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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Alternative Treatment For Cicatricial Alopecia

Hi i am suffering from cicatricial alopecia for last 5 years. Earlier patches were small but now its big and its coming on my beard too. My doctor gave me injections of Kenacort 10 mg along with dexona steroid but no effect for 4 months. Then my medicine were changes to Omnacortil 40 mg for 2 months but no effect. Now my doctor is recommending Omnacortil 60 mg. I am 27 years old male 70 kg weight. I go to gym and take whey protein. Please help me out. Please suggest me how to get rid of alopecia.
Fri, 18 Oct 2019
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General Surgeon,  's  Response
Hello,

Intralesional injections (in site injections) of triamcinolone acetonide 10mg/ml is the treatment of choice for a few patches of alopecia areata. The injection may need to be repeated at 3 week intervals. You may once again try this treatment.

I won't suggest Oral steroids for a few patches of alopecia areata! Other treatment options include topical steroids (creams/ lotions/ointments), minoxidil solution application, topical dithranol application.

An alternative to intralesional steroid injections is topical dithranol (anthralin) ointment.

However, it should be used under supervision as a SHORT CONTACT THERAPY (SCT) for just 10-15 minutes daily at night and then washed off. It is non-steroidal and effective for alopecia areata.

It is a prescription product and I suggest that you talk to your local dermatologist for a prescription regarding the same.

Moreover, since it can irritate the skin therefore it should be used under supervision of a doctor and only for 10-15 minutes (SCT) once daily, at night.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Iven Romic Rommstein, General Surgeon
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Suggest Alternative Treatment For Cicatricial Alopecia

Hello, Intralesional injections (in site injections) of triamcinolone acetonide 10mg/ml is the treatment of choice for a few patches of alopecia areata. The injection may need to be repeated at 3 week intervals. You may once again try this treatment. I won t suggest Oral steroids for a few patches of alopecia areata! Other treatment options include topical steroids (creams/ lotions/ointments), minoxidil solution application, topical dithranol application. An alternative to intralesional steroid injections is topical dithranol (anthralin) ointment. However, it should be used under supervision as a SHORT CONTACT THERAPY (SCT) for just 10-15 minutes daily at night and then washed off. It is non-steroidal and effective for alopecia areata. It is a prescription product and I suggest that you talk to your local dermatologist for a prescription regarding the same. Moreover, since it can irritate the skin therefore it should be used under supervision of a doctor and only for 10-15 minutes (SCT) once daily, at night. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Iven Romic Rommstein, General Surgeon