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What Does Scalp Ring Worms And Bald Patches Indicate?

Posted on Fri, 13 Oct 2017

Question: I have scalp ring worm and bald patches where hair isn't growing,

Answered by Dr. Asmeet Kaur Sawhney (31 minutes later)

Brief Answer:
Answer few questions, upload pictures

Detailed Answer:
Hi
Thanks for being at HealthcareMagic
I have gone through your complaints and understand your concern.
According to your history it could be either fungal infection or alopecia areata.
First of all did you get any test like potassium hydroxide scraping or fungal culture from bald patches to confirm that it is fungal infection only?
Are you having any itching or scaling on the bald patches?
I would recommend you to upload the pictures of the affected areas so that I can have a clearer picture of the condition and can guide you accordingly.
Regards
Dr Asmeet

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Asmeet Kaur Sawhney (1 hour later)

Hello,

Thanks for answering my question, My previous two doctors hasn't done potassium hydroxide scraping or fungal culture from bald patches to confirm that it is fungal infection only, Yes I do have itching and moderate scaling, and there isn't any option here to upload pictures here in reply, another thing to mention I have white hair all across head just to bring to your notice, and an year back I got scalp ring worm all over body and it was completely gone, like 6 months before and scalp ringworm was still continued and become worse now to a stage where I don't have Proper hair

Thank you,
Dxxxx

Answered by Dr. Asmeet Kaur Sawhney (5 hours later)

Brief Answer:
Yes, Upload pictures under report section or email them

Detailed Answer:
Hi,

Yes, You can upload the pictures either under the report section of the site or can email them to YYYY@YYYY as “ Attention: Dr. Asmeet “.

Regards

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Asmeet Kaur Sawhney (5 hours later)

Attachments were sent with subject dr asmeet, just to mention the one with complete shave picture was taken 6 months back and I have sent that for you completely examine my scalp and the other two were taken yesterday, kindly note the time difference between completely shaved picture and other two

Answered by Dr. Asmeet Kaur Sawhney (37 minutes later)

Brief Answer:
Management of seborrhoeic dermatitis & Androgenetic alopecia

Detailed Answer:
I have reviewed the attached photographs and it seems to be seborrhoeic dermatitis with Androgenetic alopecia. 15 days is too less a time to witness hair growth. Hair regrowth starts after 6-8 weeks of starting medicines.
If I was your treating doctor I would recommend you to use ketoconazole salicylic acid combination shampoo like kenz sal lotion twice weekly as a shampoo, apply minoxidil 5 percent lotion on the bald area of the scalp twice daily and take hair supplements like tablet androanagen once daily.
Besides this take tablet levocetrizine 5 mg once daily at bedtime if itching is persisting.
These need to be continued for atleast 2-3 months to see significant results.

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Asmeet Kaur Sawhney (12 minutes later)

Hello Doctor,

Thanks for answer, I hope you have seen all the attachments, both shaved and unshaved
So my question is that the medication that you have suggested seems much to grow hair and will that cure the infection too? Should I start medication what you have suggested effective today ?and also mention should I trims my hair to the shortest so that the medication reaches to the scalp or should apply on hair too

Answered by Dr. Asmeet Kaur Sawhney (5 minutes later)

Brief Answer:
Medicines are for both conditions, can start from today

Detailed Answer:
I have seen all the attached photographs.
The medicines I have prescribed are for both infection as well as hair regrowth.
You can start the medicines from today.
No need to trim your hair. Minoxidil lotion has to be applied on the affected bald scalp twice daily.

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Asmeet Kaur Sawhney (12 minutes later)

Thanks doc,

I have few other questions, my mom is asking me to apply neem raw paste before bath everyday, so do i have to continue this while using your medication
2) I am wearing helmet while going my bike for atleast an nour a day and I am under the impression that wearing helmet would aggregate the problem more, pleas suggest
3) is there a diet recommendation for this
4)can you also help me combat the problem for white/grey hair as I have too many spread around and I am afraid applying colour would trigger the fungal infection more . Please suggest

Answered by Dr. Asmeet Kaur Sawhney (27 minutes later)

Brief Answer:
Details below

Detailed Answer:
You can continue with raw neem paste before bath while taking medicines.
It won’t cause harm.
You can continue wearing bike as it won’t aggravate your hair problem.
I would recommend you to take diet rich in proteins, fruits and vegetables.
For grey hair medicines are not very effective.
For grey hair you can take tablet calcium pantothenate 200 mg once daily for 3-4 months.

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Asmeet Kaur Sawhney (40 minutes later)

Hello Doctor,

Thanks for answering my questions,

Answered by Dr. Asmeet Kaur Sawhney (7 minutes later)

Brief Answer:
Welcome!!

Detailed Answer:
Welcome!
All the best!

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Asmeet Kaur Sawhney (4 hours later)

Hello Doctor,

I have asked you some clarification and I have sent a mail with regards the same with sub : att Asmeet please kindly confirm.

Thank you,
Dxxxx

Answered by Dr. Asmeet Kaur Sawhney (20 minutes later)

Brief Answer:
Didn't get any mail, what clarifications do you want

Detailed Answer:
Hi
What clarification do you want?
I didn't get any mail.

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Asmeet Kaur Sawhney (26 minutes later)

I have uploaaded tablets compositions of the tablets
One is the one which I am currently using as multi vitamin and another androanagen which you prescribed, please confirm both can be used or one can be used, I presume both a close and similar composition

Answered by Dr. Asmeet Kaur Sawhney (13 minutes later)

Brief Answer:
Take only Androanagen tablet once daily

Detailed Answer:
I would recommend you to take only androanagen tablet.
One tablet needs to be taken after a meal for atleast 3 months.

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. Nagamani Ng