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Suggest treatment for alopecia areata

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Posted on Wed, 9 Jul 2014
Question: I am suffering from Alopecia areata barbae fron 5-6 month. I went to skin doctor he gave some creame HHSone but i dont see any hair growth, instead i am seeing now more unhair places in my beard. I need ayurvedic treatment for this. Please help me.
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Answered by Dr. Kalpana Pathak (1 hour later)
Brief Answer:
you need oral or intralesional steroids

Detailed Answer:
Hi,
Thanks for writing to us.
I have seen the pic attached and its rightly diagnosed as alopecia areata.
As the lesions are progressing, simply applying a steroid cream wont help.
If there are just one or two patches, then intralesional steroid triamcinolone in dose of 2.5 mg to 10mg/ml given fortnightly along with steroid cream( hhsone applied twice daily) and minoxidil in combination with irritants like azelaic acid and tretinoin(minokem N, applied once daily should help). It might take a month's time to see complete response.

If at all the patches are increasing fast in number and size, then oral XXXXXXX pulse of steroid should be started along with above mentioned topical therapy. We usually prescribe tablet betamethasone( betnesol forte) on 2 consecutive days according to body weight.

Please meet a qualified dermatologist or consult your previous dermatologist as alopecia areata can be easily controlled.
Hope this helped
Take care

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Kalpana Pathak

Dermatologist

Practicing since :2006

Answered : 2014 Questions

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Suggest treatment for alopecia areata

Brief Answer: you need oral or intralesional steroids Detailed Answer: Hi, Thanks for writing to us. I have seen the pic attached and its rightly diagnosed as alopecia areata. As the lesions are progressing, simply applying a steroid cream wont help. If there are just one or two patches, then intralesional steroid triamcinolone in dose of 2.5 mg to 10mg/ml given fortnightly along with steroid cream( hhsone applied twice daily) and minoxidil in combination with irritants like azelaic acid and tretinoin(minokem N, applied once daily should help). It might take a month's time to see complete response. If at all the patches are increasing fast in number and size, then oral XXXXXXX pulse of steroid should be started along with above mentioned topical therapy. We usually prescribe tablet betamethasone( betnesol forte) on 2 consecutive days according to body weight. Please meet a qualified dermatologist or consult your previous dermatologist as alopecia areata can be easily controlled. Hope this helped Take care