Lupus can cause hair loss, but there are ways to reduce it. Depending on the cause of the hair loss, it may help to adjust a person’s medications and hair care routine or protect the scalp from sun exposure.
Lupus can cause hair loss in several ways. Some causes are reversible, such as anemia and lupus-induced changes in the hair growth cycle. The hair can grow back, especially if a person seeks treatment.
However, in some cases, certain types of lupus can damage the scalp and hair follicles, causing scarring and permanent hair loss. Early treatment may reduce the effect of the condition on the hair.
Learn more about lupus hair loss, including its treatment, care, and prevention.
Treatment for lupus-related hair loss can vary depending on the cause. It may include:
A person could be experiencing hair loss if they are yet to seek treatment for lupus or their current treatments are not working.
Each type of lupus has different treatments. For discoid lupus, these
- protecting the scalp from the sun
- topical or oral corticosteroids
- topical calcineurin inhibitors, which are immunosuppressants
Alternative treatments a doctor may recommend for other types of lupus
If a person is stable on treatment and then experiences a lupus flare, a doctor may prescribe temporary high dose corticosteroids to reduce inflammation.
Hair loss could also be a side effect of lupus medication. Some drugs for lupus can cause a type of hair loss known as telogen effluvium (TE). TE extends the shedding phase of hair growth, meaning hair falls out faster than it can grow back.
If medications could be the cause, a doctor may suggest changing a person’s dosage or trying an alternative medication. People should consult a health professional before changing any lupus treatment regimen.
Certain nutritional deficiencies, such as iron deficiency anemia, can cause hair loss for people with or without lupus.
However, iron deficiency anemia is especially common among people with active lupus for various reasons. If this is a potential explanation for hair loss, a doctor may test a person’s iron levels and recommend an iron supplement.
Hair loss medications
In some cases, hair loss medications may be appropriate for those with lupus. According to a 2022 paper, the hair loss drug minoxidil may help with both TE-related hair loss and hair loss due to lupus inflammation. A doctor may recommend this treatment alongside a person’s other medications.
In addition to medical treatments, there are ways people can adjust their hair care routine to reduce lupus-related hair loss. This may involve:
Avoiding sun exposure
Avoiding the sun
A person can protect the scalp from sunlight by:
- wearing a wide-brimmed hat when outside, ideally one with UV protection
- using sunscreen on the scalp when a hat is not suitable, such as a scalp spray
- reapplying sunscreen every 2 hours or after getting wet
It is also important to avoid using ingredients or products that can make the skin more sensitive to the sun.
Lupus can cause hair breakage in addition to shedding. This is known as anagen effluvium (AE). Taking extra care to protect the hair from damage may reduce the amount or speed of the breakage. For example, it
- excessive or rough hair brushing
- heat styling tools
- bleach or dyes
- chemical treatments, such as perms
Instead, a person can care for their hair by:
- using a gentle shampoo to clean the hair, such as baby shampoo
- massaging the shampoo gently to create a lather rather than rubbing
- using a detangling product when brushing the hair after washing
People have different ways of styling their hair when they experience hair loss. Some may embrace the change, while others may prefer wearing scarves, wigs, or hair pieces.
There is no right or wrong approach, but it is worth noting that some styles may cause further breakage. The Lupus Foundation of America recommends avoiding:
- tight braids
- other styles that pull on the scalp
Hair stylists with experience helping those with hair loss may be able to recommend some options.
There is no recent research on whether specific hair products, such as shampoos or conditioners, help with lupus-related hair loss. However, there is some evidence that minoxidil may help. Topical minoxidil products are available over the counter (OTC).
The effectiveness of these products can vary, so it is important for people to discuss the benefits and potential risks with a dermatologist before trying them.
No recent studies identify any specific hair supplement to help people with lupus. This does not mean there are no effective supplements — only that science has not yet investigated the effects of OTC supplements.
Anecdotally, some people report improvements with biotin supplements. However, there is
Additionally, some supplements may interfere with lupus medication, so it is important for people to discuss with a doctor before trying any new supplement.
In some cases, it may be possible to prevent lupus-related hair loss. If a person receives early treatment, their medications may slow the disease process and stop hair from falling out. In discoid lupus, early treatment
However, lupus itself does not always cause hair loss directly. A person’s medications may cause it as a side effect, or they could experience hair loss for other reasons, such as anemia. As a result, it may not always be possible to anticipate when hair loss will occur.
People can speak with their medical team to better understand the risk of hair loss and what may help prevent it.
Whether hair will regrow after lupus-related hair loss depends on if it is scarring or nonscarring.
For example, there is no permanent damage to the hair follicle when the cause is TE or AE. This means the hair can grow back. The hair may regrow on its own or after a doctor helps treat the underlying cause. The process often takes between
However, when there is damage to the hair follicles, less hair may grow back. Discoid lupus
Lupus can cause hair loss in several ways. Some causes are scarring, which means they can directly damage hair follicles. Other types are nonscarring, which means they are reversible.
Lupus hair loss treatment will depend on the cause. For example, a doctor may suggest adjusting medications, trying an iron supplement, or hair loss treatments such as minoxidil.
No studies have investigated the effects of different hair care products for lupus-related hair loss, but preventing sun exposure and reducing breakage may help reduce this symptom.