Hair diseases

Alopecia areata barbae in the beard | Akacia

Published: March 4, 2025Reading time: 4 minFiro Esmer
Dr Mohammed Abas

Medically reviewed by Dr Mohammed Abas

Medically responsible physician

Alopecia areata barbae - patchy hair loss in the beard

Alopecia Areata Barbae is a specific form of patchy hair loss that only affects the beard growth. Understand what it is, why it happens and what treatment options are available.

Read more about hair loss conditions, beard transplantation, and contact us for guidance.

What is Alopecia Areata Barbae?

Definition

Alopecia Areata Barbae is:

  • Specific form - A specific form of patchy hair loss
  • Beard growth only - Affects only the beard growth, not the hair on the head
  • Round, bald patches - Results in round, completely bald patches on the beard
  • Autoimmune disease - An autoimmune disease where the body's immune system attacks the hair follicles

How does it work?

  • Immune attack - The body's immune system mistakenly attacks the hair follicles
  • Hair follicles die - Hair follicles die and hair stops growing
  • Round patches - This results in round, bald patches

Symptoms

Round, bald patches

Symptoms include:

  • Round patches - Round, completely bald patches on the beard
  • Distinct edges - The patches often have distinct edges
  • Different sizes - The patches can be different sizes
  • Only beard growth - Only the beard growth is affected, not the hair on the head

Other Signs

  • No pain - The patches are usually painless
  • No itching - Often no itching or irritation
  • Sudden onset - The spots may appear suddenly

Why Does It Occur?

Autoimmune reaction

Alopecia Areata Barbae is an autoimmune disease:

  • The immune system attacks - The body's immune system mistakenly attacks the hair follicles
  • Unknown cause - The exact cause is unknown
  • Genetic factors - Genetic factors may play a role
  • Stress - Stress can trigger or worsen the problem

Periodic nature

The disease can be:

  • Periodic - May come and go
  • Moving - The spots may move
  • Regrow - The spots may regrow by themselves
  • Recur - May reappear after having disappeared

Treatment options

Wait for the body to heal itself

In many cases:

  • The body heals itself - The spots can grow again by themselves
  • Patience - It may take time for the body to heal
  • No treatment needed - In many cases, no treatment is needed

Restorative Treatments

To support healing:

  • PRP treatments - PRP can stimulate hair growth
  • Stimulate hair follicles - Can help remaining hair follicles grow
  • Improve blood circulation - Increases oxygen and nutrient supply

Read more about PRP treatments at Akacia Medical.

Medical Treatment

In some cases, medical treatment may be needed:

  • Immunosuppressive drugs - To suppress the immune system
  • Topical treatments - Ointments and creams
  • Cortisone - Cortisone injections can help

Diagnosis

Professional Assessment

At Akacia Medical we can:

  • Diagnose the condition - Assess whether it is Alopecia Areata Barbae
  • Discuss options - Discuss possible ways forward
  • Recommend treatment - Recommend the right treatment for you

Why Important?

  • Right diagnosis - Important to get the right diagnosis
  • Right treatment - Right treatment based on diagnosis
  • Understand prognosis - Understand the prognosis and expectations

Frequently asked questions

Will the spots grow back?

In many cases:

  • Yes - The spots can grow back on their own
  • Time - It can take time, often 6-12 months
  • Individual - Varies between people

Can it be prevented?

It is difficult to prevent because:

  • Autoimmune disease - It is an autoimmune disease
  • Unknown cause - The exact cause is unknown
  • Stress management - Stress management can help

Is it permanent?

In most cases:

  • No - It is often not permanent
  • May recover - The spots may grow back
  • Can recur - But may recur in the future

Conclusion

Alopecia Areata Barbae is an autoimmune disease that causes round, bald patches on the beard. In many cases, the patches may regrow on their own, but there are treatment options such as PRP and medical treatment that can help.

We'll help you diagnose the condition and discuss possible ways forward, from strengthening treatments like PRP to waiting for the body's own healing ability.

If you are experiencing patchy hair loss in your beard or have questions, contact us for a free consultation where we can assess your situation.

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Tags

alopecia areatabeardautoimmunepatchy hair lossPRP

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Firo Esmer

Firo Esmer

Founder and Operations Manager at Akacia Medical

FounderOperations Manager

Firo Esmer is the founder of Akacia Medical and writes about hair transplantation, hair loss and treatment planning based on the clinic's experience and patient journey.

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