Alopecia areata (AA) is an autoimmune condition characterized by nonscarring hair loss that can be difficult to treat. Typical AA is characterized by round patches of alopecia on the scalp and, when severe, can manifest complete or near-complete hair loss on the scalp. AA may occur in distinctive patterns, such as the relatively common ophiasis AA, in which hair loss occurs in a band-like pattern on the occipital and temporal scalp. Sisaipho (ophiasis spelled backwards) is a rare variant of AA in which hair loss involves the top of the scalp, sparing the temporal and occipital areas.