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Suggest Treatment For Alopecia Areata In The Back Side Of Head

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Posted on Mon, 9 Jun 2014
Question: Hi Doctor,
I am having the spot baldness or Alopecia areata in the back side of my head in a small region for around 6 months. Please let me know is there any treatment for this ?

Previously i had the same issue in the cheek around 3.5 years back and i undergone some treatment and over the time the hair has grown in that area and is normal.
doctor
Answered by Dr. Hardik Pitroda (55 minutes later)
Brief Answer:
Intralesional steorid, oral and topical steroid

Detailed Answer:
Hello XXXXXXX

Thank you for posting on HealthcareMagic.

I appreciate your concern regarding the bald patch on scalp and i will try to answer your queries in best possible way.

As per your description, it seems you are having localized patchy hair loss. Alopeica areata is one of the common condition which causes patchy hair loss.
Though your definitive diagnosis rests upon direct physical examination by a dermatologist, i would insist you to share your pictures in the follow up question so i can help you in a better way.

Alopecia Areata is an autoimmune condition where your own immune system attacks your hair follicle leading to hair loss. Usually the condition is harmless and self resolving but mandates treatment because of cosmetic concern.

Alopecia areata is known to be associated with history of chronic allergic diseases like asthama, atopic dermatitis and other conditions like thyroid disorders, hypertension etc. Thus, in non-responding cases or extensive cases i do suggest investigations.

In my patients of alopeica areata, i decide the treatment protocol depending on the history, associated conditions and area of involvement.

Since, you are suffering from very limited form of the disease, i would advise intralesional steroid injection therapy every 3 weekly as the first line treatment for you.

Additionally, i would prescribe oral corticosteroids and biotin rich multivitamin tablets.

For local application, i suggest application of Minoxidil 5% solution and a steroid (clobetasol) mixed with salicyclic acid solution.

In resistant cases, i also apply concentrated phenol over the patch every 3 weekly interval.

Hope this will take care of your condition.

I would suggest you to share your pictures in a follow up question or if you are satisfied with the answer and feel your queries are rightly resolved you can close the answer.

Kindly spare some time to rate my answer and drop your valuable review at the following link:

http://doctor.healthcaremagic.com/doctors/dr-hardik-pitroda/67169

If you require any further assistance in future, you can reach me directly through the above mentioned link.

Thanking you
Dr Hardik Pitroda

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Hardik Pitroda (8 hours later)
Thanks for the details.
please find attached the picture you have asked.
doctor
Answered by Dr. Hardik Pitroda (3 hours later)
Brief Answer:
Alopecia areata, intralesional and topical steroid

Detailed Answer:
Yes XXXXXXX this is definitely Alopecia Areata.
Nothing to worry. The treatment protocol i have suggest will surely help you out.

If you are satisfied with the answer and feel your queries are rightly resolved you can close the answer.

Kindly spare some time to rate my answer and drop your valuable review at the following link:

http://doctor.healthcaremagic.com/doctors/dr-hardik-pitroda/67169

If you require any further assistance in future, you can reach me directly through the above mentioned link.

Thanking you
Dr Hardik Pitroda
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. Yogesh D
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Answered by
Dr.
Dr. Hardik Pitroda

Dermatologist

Practicing since :2010

Answered : 1489 Questions

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Suggest Treatment For Alopecia Areata In The Back Side Of Head

Brief Answer: Intralesional steorid, oral and topical steroid Detailed Answer: Hello XXXXXXX Thank you for posting on HealthcareMagic. I appreciate your concern regarding the bald patch on scalp and i will try to answer your queries in best possible way. As per your description, it seems you are having localized patchy hair loss. Alopeica areata is one of the common condition which causes patchy hair loss. Though your definitive diagnosis rests upon direct physical examination by a dermatologist, i would insist you to share your pictures in the follow up question so i can help you in a better way. Alopecia Areata is an autoimmune condition where your own immune system attacks your hair follicle leading to hair loss. Usually the condition is harmless and self resolving but mandates treatment because of cosmetic concern. Alopecia areata is known to be associated with history of chronic allergic diseases like asthama, atopic dermatitis and other conditions like thyroid disorders, hypertension etc. Thus, in non-responding cases or extensive cases i do suggest investigations. In my patients of alopeica areata, i decide the treatment protocol depending on the history, associated conditions and area of involvement. Since, you are suffering from very limited form of the disease, i would advise intralesional steroid injection therapy every 3 weekly as the first line treatment for you. Additionally, i would prescribe oral corticosteroids and biotin rich multivitamin tablets. For local application, i suggest application of Minoxidil 5% solution and a steroid (clobetasol) mixed with salicyclic acid solution. In resistant cases, i also apply concentrated phenol over the patch every 3 weekly interval. Hope this will take care of your condition. I would suggest you to share your pictures in a follow up question or if you are satisfied with the answer and feel your queries are rightly resolved you can close the answer. Kindly spare some time to rate my answer and drop your valuable review at the following link: http://doctor.healthcaremagic.com/doctors/dr-hardik-pitroda/67169 If you require any further assistance in future, you can reach me directly through the above mentioned link. Thanking you Dr Hardik Pitroda