3rd Apr, 2009

Alopecia areata study in Children…

Earlier this year I applied for some Australian Federal Govt. funding to prove what I have long (anecdotally) known - Alopecia areata (AA) can be caused by food allergies (Gluten - the main protein wheat + Dairy) in greater 90% of young children at first presentation.

I am by nature a very determined person but working through the GOVT. RED TAPE to achieve some funding was a full time job in itself - and something I just could not devote so much time to. My hope now is that parents of children with AA, or AA Support Groups around the country may agitate enough that this devastating condition for parent and child may be looked at afresh.

It wasn’t a totally negative exercise though as it prompted me to write a practical guide of Do’s + Dont’s for parents confronting AA in their children for the first time: Alopecia Areata in Children - a Practical Approach will be soon available at my website.

The following information is included in my new article:

Whilst Alopecia areata is now confirmed as an autoimmune condition that often presents in ‘atopic’ individuals and their families, there must always be a precipitating event, disturbance or deficiency to activate the problem. ‘Stress’ has long been cited as the cause of alopecia areata - but ’stress’ takes many forms. It may (for example) be the physiological stress of Iodine deficiency - the trace element from which thyroid hormone is synthesised.

A 1990’s study of Alopecia areata in Bangladeshi children found more than 90% had antibodies to their thyroid glands. A study of Australian primary school age children found Iodine deficiency in greater than 50% of those tested (Eastman:2008). Vitamin D deficiency - incredibly a regularly-seen problem in Australians now - is known to ‘disorientate’ the body’s immune system so it commences ‘attacking’ vulnerable areas such as the thyroid gland (autoimmune thyroiditis) and the skin (hair follicles are appendages of the skin).

Not infrequently I see children who’ve been referred to skin specialists where they have been subjected to the trauma of scalp biopsies + painful cortisone injections into their scalp. One seven year old girl had had TWO biopsies cut from her scalp on different occasions because the first biopsy was ambiguous.  

On occasion, parents of children have told me it had been suggested THEY were to blame for the child’s alopecia because they (the parents) were ’stressing’ the child!?!  One can only hope this might be a miscommunication between the Specialist and the distraught parent; it would be distressing enough for any Mother to see their young child’s hair falling out in large patches and amounts let alone being ‘blamed’ for it (for aetiology + symptoms of alopecia areata see my article:  ‘Alopecia areata + other Autoimmune Conditions’ within the Articles Page at this website).

Parents inform me they rarely (as in never) are asked about their child’s diet, gut behavior (such as bloating, cramping, or flatulence etc), or whether the child becomes listless after consuming certain foods. Moving from wheat-derived cereals, breads, and pasta - the main Gluten villains in our diet - to Gluten-free equivalents is both non-invasive and will usually reveal health benefits to the child in quick time.

Statistics suggest 1:5000 people develop Coeliac Disease; 1:33 are Gluten Intolerant, but 1:11 are Gluten Sensitive (Baratosy:2005). ‘Atopic’ individuals - those who have an inherited hypersensitivity to their environment - are more likely to be Gluten and Lactose intolerant than non-atopic people.

Malabsorption and ‘Leaky Gut Syndrome’ - where nutrients are actively lost from the body - are strongly associated with Gluten intolerance. For this reason I suggest a ‘molecular nutrition’ grade Vitamin/Mineral + Amino acid supplement at a paediatric dosage to assist the recovery process once the Gluten-free diet has been implemented.

I’m pleased to say this uncomplicated and non-traumatising treatment regime has stabilised and recovered the hair density of every little cherub (that I can recall) who’s been presented to me with first onset alopecia areata. 

Responses

I am so inspired by your article. I firmly believe nutrition and supplements play a pivotal role in alopecia. My 4-yr-old daughter has alopecia universalis and I hope it’s not too late to reverse the condition. We’re currently eating a gluten free diet and giving her a vitamin d supplement. Her labs have tested negative for Celiac disease but they did indicate a very low vitamin d level. My other daughter, her twin, has alopecia areata. I would love to learn more about your treatment program for kids. I hope you can help us! I have never experienced this kind of stress before all of this.

Wondering if your twin daughters hair grew back? My 10 year old daughter has recently lost all her hair (alopecia areata) and has a low vitamin d level (20). She was tested for gluten sensitivity and it cam back negative. Could she still be allergic to gluten?

My 9 year old daughter has just been diagnosed with alopecia areata. So far she has bald spots in 5 places on her head. My first hunches have been diet and environment as causes. Wondering if we see allergists on this topic, as I imagine our pediatrician will be skeptical. We have just seen one dermatologist who didn’t recommend any testing for allergies… We had a mold issue earlier this year and wondering if that could play a part?

Dear Sarah,
Thank you for your comment; apologies for delay in reply. I always emphasise that alopecia areata (or any autoimmune condition) is that pre-disposed person’s body exhibiting ’stress’ - but the physiological stress of dietary or environmental reactions that distract + disorientate our immune systems. I would think any reasonably-minded practitioner would feel this is a preferred starting point to prescribing Cortisone creams or injections to children.
One local Paediatrician refers ALL his child hair loss problems to me as the PARENTS made it clear they found Dermatologists of little value - so don’t under-estimate the persuasive powers of a worried Mother!!
Best regards-TP

Thanks. The wheat connection seems the obvious one to explore, as my daughter eats mostly pasta and bagels, to the point that she doesn’t want anything else. We saw a dermatologist yesterday again who talked only about steroids, and didn’t even write down anything about diet or environment. When I asked about testing for allergies, he said you can, but it will be a waste of money. I hope some of your studies will make it into the mainstream media in the US. Again thanks, Sarah.

I have just noticed large clumps of hair falling out of my healthy and happy 9 year olds head. She now has 1 bald patch at the front of her forehead. Could it be a change of shampoo or something more sinister. Do you think silica and a mineral supplement would help. She doesnt eat a lot of wheat based foods. I am starting to get rather concerned what would you advise?

Dear Sarah,
If your child’s hair shed is ‘patchy’ + resulting in round/oval bald spots - this is likely alopecia areata. If the excessive + rapid hair loss is from all over their scalp ie: ‘diffuse’ - this is Telogen Effluvium. It is highly unlikely the cause is a change of shampoo; I feel silica would be of little value. I suggest you consult a qualified Practitioner with experience in assessing hair loss conditions. You might also review the articles I’ve written on the conditions mentioned.
Best wishes -TP

Can someone tell me that how long does it normally take to see hair regrowth when people take a gluten free diet for their AA?

Hi, I am a 27 year old female with Telogen Effluvium lasting 3 years. I believe gluten may be connected to my loss. Do you see reversal of Telogen Effluvium with a gluten free diet also? I notice your study is only around AA.

Thankyou for your help!

Sasha

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