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J Eur Acad Dermatol Venereol. 2017 Jan;31(1):187-192. doi: 10.1111/jdv.13896. Epub 2016 Sep 12.

Beard alopecia areata: a multicentre review of 55 patients.

Author information

  • 1Dermatology Department, Ramon y Cajal Hospital, Madrid, Spain.
  • 2Dermatology Department, Universitat de Barcelona, Universitat Internacional de Catalunya, Madrid, Spain.
  • 3Dermatology Department, Hospital Universitario Reina Sofía, Instituto Maimónides de Investigación Biomédica (IMIBIC), Córdoba, Spain.
  • 4Dermatology Department, Arrixaca-Murcia, Madrid, Spain.
  • 5Dermatology Department, Fundación Jiménez Diaz-Madrid, Madrid, Spain.
  • 6Dermatology Department, Hospital Virgen Macarena-Sevilla, Madrid, Spain.
  • 7Dermatology Department, Complejo Hospitalario Universitario de Granada, Granada, Spain.
  • 8Dermatology Department, Grupo Pedro Jaén-Madrid, Madrid, Spain.
  • 9Dermatology Department, Hospital Virgen de las Nieves-Granada, Madrid, Spain.
  • 10Department of Medicine and Medical Specialties, Faculty of Medicine, University of Alcala.



Alopecia areata on the beard area (BAA) is a common clinical manifestation, but there are no studies about its characteristics.


To describe the epidemiology, comorbidities, clinical presentation, evolution, diagnostic findings and therapeutic choices in a series of patients with BAA.


This retrospective multicentre review included patients diagnosed with BAA as the first and unique clinical manifestation with at least 12 months of follow-up. Diagnosis was performed based on the typical clinical features. Extra-beard involvement was monitored in all cases.


Overall, 55 male patients with a mean age of 39.1 years (range 20-74) were included. Twenty-five patients (45.5%) developed alopecia of the scalp during follow-up and more than 80% of cases appeared in the first 12.4 months. Clinical presentation of AA on the scalp was patchy AA (less than 5 patches) (52%), multifocal AA (28%), AA totalis (12%) and AA universalis (8%). Multivariate analysis revealed a trend of association between scalp involvement and family history of AA without statistical significance.


According to this study, BAA may progress to scalp AA in a significant number of patients (45.5% of the patients with a follow-up interval of at least 12 months). In the group of patients who developed scalp AA, 80% of them did it within the first 12 months, so follow-up of patients with BAA is highly encouraged.

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