California Cosmetology Written ExamClient Consultation and AnalysisMedium
A client has small, smooth, round bald patches on the scalp with no scaling, redness, or itching, and the hair at the edges of the patches appears healthy. Which condition is most likely, and how should the cosmetologist proceed?
- AAlopecia areata; proceed with the service, avoiding harsh chemical treatments on affected areas
- BTinea capitis; refuse service and refer to a physician
- CPediculosis capitis; disinfect all tools and report the client
- DPsoriasis; apply a strong exfoliating scalp treatment
Show answer & explanationAnswer & explanation
Correct answer: A. Alopecia areata; proceed with the service, avoiding harsh chemical treatments on affected areas
Alopecia areata is a non-contagious autoimmune condition causing smooth, round bald patches without scaling or inflammation. Since it is not contagious, the cosmetologist may proceed with the service while being gentle with the affected areas.
Why the other options are wrong
- B. Tinea capitis shows scaling and broken hairs, not smooth bald patches, and is contagious.
- C. Pediculosis involves lice and nits, not bald patches.
- D. Psoriasis produces silvery scales, not smooth baldness.
Alopecia Areata
Alopecia areata is a non-contagious autoimmune disorder causing sudden, smooth, round patches of hair loss without scaling or inflammation.
- Non-contagious, so service may proceed
- No scaling, redness, or itching present
- Handle affected areas gently, avoid harsh chemicals
Memory trick: Alopecia Areata = 'A' for Autoimmune — smooth circles, no scale, no fear of spreading.