It can. At least it does for me. That is how I found out that I have lupus when the dermatologist did a biopsy of one of my bald spots back in '97.
Back then, I had a series of cortizone shots in those areas and was told that my hair probably won't grow back. Well, it did.
However, I have two new spots
and the hair is growing back in one spot, but it is still getting a bit bigger.
Stress is a big cause of it. For me, they itch like crazy at times
That is also how I know I am going thru a flare.