REVIEW ARTICLE


Insights into Alopecia Areata: A Systematic Review of Prevalence, Pathogenesis, and Psychological Consequences



Emad Bahashwan1, *
iD
, Mohja Alshehri2
1 Dermatology Division, Faculty of Medicine, University of Bisha, Bisha, Saudi Arabia
2 Dermatology Department, King Abdulaziz National Guard Hospital, Alhasa, Saudi Arabia


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Creative Commons License
© 2024 The Author(s). Published by Bentham Open.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Dermatology Division, Faculty of Medicine, University of Bisha, Bisha, Saudi Arabia, University of Bisha, Al Nakhil, Bisha 67714, Saudi Arabia; E-mail: emad.a.bahashwan@gmail.com


Abstract

Background

Alopecia areata is an autoimmune condition distinguished by visual non-scarring hair loss in different head and face regions. The condition affects every age group and is prevalent in all types. Alopecia areata is a disorder that arises from a malfunction of the immune prerogative of the hair follicle, which can be managed with new treatments and remission.

Objective

This study aimed to determine the psychological impacts of Alopecia, the frequency of the condition, and its impact on quality of life.

Methods

Data from relevant studies conducted between 2018 and 2023 were collected using the PRISMA criteria and the SPIDER framework. For this review, 15 studies were selected using specific keywords, such as Alopecia Areata, Alopecia Prevalence, Alopecia areata management, and Alopecia areata treatment on 8 search engines, such as PubMed, Scopus, Google Scholar and more. The papers were selected through inclusion and exclusion criteria. Psychological factors, such as mental health, anxiety, stress and depression, were found to play a significant role in this autoimmune condition.

Results

The updated approach in this study analyzes the prevalence of Alopecia areata,its impacts on daily life, and underlying mechanisms. It emphasizes the psychological burdens and advocates for awareness, education, and support for affected individuals.

Conclusion

This systematic review advances the understanding of the prevalence of Alopecia areata and its psychological effects, with potential implications for healthcare practices and policy decisions.

Keywords: Alopecia areata, Autoimmune disease, Hair loss, Histopathology, Dermascopy, Psychological factors.