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Treatments for Childhood Alopecia

Alopecia occurs in up to 1 percent of the population, with most cases arising in childhood. Alopecia areata refers to patchy loss of hair and is much more common than complete loss of hair, known as alopecia totalis. Alopecia is thought to be an autoimmune disease in which the body attacks its own cells within the hair follicles, resulting in hair loss.

  1. Proper Diagnosis

    • In many children, hair loss may be caused by factors other than alopecia. Proper diagnosis by a dermatologist is crucial for correct treatment. Often children lose hair due to fungal infections such as ringworm, which is treated with an anti-fungal medication. Other children may be unknowingly pulling out their own hair or losing it from tight pony tails or other hair products. Additional or underlying causes for hair loss are also possible and only an expert can identify them.

    Corticosteroids

    • The most common treatment for childhood alopecia is use of corticosteroids. Coricosteroids act as anti-inflammatory agents and can calm an overactive immune system. Three different treatment exist: injection, taking the corticosteroids by mouth, or by applying a cream. The coricosteroid cream is often the first choice for children because it is much easier to apply than administrating injections. Only a dermatologist can prescribe the correct dose and monitor the progress of corticosteroid treatment.

    Minoxidil

    • Minoxidil is more commonly known as Rogaine and is a popular over-the-counter medication for hair loss. It can be used for childhood alopecia, and results are usually seen in about 12 weeks. It is necessary to speak with your pediatrician or dermatologist first to evaluate the risks and benefits of treatment with Minoxidil.

    Prescription Medications

    • Sulfasalazine is a sulfa drug that might be prescribed by a dermatologist for alopecia. Sulfa medications are often used to treat auto immune disorders of the skin. Another option is applying a topical sensitizer medication to the scalp, which induces a skin allergy and itching. This allergic response has been shown to promote hair growth, and if it works, results can be seen in three to 12 months.

    Alternative Remedies

    • Some natural health practitioners prescribe treatment through proper nutrition and vitamins. An increase in zinc, a childrens' multivitamin and small doses of evening primrose oil may be helpful. Some practitioners advocate safe exposure to sunlight, or ultra violet treatment prescribed by a pediatrician. Any alternative health treatment should be discussed with a physician before attempting it at home.

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