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Short Form ID# Long Form ID# Date of Revision: February 2012Last Name: First Name: Phone #: Email: Alopecia Areata Symptom Impact Scale (AASIS) Alopecia areata is a condition that may affect you.

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Anagen is the active growth phase lasting one to eight years. Catagen is a short involution phase lasting several weeks. Telogen is the resting phase lasting several months. Exogen is the shedding of the hair.

Most people with alopecia areata are generally healthy otherwise, and the disorder itself is not a sign of a serious or life-threatening disease.

Alopecia areata is not life-threatening and does not cause physical pain. However, the psychosocial effects of hair loss can be devastating. In addition, patients may experience symptoms related to hair loss, such as increased eye or nasal irritation after loss of eyelash or nasal hair.

The prognosis varies widely, and poor outcomes are associated with an early age of onset, extensive loss, the ophiasis variant, nail changes, a family history, or comorbid autoimmune disorders.

Alopecia areata occurs worldwide. The estimated prevalence is approximately 1 in 1000 people, with a lifetime risk of approximately 2 percent [1,2]. Both children and adults may develop alopecia areata, and the disorder occurs at similar rates in males and females [1].

People with the disease are usually healthy and have no other symptoms and a normal life expectancy.

Approximately 50 percent of people with mild alopecia areata recover within a year; however, most people will experience more than one episode during their lifetime. Approximately 1 person in 50 will suffer from alopecia areata at some point in their life. It occurs in men and women of all races equally.

In its initial development, severity was classified as S0 = no hair loss; S1 = 1–24% hair loss; S2 = 25–49% hair loss; S3 = 50–74% hair loss; S4 = 75–99% hair loss; and S5 = 100% hair loss.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232