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What Causes Patch Of White Hair On Scalp?

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Posted on Tue, 13 Oct 2015
Question: Hi. I went to get a hair cut this weekend and the barber asked me if I had always had this white patch of hair on the back of my head.? I said no so she used a mirror and showed me this quarter sized white spot in my hair. I'm 55 but do not have a lot of grey hair so this is very unusual.
doctor
Answered by Dr. Dr.Albana Sejdini (40 minutes later)
Brief Answer:
A photo is needed. Following possible causes. ..

Detailed Answer:
Hi,

I understand your concern.

Can you please provide a picture of the area of white hair patch??

There might be various causes including :

- tinea capitis, a type of fungal infction of the hair

- poliosis (whitening of hair patches)

- metabolic illness like those related to thyroid

- vitiligo

If not suffering from any chronic metabolic disease, I advise to :
- get a further consultation with dermatologist to determine the final diagnosis
- microscopic examination of the affected hair is also advised for proper diagnosis and decide for best treatment strategy

All the best!
Dr.Albana
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr.Albana Sejdini (5 hours later)
I had my roomie take a picture but it looks more like a bald spot than anything. The white did not show up well but you can see the size of the patch. I have sent the picture as requested as an email attachment.
doctor
Answered by Dr. Dr.Albana Sejdini (18 hours later)
Brief Answer:
Lab testing advised to rule out fungal infection or alopecia areata...

Detailed Answer:
Hi back,

Thank you for providing the requested photo.

I have gone through it and noted the bald spot on your head. If I was your caring doctor would recommend to run a microscopical examination of the hair and the local skin scrapping to rule out fungal infection and get it treated accordingly with anti-fungal therapy as per test result.

Otherwise, if no fungal infection, it might be alopecia areata and different treatment is recommended in this case (minoxidil - shampoo or cream together with steroid injections locally).

Hope it was of help!
Dr.Albana
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Dr.Albana Sejdini

General & Family Physician

Practicing since :2006

Answered : 7309 Questions

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What Causes Patch Of White Hair On Scalp?

Brief Answer: A photo is needed. Following possible causes. .. Detailed Answer: Hi, I understand your concern. Can you please provide a picture of the area of white hair patch?? There might be various causes including : - tinea capitis, a type of fungal infction of the hair - poliosis (whitening of hair patches) - metabolic illness like those related to thyroid - vitiligo If not suffering from any chronic metabolic disease, I advise to : - get a further consultation with dermatologist to determine the final diagnosis - microscopic examination of the affected hair is also advised for proper diagnosis and decide for best treatment strategy All the best! Dr.Albana