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Living with Hypotrichosis simplex of the scalp

An inherited condition with slow, steady hair loss that is limited to the scalp.

Understanding Hypotrichosis simplex of the scalp

Hypotrichosis simplex of the scalp (HSS) is an inherited condition with slow, widespread hair loss that stays on the scalp.

In HSS, hair loss is diffuse (spread across the scalp) and gets worse over time. It is limited to the scalp. GARD lists childhood as the usual time it begins.

Signs & symptoms

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

  • Hair loss from the scalp (alopecia)
  • Sparse scalp hair
  • Fine hair
  • Slow-growing scalp hair
  • Thickened outer layer of skin (hyperkeratosis)
  • Thickening of the top skin layer (epidermal acanthosis)

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 genetic specialists and skin, hair, and nail specialists.

  3. Ask which tests can help

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

Care & treatment

Care team
Genetic specialists (geneticists); Skin, hair, and nail specialists (dermatologists)
Expert care
Ask about multidisciplinary care centers for rare conditions
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 Children's Skin Disease Foundation
  • 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
Can genetic testing find the gene change in my family?
What can I expect as the hair loss progresses?
Could a skin biopsy help confirm the diagnosis?

Quick facts

Symptoms usually startChild
InheritanceAutosomal Dominant

GARD says changes in genes cause this condition. It is inherited in an autosomal dominant pattern, so one changed copy of the gene can be enough.

GeneticSkin

Also known as: hereditary hypotrichosis simplex of the scalp

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Hypotrichosis simplex of the scalpGARD ID 16789 · 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 Hypotrichosis simplex of the scalp.

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Explore actively recruiting Hypotrichosis simplex of the scalp studies with HealthSpark.

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