Thanks for posting your concern at HCM I would keep a possibility of Alopecia areata. It is an autoimmune condition and commonly present as focal patches of hair loss, most commonly over the scalp nut also on the beard, moustache or eyebrows or eyelashes. This is known as patch type OR focal alopecia areata. Focal type of Alopecia Areata, most of times, hair regrows spontaneously within 1 year but people often seek treatment because the bald patches are unsightly and are easily noticeable to others. Various treatment options in Focal type of alopecia areata: --Intra-lesional Triamcinolone acetonide is first line treatment in adults followed by other modalities like: --Topical potent steroids --Topical Minoxidil --Topical Anthranalin --Topical PUVA(psoralens +UVA therapy). All of them are effective. However I prefer Intra-lesional steroid in my patients of Alopecia areata. It can be repeated after 3 -4 weeks and usually hair regrow after 2 injections, given 3 weeks apart. regards