Alopecia totalis is like Alopecia areata refers to a total loss of hair on the scalp within a short period of time.
It may begin as Alopecia Areata and then develop into Alopecia Totalis.
Smooth round patches will appear and rapidly turn into baldness
Nails are indented and rarely become thick
Tingling sensation on the scalp
According to scientists AT happens when the immune system (white blood cells) attacks the hair follicles. Hair follicle is a tubular cavity on the scalp through which hairs grow. When it is suppressed by the immune system the hair growth stops and they start falling.
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