Skip to main content
Skin and hair health

What can cause hair loss in small patches?

Ask the doctor

Print This Page

A woman wearing blue gloves and a lab coat examines the scalp of a man sitting in front of her.

Q. I have a problem with hair loss. I started losing hair in small patches, first on my beard and then on my scalp. I have never been so stressed in my life. But what else should I consider rather than just chalking it up to stress?

A. Hair loss can be caused by many factors, including stress, medications, hormonal abnormalities, infection, and scalp conditions such as psoriasis and seborrheic dermatitis. One of the most common causes of hair loss is androgenic alopecia, which is hair loss over time due to hereditary factors. In men, this often occurs as hair thinning around the temples and a bald spot on the back of the scalp that continues to grow with time.

Alopecia areata is hair loss in small patches. It can occur in the beard area as well as on the scalp. Fungal infection can also cause hair loss. In contrast to alopecia areata, the patch of hair loss is usually scaly.

Because there are many possible causes of hair loss, it is important to see your doctor to determine the underlying cause. A scraping of the scalp can verify whether fungus is involved. A punch biopsy or other tests can be done if the cause is not evident. Because treatment can vary depending upon the underlying cause, it is important to have a correct diagnosis.

Image: © Alona Siniehina/Getty Images

Print This Page

Disclaimer:

As a service to our readers, Harvard Health Publishing provides access to our library of archived content. Please note the date of last review or update on all articles.

No content on this site, regardless of date, should ever be used as a substitute for direct medical advice from your doctor or other qualified clinician.

Free Healthbeat Signup

Get the latest in health news delivered to your inbox!

Sign Up
Harvard Health Publishing Logo

Thanks for visiting. Don't miss your FREE special health report Living Longer, Living Well!

PLUS, don’t miss out on your 25% off promo code.

Sign up to get tips for living a healthy lifestyle—You’ll discover powerful, research- backed strategies for health longevity drawn from Harvard Medical School experts—ways to eat for a longer life, build strength and flexibility to stay independent, protect your bones, heart, and brain as you age, and even cultivate the habits linked with “super-agers” who stay sharp and active well into their 80s and 90s—all delivered to your email box FREE.

Harvard Health Publishing Logo

Stay on top of latest health news from Harvard Medical School.

Plus, get a FREE copy of Living Longer, Living Well!.

Harvard Health Publishing Logo

Stay on top of latest health news from Harvard Medical School.

Plus, get a FREE copy of Living Longer, Living Well.