Q I work as a hairdresser, so I do perms and dyeing frequently. Could this be related to alopecia areata?
A Perms and dyeing themselves are not direct causes of alopecia areata, but repeated chemical irritation of the scalp adds extra burden to already weakened follicles. During treatment it is better for recovery to minimize irritation.
Detailed Answer
Since alopecia areata is mainly caused by an autoimmune reaction, perm and dye chemicals do not directly activate immune cells. However, repeated exposure to chemicals weakens the scalp barrier and makes inflammation more likely, adding stress to follicles where the autoimmune reaction is already in progress. During treatment it is advisable to reduce the frequency of perms and dyeing and to avoid procedures that irritate the scalp.
Korean Medicine Clinic Perspective
In Korean medicine, the skin (including the scalp) is closely connected to the Lung (the Lung governs the skin and hair, pyeju-pimo). We combine treatment that both protects the scalp from external irritation and reinforces Lung energy to raise the scalp's own defensive capacity.
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