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Published on: 8/20/2026
Bald spots on the head are often caused by conditions such as alopecia areata (an autoimmune disorder), trichostasis spinulosa, tinea capitis (a fungal infection), or traction alopecia. In children, common hair loss issues may also include hair pulling habits or nutritional deficiencies. Identifying the underlying cause is essential, since each condition requires a different treatment approach.
Because bald spots can stem from many different causes—some temporary, others requiring medical attention—it's important not to guess. Take a free, instant, online symptom check to better understand what may be behind your hair loss and get personalized guidance on your next steps.
Reviewed for medical accuracy: 07/15/2026
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Bald spots on the head can happen for a few reasons. One cause is alopecia areata, a condition where the body's immune system attacks hair follicles, leading to sudden hair loss in patches. This can happen to anyone, but it often starts in childhood. Another condition that can mimic this is trichostasis spinulosa, where tiny hair shafts get trapped in the hair follicles, sometimes creating the appearance of bald spots. This is less common but can be mistaken for alopecia.
In children, other common causes of bald spots include tinea capitis, a fungal infection of the scalp, and traction alopecia, which occurs when hair is pulled too tightly. Understanding the exact cause is important for treatment, so if you're experiencing unexplained hair loss or bald spots, you can check your symptoms with Ubie's free AI-powered symptom checker to help identify potential causes before consulting with a healthcare provider for a proper diagnosis.
(References)
Chagas FS, Donati A, Soares II, Valente NS, & Romiti R. (2014). Trichostasis spinulosa of the scalp mimicking Alopecia .... Anais brasileiros de dermatologia, 25054768.
Broadley D, & McElwee KJ. (2020). A "hair-raising" history of alopecia areata. Experimental dermatology, 31960494.
Atton AV, & Tunnessen WW Jr. (1990). Alopecia in children: the most common causes. Pediatrics in review, 2194176.
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