There are many causes of alopecia; any disease that can affect hair follicles can cause hair loss. There are 2 broad etiologic categories of alopecia— congenital or hereditary and acquired. Acquired alopecia is further divided into 2 categories: inflammatory and noninflammatory. |
Congenital or hereditary alopecia ( Hereditary Alopecia and Hypotrichosis) has been described in cows, horses, dogs, cats, and pigs. Hairless breeds of mice, rats, cats, and dogs have been bred and developed for personal and research interests. Congenital alopecia may or may not be hereditary; it is caused by a lack of development of hair follicles and is apparent at or shortly after birth. Animals with tardive alopecias are born with normal coats, and focal or generalized hair loss occurs when the animal sheds its juvenile coat or when it becomes a young adult. Examples of this include pattern baldness of Dachshunds, color dilution alopecia (most commonly seen in Doberman Pinschers), and certain types of follicular dysplasias. |
Acquired alopecia encompasses all other causes of hair loss. In this type of alopecia, the animal is born with a normal hair coat, has or had normal hair follicles at one time, and is or was capable of producing structurally normal hairs. Acquired alopecia may be noninflammatory, as is seen in endocrine alopecia or some types of immune-mediated alopecia, or inflammatory. Inflammatory acquired alopecia is the most common cause of alopecia. Acquired alopecia develops because a disease destroys the hair follicle or shaft, interferes with the growth of hair or wool, or causes the animal discomfort (eg, pain, pruritus) leading to self-trauma and loss of hair. |
Diseases that can directly cause destruction or damage to the hair shaft or follicle include bacterial skin diseases, dermatophytosis, demodicosis, severe inflammatory diseases of the dermis (eg, juvenile cellulitis, deep pyoderma), traumatic episodes (eg, burns, radiation), and (rarely) poisonings caused by mercury, thallium, and iodine. These diseases tend to be inflammatory. |
Diseases that can directly inhibit or slow hair follicle growth include nutritional deficiencies ( particularly protein deficiencies), hypothyroidism, hyperadrenocorticism, and excessive estrogen production or administration (hyperestrogenism, Sertoli cell tumors, estrogen injections for mismating). Temporary alopecia in horses, sheep, and dogs can occur during pregnancy, lactation, or several weeks after a severe illness or fever. These types of alopecia tend to be noninflammatory unless a secondary infection of the skin develops. |
Pruritus or pain is a common cause of acquired inflammatory alopecia in animals. Diseases that commonly cause pruritus or pain include infectious skin diseases (eg, bacterial pyoderma and dermatophytosis), ectoparasites, allergic skin diseases (eg, atopy, food allergy, contact, insect hypersensitivity), and less commonly neoplastic skin diseases. Friction may cause local hair loss, eg, poorly fitted halters or collars. Rarely, excessive grooming may be the cause of hair loss in some animals, particularly cats. |
Feline endocrine alopecia is no longer recognized as a bona fide syndrome; the new name is feline acquired symmetric alopecia. To date, there is no documented evidence of an endocrine disease in these cats, and the symmetric alopecia seen is a clinical sign of an underlying disease, most commonly a pruritic disease. | |