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Are Small Patches Of Baldness At Different Points Something That Can Be Treated And Cured?

Posted on Fri, 7 Jan 2022

Question: we notices small patches of baldness at different points while messaging hair oil, pls suggest what can be cause and suggested treatment

Answered by Dr. Asmeet Kaur Sawhney (1 hour later)

Brief Answer:
Upload pictures

Detailed Answer:
Hi
There are many causes of bald patches on the scalp.
I would recommend you to upload the pictures of the affected areas so that I can have a clearer picture of the condition and can guide you accordingly.
Regards
Dr Asmeet

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Asmeet Kaur Sawhney (8 minutes later)

Hi Doctor
This question was first assigned to Dr Kakkar and I have uploaded images there, would you be please see there

I have uploaded pictures..Thanks

Answered by Dr. Asmeet Kaur Sawhney (1 hour later)

Brief Answer:
Answer few questions

Detailed Answer:
I have reviewed the attached photographs and need to ask you few questions:
Is this hair loss associated with itching or burning?
Is it progressive or stationary?
Do you have itchy papules on the body?
Was the hair loss preceded by any itchy bumps?
Kindly revert with the answers.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Asmeet Kaur Sawhney (17 hours later)

Hello Doctor,

Please find reply as below

Is this hair loss associated with itching or burning?
My Answer - We could see some hair itching and dandruff is due to dryness, later we started coconut oil massage and is quite normal now

Is it progressive or stationary?
My Answer - seems to be progressive very slowly

Do you have itchy papules on the body?
My Answer - only in summer some heat/sweat rashes appears due to outdoor games

Was the hair loss preceded by any itchy bumps?
My Answer - I noticed when my son was about 10 years that he has some very small patches where hair growth is negligible or gap in hair but it looks like that it is increasing

Just to give more background, he is in class 12th and may be due to some study pressure and anxiety, Pls correlate medically..

Thanks

Answered by Dr. Asmeet Kaur Sawhney (2 hours later)

Brief Answer:
Pseudopelade or alopecia areata, oral & topical steroids

Detailed Answer:
According to your complaints it seems to be either paeudopelade which is a type of scarring alopecia or alopecia areata.
If I was his treating doctor I would recommend him to take a course of oral steroids like tablet prednisone 0.5 mg perkg body weight per day for 2 consecutive days in a week for 4-6 weeks and apply topical steroid like mometasone lotion on the affected areas twice daily.
These are prescription drugs and should be taken under the supervision of the doctor as they can have side effects.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Asmeet Kaur Sawhney (4 hours later)

Thanks Doctor...

can we start applying topical steroid like mometasone lotion on the affected areas twice daily without paeudopelade?

and as paeudopelade may have side effect, should we start with small dosage to check if there is any side effect say 2 mg or so?

Thanks and Regards

Answered by Dr. Asmeet Kaur Sawhney (1 hour later)

Brief Answer:
Can start with topical steroid, oral steroid under doctor supervision

Detailed Answer:
Yes you can start with mometasone lotion twice daily.
You can start with small dose of steroid but under doctor’s supervision.

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