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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Hair Loss On Top Of The Head?

Sir,



i am living in pollachi, coimbatore district.



i am age of 35 years old, having two sons with age of 4 years and 2 years.



i am having patch of hair loss in my top head position along with frequent hair loss daily by combing. size of the patch is one rupee coin.



please tell my the reason for that

Tue, 21 Oct 2014
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Dermatologist 's  Response
Hello. Thanks for writing to us at healthcaremagic

I will keep a possibility of Alopecia Areata(AA)

Alopecia Areata(AA) has an autoimmune etiology.
It presents as smooth bald patches of hair loss, most commonly over the scalp but the patches can also present on the beard, moustache or eyebrows or eyelashes.
The patches of Alopecia Areata are smooth, and 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).

All of them are effective but intra-lesional streoids are the most accepted 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.

I would suggest that you visit a dermatologist in your region for the needful.

Regards
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What Causes Hair Loss On Top Of The Head?

Hello. Thanks for writing to us at healthcaremagic I will keep a possibility of Alopecia Areata(AA) Alopecia Areata(AA) has an autoimmune etiology. It presents as smooth bald patches of hair loss, most commonly over the scalp but the patches can also present on the beard, moustache or eyebrows or eyelashes. The patches of Alopecia Areata are smooth, and 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). All of them are effective but intra-lesional streoids are the most accepted 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. I would suggest that you visit a dermatologist in your region for the needful. Regards