ALOPECIA TOTALIS and UNIVERSALIS

By Gary M. White, MD

Alopecia Totalis


In alopecia totalis (AT), the patient loses all scalp hair. In alopecia universalis (AU), the patient loses all scalp and body hair. Both of these variants of alopecia areata (AA) are relatively rare.

Differential Diagnosis

If total scalp and body hair is lost within the first month of life, consider atrichia with papular lesions.

Treatment

See alopecia areata for treatment options. Tofacitinib shows promise [JEADV 2016;30;1373]. Patients may wear a wig.

Additional Pictures

This adult male with alopecia universalis lost all his nose hair leading to increased nasal drainage.
Alopecia Universalis without nose hair

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