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Alopecia areata is an autoimmune disorder that causes hair loss from the roots without any lesions outside the skin. It is highly distinctive with no scaling, erythema, or scars. Exclamation point hairs may be seen with a dermatoscope. It is often associated with other autoimmune disorders and patients should be screened for them. The disease is usually self-limiting, but treatments can be used to accelerate recovery. Local immune inhibition with steroids is a common approach. The recurrence rate of alopecia areata is frequent.
