Hello. Thanks for writing to us at healthcaremagic I will keep a possibility of Alopecia Areata(AA) that is active or extending. Alopecia Areata(AA) is an autoimmune condition. It usually present as smooth bald patches of hair loss, most commonly over the scalp. The patches of Alopecia Areata are smooth, and usually there is no evidence of inflammation like scaling or erythema or itching. When the disease is active, the patches may extend Or get bigger. However AA is self limiting in most and ultimately new patches stop appearing and extending as disease activity gradually vanes away. Intra-lesional depot preparation of Triamcinolone acetonide is the treatment of choice in adults. The injection seems to have worked in your case. However, new patches may form or existing patches may increase in size, just as the case in you. In most cases it is self limiting and new or extending patches also need to be injected in the same way. However, in some cases dermatologists may choose to start patients on Oral Minipulse (OMP) to arrest the progression of disease. You may discus more about this with your treating doctor. Other topical treatments that have been tried either alone or in combination with intralesional steroids are Topical Potent steroids ( e.g Mometasone Furoate, Clobetasol propionate); Topical Minoxidil solution; Topical Anthralin; Topical PUVA(psoralens +UVA therapy) etc Regards