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welcome back in this video well be talking about alopecia areata and well summarize the high-yield notes its an autoimmune disorder against the hair follicles which are underneath the skin this causes the hair to fall out from its roots and does not cause any lesions outside the skin and this is highly distinctive [Music] so other than hair loss there will be no scaling no erythema no scars nothing at all if we use the dermatoscope well see an exclamation point hairs which means that the few hairs we will see will be narrow and short this disease is highly associated with other autoimmune disorders so if diagnosed the patient must be screened for other autoimmune disorders like hashimoto thyroiditis the disease usually is self-limiting but some treatments can be used to accelerate this process we know that its caused by an autoimmune disorder so we inhibit the immunity locally by intra-legion of steroids or topical steroids heres a small quiz for you whats the recurrence rate f