occur?  The inherently mercurial nature of this disorder is quite stressful even though I know it's only cosmetic in nature.  Should I try any sort of treatment (steroids, etc.) or should I leave well enough alone?  Also, is this a common disorder that usually goes away?  Thanks a lot for your help and take care.  

[jimcasy]

Hey Doc, I'm right at the 2-month mark when my alopecia spot was first detected.  I see no fundamental difference in size, but no actual regrowth.  Should I consider treatment at this point or just wait for the 3-6 month window?  Thanks a lot.  P.S. I hope follow-up questions are allowed.

[jimcasy]

if may follow-up with another question Dr. Rockoff, is this a fairly common condition that tends to resolve on its own?  thanks again.

[Alan Rockoff, MD]

Most cases of alopecia areata that start as a single bald spot fill in all by themselves.  I wouldn't suggest any treatment at all, unless the spot is still there in 3 months.  Time is most likely on your side.

best.

Dr. Rockoff