It affects both sexes with the same frequency, however it is more common in children and adolescents.
What are the causes:
“Gyroid alopecia is an autoimmune disease and is more common in people who have a hereditary predisposition, especially in people with pre-existing autoimmunity (vitiligo, hashimoto, Addison’s disease, autoimmune polyendocrinopathy, atopic dermatitis).
Other factors that can lead to gyroid alopecia are:
• Long-term stress
• Local injury
Infection
• Hormonal disorders
• Chemical substances
• Allergic reactions
• Seasonal changes “, explains Mr. Konstantinos Mileounis, Dermatologist-Venereologist at the Metropolitan Hospital.
What are the symptoms:
• Partial hair loss: One or more round, smooth, bare spots like a coin. Usually hair loss is located on the scalp although it may include eyebrows, eyelashes, beard, etc.
Extensive hair loss: Some patients become bald, others lose all their body hair, although rarely, and others have a point of hair loss on the back of the scalp.
• Nail problems: May show small marks, white spots or lines, be rough or thin and break. Sometimes nail changes are the first or even the only sign of gyroid alopecia.
Some treatments:
The hair often comes out on its own and 80% of the disease is reversed in two years. There are a variety of treatments, some of which are:
1. Corticosteroids, for the suppression of the immune system, in the following ways:
– Injectable at the points of hair loss every 3-6 weeks, with hair growth starting 1 month after the last injection.
– Topical medications, the patient applies cream, lotion or ointment to the bare areas. It is not so effective but it is the best solution for children.
– Corticosteroid pills, a rare choice as they have serious side effects but can be used by patients with many depilatory points.
2. Minoxidil, for hair growth with results in about 2 months, suitable for children and adults.
3. Anthralin, alters the immune function of the skin. Patients apply a tar-like substance, leave it on for 20-60 minutes and then rinse well to avoid irritation.
4. Photodynamic therapy.
5. Psychotherapy and treatment with antidepressants.
6. Homeopathy.
7. Autologous PRP mesotherapytreatment with activated plasma from the patient’s own blood.
Writes:
Mr. Konstantinos Mileounis, Director Dermatologist-Venereologist at Metropolitan Hospital
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