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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Hair Loss And Patches All Over Scalp?

hi i experience excessive hair loss and patches all over my scalp that why i decided to shave my head i still have hair growing in my head but most of the parts are totally bald and base on the symthoms it is alopecia but i really dont know what it is!
posted on Fri, 14 Mar 2014
Twitter Thu, 13 Nov 2014 Answered on
Twitter Fri, 14 Nov 2014 Last reviewed on
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Dermatologist,  's  Response
Hello. Thanks for writing to us at healthcaremagic

These bald areas are most likely patches of Alopecia Areata(AA).

Alopecia Areata(AA) is an autoimmune condition. It usually presents as smooth bald patches of hair loss, most commonly over the scalp.

The patches of Alopecia Areata are smooth, and usually there is no evidence of inflammation like scaling or erythema or itching.

Intra-lesional depot preparation of Triamcinolone acetonide is the treatment of choice in adults.

Patchy alopecia areats is a self limiting though new bald patches may appear, which may also need to be treated in the same way.

Other topical treatments that have been tried either alone or in combination with intralesional steroids are Topical Potent steroids ( e.g Mometasone Furoate, Clobetasol propionate); Topical Minoxidil solution; Topical Anthralin; Topical PUVA(psoralens +UVA therapy) etc

I would suggest you to visit a dermatologist for a confirmatory diagnosis as well as discussion regarding the most appropriate treatment for the bald patches

Regards
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What Causes Hair Loss And Patches All Over Scalp?

Hello. Thanks for writing to us at healthcaremagic These bald areas are most likely patches of Alopecia Areata(AA). Alopecia Areata(AA) is an autoimmune condition. It usually presents as smooth bald patches of hair loss, most commonly over the scalp. The patches of Alopecia Areata are smooth, and usually there is no evidence of inflammation like scaling or erythema or itching. Intra-lesional depot preparation of Triamcinolone acetonide is the treatment of choice in adults. Patchy alopecia areats is a self limiting though new bald patches may appear, which may also need to be treated in the same way. Other topical treatments that have been tried either alone or in combination with intralesional steroids are Topical Potent steroids ( e.g Mometasone Furoate, Clobetasol propionate); Topical Minoxidil solution; Topical Anthralin; Topical PUVA(psoralens +UVA therapy) etc I would suggest you to visit a dermatologist for a confirmatory diagnosis as well as discussion regarding the most appropriate treatment for the bald patches Regards