Small, bald patches on the head

What is behind it and what can be done?

Suddenly there it is: a small, bald spot on the head or the back of the head. For many of those affected, this is initially a shock - but there is not always something serious behind it. What does a bald patch mean? When should you see a doctor? And what treatment options are there?

What does a bald spot on the head mean?

Small, round or oval bald patches on the scalp, often about the size of a coin, can have many causes. The most common is a form of circular hair loss, also known as alopecia areata. This type of hair loss usually occurs suddenly and affects people of all ages - women, men and even children.

Possible causes

1. Alopecia areata (circular hair loss)
This hair growth disorder manifests itself in the formation of small, bald patches that can spread over the entire head.

2. Fungal infections (tinea capitis)
An infection of the scalp caused by skin fungi can also lead to bald patches, often accompanied by redness, dandruff or itching.

3. Mechanical hair loss (e.g. due to braiding, cap, trichotillomania)
Constant pulling on the hair (e.g. tight hairstyles, hats or nervous pulling out of the hair) can cause individual areas of the scalp to become bald.

4. Scarring (scarring alopecia)
Hair follicles are permanently destroyed. The earlier the problem is recognized, the better the treatment options.

What to do if you discover a bald spot?

Don't panic: Individual bald patches can often be treated - especially if they are detected early.
See a dermatologist: A professional diagnosis is important to determine the exact cause. A dermatologist can examine the area, carry out a hair root analysis if necessary or take a small skin sample.
Reflect stress factors: Emotional stress can play a role in alopecia areata. It can help to question your own lifestyle and reduce stress if necessary.

Is a bald spot a cause for concern?

Not necessarily. In most cases, a single bald patch is not a cause for serious concern. Nevertheless, it should be observed and checked by a doctor in order to identify and treat possible causes at an early stage. The earlier you act, the better the chances of promoting hair growth and preventing further hair loss.

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