A 22-year-old woman presents with complete loss of scalp hair over 8 months. On examination, the scalp is smooth and hairless with preserved eyebrows, eyelashes, and body hair. Dermoscopy shows preserved follicular ostia with occasional yellow dots and black dots. The condition marked **A** in the diagram is suspected. Which of the following is the MOST IMPORTANT distinguishing feature of this condition compared to alopecia universalis?
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