Alopecia areata is generally not associated with any symptoms or other health issues. However, individuals with alopecia areata often have other forms of autoimmunity or immune dysregulations such as allergic rhinitis, asthma, atopic dermatitis, vitiligo, type 1 diabetes, crohn’s disease, etc. Alopecia areata has also been associated with fingernail changes, primarily pitting (little dents) of the nails.

Alopecia areata can have a devastating impact on a person’s mental and emotional wellbeing. A person’s hair is often closely linked to their personal identity. Alopecia areata often lead to feelings of shame, depression, social isolation, and anxiety. It can also be very stressful for the families of those affected who may feel powerless and uncertain of what to do.

Alopecia areata can lead to days missed at work and school, as well as place a significant financial burden on those who seek cosmetic support such as hair pieces, microblading, and micropigmentation. People with alopecia areata may skip social activities due to fear of embarrassment, anxiety, and low self-esteem. It is important that individuals and families are provided with the appropriate social and mental health support to help them with these everyday challenges.