8. Hair Loss: A Visible Sign of Lupus
Hair loss, or alopecia, is a common symptom experienced by individuals with systemic lupus erythematosus, affecting up to 50% of patients. Hair loss in SLE patients can result from several factors, including inflammation of the hair follicles, scarring from discoid rashes, or side effects of medications used to treat lupus. Hair loss can manifest as thinning hair, brittle hair, or complete hair loss in patches or across the entire scalp.
In some cases, hair loss in SLE patients can be temporary and reversible once the inflammation is under control or the triggering medication is discontinued. However, in cases where scarring has occurred due to discoid rashes or other skin complications, hair loss may be permanent.
To manage hair loss in SLE patients, healthcare providers may recommend various treatment options, depending on the underlying cause of the hair loss. For hair loss caused by inflammation, medications such as corticosteroids, antimalarial drugs, or immunosuppressive agents may be prescribed to control the immune response and reduce inflammation in the hair follicles.
For hair loss caused by medication side effects, adjusting the medication regimen may help to minimize hair loss while still effectively managing lupus symptoms. Additionally, using gentle hair care products and avoiding harsh chemical treatments or heat styling can help to protect the hair and minimize breakage.
In cases where hair loss is permanent due to scarring, individuals may choose to explore cosmetic options, such as wigs, hairpieces, or hair transplantation, to restore their appearance and self-confidence. (8)