Although a specific etiology remains undetermined, most evidence points to an autoimmune pathogenesis for alopecia areata. Treatments for alopecia areata are likely to remain palliative until its etiology is better understood. Even it prolonged remissions cannot always be achieved with the treatments presently available, preservation of hair regrowth with maintenance therapy is a reasonable goal. When this is not possible, the value of supportive interaction with patient and family should not be minimized, as the psychologic effects of the disease can be great. Support groups such as those sponsored by the Alopecia Areata Foundation cna assist the physician in this endeavor.
尽管具体病因尚未明确,但大多数证据表明斑秃的发病机制为自身免疫性。在其病因得到更好的理解之前,斑秃的治疗可能仍只能起到缓解作用。即使目前可用的治疗方法不一定能实现长期缓解,但通过维持治疗保持毛发再生是一个合理的目标。当无法实现这一目标时,也不应低估与患者及其家人进行支持性互动的价值,因为该疾病的心理影响可能很大。由斑秃基金会发起的支持小组等可以在这方面协助医生。