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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Medication For Bald Patches On Head

I am 35 year old. i have 3-4 small patches of hair removal on head.they are like smooth sikn having no hair earlier. these are appearing just 6 month before. i consult to doctor. he gave me some multivitamin of vitamin A, Momate liquid apply on patches once in a day and Tacroz ointment apply on patches in night. for a month. but i am not satisfied.
Wed, 29 Oct 2014
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Dermatologist 's  Response
Hello. Thanks for writing to us at healthcaremagic

I will keep a possibility of Alopecia Areata(AA).

Alopecia Areata(AA) is an autoimmune condition. It usually present as patches of hair loss, most commonly over the scalp but the patches can also present on the beard, mustache or eyebrows or eyelashes.
The patches of Alopecia Areata are smooth, and usually there is no evidence of inflammation like scaling or erythema or itching.
People often seek treatment because the bald patches are unsightly and are easily noticeable to others.

Various treatment options in alopecia areata in order of the choice of treatment are:

-Intra-lesional Triamcinolone acetonide: This is first line treatment in adults followed by other modalities like:
-Topical Potent steroids (Mometasone Furoate, Clobetasol propionate)
-Topical Minoxidil solution
-Topical Anthranalin
-Topical PUVA(psoralens +UVA therapy).

All of them are effective but intra-lesional streoids are the most accepted line of treatment and is a reproducible effective therapy for focal type of alopecia areata.
I also prefer intralesional steroids in my patients of alopecia areata. It can be repeated after 3 -4 weeks and usually hair regrow after 2 injections, given 3 weeks apart.
A dermatologist would usually administer this treatment in his office. The injection has to be placed into the patch of hair loss.

I would suggest that you visit a dermatologist in your region for the needful.

Regards
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Suggest Medication For Bald Patches On Head

Hello. Thanks for writing to us at healthcaremagic I will keep a possibility of Alopecia Areata(AA). Alopecia Areata(AA) is an autoimmune condition. It usually present as patches of hair loss, most commonly over the scalp but the patches can also present on the beard, mustache or eyebrows or eyelashes. The patches of Alopecia Areata are smooth, and usually there is no evidence of inflammation like scaling or erythema or itching. People often seek treatment because the bald patches are unsightly and are easily noticeable to others. Various treatment options in alopecia areata in order of the choice of treatment are: -Intra-lesional Triamcinolone acetonide: This is first line treatment in adults followed by other modalities like: -Topical Potent steroids (Mometasone Furoate, Clobetasol propionate) -Topical Minoxidil solution -Topical Anthranalin -Topical PUVA(psoralens +UVA therapy). All of them are effective but intra-lesional streoids are the most accepted line of treatment and is a reproducible effective therapy for focal type of alopecia areata. I also prefer intralesional steroids in my patients of alopecia areata. It can be repeated after 3 -4 weeks and usually hair regrow after 2 injections, given 3 weeks apart. A dermatologist would usually administer this treatment in his office. The injection has to be placed into the patch of hair loss. I would suggest that you visit a dermatologist in your region for the needful. Regards