I have alopecia areata and I have some questions...?!

I have alopecia areata and I have some questions...?

The alopecia mainly affects my beard and facial hair along with bald patches throughout my scalp. I have a topical steriod that I need to apply once or twice a day and that will help on my scalp, after about six months. Is there a more effective way to tackle the patches on my face and head that anyone knows of? What about for my face specifically since I do respond to the steroid on my head? Also, does anyone have any new news on why alopecia even starts or is it still a mystery?

There is no treatment which can provide a total cure for severe Alopecia Areata. A multifaceted approach has included the use of irritants such as dithranol and systemic steroids. Treatment with immune enhancers is occasionally useful but can cause unpleasant side-effects. Topical Minoxidil with or without oral steroids for short periods has been used. Cyclosporin may have dramatic effects but they are usually temporary. In deciding how to treat Alopecia Areata, the age of onset and severity are key factors.