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Living with Alopecia totalis

A condition with complete loss of hair on the scalp, thought to be caused by the immune system attacking hair follicles.

Understanding Alopecia totalis

Alopecia totalis (AT) is a condition with complete loss of hair on the scalp.

It is an advanced form of alopecia areata, which causes round patches of hair loss. It can start at any time in life.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Complete loss of scalp hair

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include skin, hair, and nail specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    National Alopecia Areata Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Skin, hair, and nail specialists (dermatologists)
Expert care
Expert lists: National Alopecia Areata Foundation
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with National Alopecia Areata Foundation and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Could an autoimmune condition be involved in my hair loss?
What options are there for scalp protection and hair loss support?
Should I see a skin specialist (dermatologist)?

Quick facts

Symptoms usually startany time in life

GARD says the exact cause is unknown, but it is thought to be autoimmune, with the immune system mistakenly attacking hair follicles. About 20% of affected people have a family member with alopecia, so genes may play a part.

Skin

Also known as: alopecia (capitis) totalis; total alopecia; total alopecia areata

Patient organizations

Source: NIH GARD · Alopecia totalisGARD ID 613 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Alopecia totalis.

Explore the Alopecia totalis blog

Explore research for Alopecia totalis

Explore actively recruiting Alopecia totalis studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Alopecia totalis with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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