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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Best Solution For Hairfall In Patches?

sir im haiving very much hair problems like hair are coming out with patches I have visited a dr in medical collage he gave me a injection n a lotion but result is zero can you plz helo me out I shave my hairs because its really difficult for me to look in the mirror moreover this prob giving me really stress,my no is 0000
Wed, 9 Apr 2014
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Dermatologist 's  Response
Hello and welcome to healthcaremagic

You have a condition called Alopecia Areata.

Alopecia areata is an autoimmune condition and commonly present as focal patches of hair loss, most commonly over the scalp but also on the beard, moustache or eyebrows or eyelashes. This is known as patch type OR focal alopecia areata.

In Focal type of Alopecia Areata, most of times, hair regrows spontaneously within 1 year (as it happened first time round with you, 5 years ago). But people often seek treatment because the bald patches are unsightly and are easily noticeable to others.

Various treatment options in Focal type of alopecia areata in order of the choice of treatment:

--Intra-lesional Triamcinolone acetonide is first line treatment (used in concerntration of 2.5 -10 mg/ml. The lowest concentration is used on the face) in adults.

Other modalities are:

--Topical potent steroids: First line in children because they cannot tolerate injections.
--Topical Minoxidil
--Topical Anthranalin
--Topical PUVA(psoralens +UVA therapy).

All of them are effective. Your doctor has given you intralesional steroids

I also prefer to give Intralesional steroid 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. Regrowth usually is seen within 4-6 weeks in responsive patients.

regards
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What Is The Best Solution For Hairfall In Patches?

Hello and welcome to healthcaremagic You have a condition called Alopecia Areata. Alopecia areata is an autoimmune condition and commonly present as focal patches of hair loss, most commonly over the scalp but also on the beard, moustache or eyebrows or eyelashes. This is known as patch type OR focal alopecia areata. In Focal type of Alopecia Areata, most of times, hair regrows spontaneously within 1 year (as it happened first time round with you, 5 years ago). But people often seek treatment because the bald patches are unsightly and are easily noticeable to others. Various treatment options in Focal type of alopecia areata in order of the choice of treatment: --Intra-lesional Triamcinolone acetonide is first line treatment (used in concerntration of 2.5 -10 mg/ml. The lowest concentration is used on the face) in adults. Other modalities are: --Topical potent steroids: First line in children because they cannot tolerate injections. --Topical Minoxidil --Topical Anthranalin --Topical PUVA(psoralens +UVA therapy). All of them are effective. Your doctor has given you intralesional steroids I also prefer to give Intralesional steroid 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. Regrowth usually is seen within 4-6 weeks in responsive patients. regards