Alopecia totalis presentation is best described by which statement?

• A. Patchy Hair Loss Progressing to Complete Scalp Hair Loss With Preservation of Eyelashes, Eyebrows, Axilla, and Pubic Hair
• B. All-Over Body Hair Loss
• C. Only Eyebrow Loss
• D. Nails Affected

Answer: (A)

Alopecia totalis is best described as patchy hair loss that progresses to complete scalp hair loss, while body hair is generally preserved. This fits the spectrum of alopecia areata, where initial patches on the scalp can evolve into total scalp involvement (alopecia totalis), but the remaining body hair such as eyelashes, eyebrows, axilla, and pubic hair remains intact. The alternative of all-over body hair loss corresponds to alopecia universalis, not totalis. Eyebrow-only loss isn’t typical of a complete scalp involvement, and nail changes can occur with alopecia areata but don’t define the pattern of scalp hair loss like this option does.