Hello. Thanks for writing to us at healthcaremagic
I will keep a possibility of
Alopecia Areata (AA).
Alopecia Areata (AA) is an autoimmune condition. It usually present as patches of hair loss, most commonly over the scalp but the patches can also present on the beard, mustache or eyebrows or eyelashes.
The patches of Alopecia Areata are smooth, and usually there is no evidence of inflammation like scaling or erythema or itching.
People often seek treatment because the bald patches are unsightly and are easily noticeable to others.
Various treatment options in alopecia areata in order of the choice of treatment are:
-Intra-lesional
Triamcinolone acetonide: This is first line treatment in adults followed by other modalities like:
-Topical Potent steroids (
Mometasone Furoate,
Clobetasol propionate)
-Topical
Minoxidil solution
-Topical Anthranalin
-Topical PUVA(psoralens +UVA therapy).
You are using minoxidil and probably a
topical steroid for the patch. The response is usually slow and it is important to give a fair trial of the topical treatment before switching on to another mode of treatment.
I would suggest that you seek another appointment with a
dermatologist in your region for the needful, if this treatment does'nt produce any visible signs of improvement for another 2-3 weeks.
Although all of the therapies that I have mentioned are effective but intra-lesional steroids is the most accepted and most effective line of treatment and is a reproducibly effective therapy for focal type of alopecia areata.
It can be repeated after 3 -4 weeks and usually hair regrow after 2 injections, given 3 weeks apart.
A dermatologist would usually administer this treatment in his office. The injection has to be placed into the patch of hair loss.
Regards