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Infection and thyroid/adrenal problems - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Thyroid Problem and Hormonal Problems
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2585 Questions
User :   Hello

Doctor :   Hi
Doctor :   How can I help you?
User :   :) I have questions specific to Prednisone, infection and thyroid/adrenal problems.
User :   Im a 27 year old male thats been diagnosed with Lyme disease and co-infections; babesia and bartonella. It's been causing me to lose my hair since I was 19 years old.
Doctor :   Please proceed with your queries
Doctor :   Ok
User :   But a few years ago, before I was diagnosed with Lyme, I was put on a 10 day trial of Prednisone for a sinus infection, and I noticed instant relief from all of my pains, and lyme symptoms... more surprisingly, my hair started growing back in around the temple!
User :   Of couse, when I stopped Prednisone, my hair stopped growing in... so my question is.. I know Prednisone is capable of regrowing hair IN the even the hair loss is caused by bacterial infection or fungal infection
Doctor :   Ok
User :   But, what about Viral infection... and is it able to regrow hair in the event the problem is thyroid or adrenalk?
Doctor :   Prednisolone is occasionally used for treatment of hair loss due to auto immune causes or endocrine disorders.
Doctor :   It can help in few thyroid problems such as thyroiditis, however in conditions
Doctor :   non thyroiditis conditions, steroid use is doubtful.
User :   OK! So, in the event that Lyme causes thyroid and adrenal issues, prednisolone can regrow hair from the insufficiency being created by the infection
User :   It also helped with visual symptoms, I had static vision where my peripheral vision was lost, and i noticed improvement there
User :   Also, i developed hypothyroid like symptoms after using oxycodone (cold hands and feet, cold intolerance)..
User :   What I'm having a hard time understanding is whether the infection is causing the hair loss, or the adrenal/thyroid issue is the problem.. So, I needed to find out if Prednisolone could regrow hair if adrenal and thyroid problems were prevelant.. Cause thats what happened in my case.. it regrew my hair
Doctor :   Infection leading inflammation can be treated with steroids, however, steroids can be a double edge sword, by meaning it can aggravate infections
Doctor :   Have you undergone thyroid function tests?
User :   Yes, and unfortunately my Free t4, reverse t3 is normal
User :   I was actually put on a trial of Armour, and I felt hyperthyroidism
Doctor :   Ok

User :   I'm now looking to an insuffienct adrenal to be the problem
User :   what do u think?
Doctor :   As there are N number of causes for hair loss, its difficult to predict the cause without a proper examination and analysis.
Doctor :   yes, lymes disease, and other bacterial and fungal infections are one among the cause,
Doctor :   the treatment is such cases are more with the use of antibiotics.
User :   I understand, but prednisolone can only regrow hair in so many cases right?
User :   I'm on a multi-directional antibiotic regimen right now including minocycline, azithromycin, bactrim, and rifampin
Doctor :   Steroid course are necessary, if there are serious inflammatory signs due to infections.
User :   unfortunately, although some of my symptoms have improved by hair loss and skin problems have not
Doctor :   If the hair loss is due to serious inflammation secondary to the infection, then yes, steroid course will help,
Doctor :   but if there are none, then you may need evaluation for other causes too.
User :   Unfortunately, I cannot be on steroids because the infection gets much worse while I'm on them. I'm actually in a much worse place because I was on the steriods, but it was the only thing that stopped the hairloss
Doctor :   Yes, that is the reason, why I am suggesting that you need to be only on antibiotics for the infection.
Doctor :   Consider getting the evaluation done for hair loss.
User :   Understood, and thats what I'm doing. My concern right now is to figure out what is causing the hair loss, and if I can treat it without being on steroids and while doing antibiotic regimen for lyme disease
User :   are there any tests u suggest in my case? im seeing a dermatologist tomorrow for a hair loss consultation
Doctor :   May I know approximately how much hair do you lose per day?
Doctor :   And are you noticing bald areas?
Doctor :   Hair fall less than 100 can be normal.
User :   It's tough to say, but it's definitely noticable around the temple, and it's in a diffused manner all over..even on the side of the head, it is thinning.
User :   i have once or twice before had nickle sized bald spots, yes.
User :   the hair is course, dark... frizzy.. it is not healthy at all.
Doctor :   You will need evaluation looking at your nutritional state, stress levels, thyroid assays, testosterone levels, biopsy from the scalp sample and so on, if there is
Doctor :   significant hair loss or there are bald patches seen.
Doctor :   Treatment will be more directed towards the cause, and of course
User :   is a biopsy safe if i have a serious infection like lyme disease?
User :   shoot im running out time
Doctor :   good nutritions, proper rest, antidandruff shampoos, proper stress management has to be considered.
User :   my main question was prednisone can stop hair loss in case of adrenal fatigue?
Doctor :   Yes,
Doctor :   it can.
Doctor :   But, I wouldn't suggest you the steroids, if I were to be your doctor.

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