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I Have Had Very Bad Alopecia For A Few Months

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Posted on Tue, 11 Jun 2019
Question: I have had very bad alopecia for a few months now.

Dermatologist said lost 25% of my hair. Luckily it is covered by my main head of hair.

I have been under a lot of stress for a long time now.

My dermatologist gave me clobetasol propionate.05%

It didn't work.

He sent me to another dermatologist who gave me 10 shots of steroids in my head

I also have on top of my head

What to do?
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Follow up: Dr. Asmeet Kaur Sawhney (39 minutes later)
I have very bad alopecia. My doctor gave me a steroid ointment which didn't work and then I went to another dermatologist who put 10 shots of steroids in my head
25% of my hair is gone. Lucky part is that it shows up under my main head of hair.
I have been under extreme stress for past few months.
I never saw it falling out in my shower, bed, brushes, combs.
Do you have any other ideas for me?

Thank you
doctor
Answered by Dr. Asmeet Kaur Sawhney (2 hours later)
Brief Answer:
Alopecia areata, oral mini-pulse of steroid and Azathioprine

Detailed Answer:
Hi,
Welcome to 'Ask A Doctor' service...

I have gone through your query and reviewed the attached photograph.
It seems to be alopecia areata which is a chronic autoimmune inflammatory disease of the hair follicles.

I would recommend you to go for the oral mini-pulse of steroids along with the course of Azathioprine.
These are prescription drugs and should be taken under the supervision of the doctor.
They need to be continued for a few months to cause hair regrowth.

Let me know if I can assist you further.

Regards
Dr. Asmeet


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Asmeet Kaur Sawhney (4 hours later)
Thank you

I will talk to my doctor about it

Are there any side effects I should be aware of?
doctor
Answered by Dr. Asmeet Kaur Sawhney (1 hour later)
Brief Answer:
Welcome

Detailed Answer:
These medicines require monitoring of complete blood count, liver function tests and blood sugar levels on monthly basis.
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Nagamani Ng
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Answered by
Dr.
Dr. Asmeet Kaur Sawhney

Dermatologist

Practicing since :2007

Answered : 4993 Questions

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I Have Had Very Bad Alopecia For A Few Months

I have very bad alopecia. My doctor gave me a steroid ointment which didn't work and then I went to another dermatologist who put 10 shots of steroids in my head 25% of my hair is gone. Lucky part is that it shows up under my main head of hair. I have been under extreme stress for past few months. I never saw it falling out in my shower, bed, brushes, combs. Do you have any other ideas for me? Thank you