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Alopecia areata is noncontagious or not contagious. It occurs with greater regularity in people who have affected members of the family suggesting that heredity is often a cause. Strong evidence that genes may increase peril for alopecia areata is discovered by studying families with several affected members. This study identified no less than 4 regions in the genome that are likely to contain alopecia areata genes. In addition it is somewhat more prone to occur in folks who suffer from relatives with auto immune diseases.

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The condition is assumed to be an autoimmune disorder when the natural object attacks a unique hair follicles and suppresses or stops growth of hair. There is evidence that T cell lymphocytes cluster around these follicles causing excitement and subsequent thinning hair. An unknown environmental trigger like emotional stress or a pathogen is thought to combine with hereditary factors to cause the situation. At that place there are a few recorded cases of babies being born with congenital alopecia areata, but these are not cases of autoimmune disease because an infant is born without a fully developed immune system.