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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Boggy Scalp, Scar, Change In Texture And Health. Is It Lipidemous Alopecia?

I am almost certain that I have lipidemous alopecia . I know its rare, but every bizzare symptom fits; Areas of hair that will not grow past a few centimeters, initially boggy scalp at the crown, that went away leaving what felt like a huge scar it its place. EXTREME change in texture and health of my hair. It very much fits the wooley discription of this disease. I also remember the strange sensation of tightening, pulling and mild itching in my scalp as it spread from the top down over several months time. I am in constant pain. Water on the scalp and hair is the only thing that gives relief. Oils do not help at all. My doctors have no answers and a punch biopsy revealed no fungal infection . My scalp looks unremarkable, I know because I was in so much pain I shaved it. Out of vanity I let it grow back, but bald is better because hair with little oil is matted and painful. I also have swollen lyph nodes on the back of my neck at all times. Antibiotics reduce them when they flare. Blood tests reveal nothing. I am otherwise healthy except for very high tryglycerides than I have since reduced from 450 to 250. What can I do? There is no cure. I don t have the money to get the CT scan that proves this condition, and if anything this thickness has decreased but all the other symptoms remain.
Sat, 12 Oct 2013
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Dermatologist 's  Response
Hi,
After reading your history it appears that you might have developed secondary infection over the scalp area. I advise you to not pinch or pop the area. You can apply an antibiotic cream such as gentamycin cream. Antibiotic tablet s are must such as ciprofloxacin and metronidazole under medical advise. If itching is present then can take benadryl accordingly. Consult your surgeon for checking the aggravating factor. You can take pain killer like Ibuprofen or paracetamol or diclofenac according to the pain severity.
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Boggy Scalp, Scar, Change In Texture And Health. Is It Lipidemous Alopecia?

Hi, After reading your history it appears that you might have developed secondary infection over the scalp area. I advise you to not pinch or pop the area. You can apply an antibiotic cream such as gentamycin cream. Antibiotic tablet s are must such as ciprofloxacin and metronidazole under medical advise. If itching is present then can take benadryl accordingly. Consult your surgeon for checking the aggravating factor. You can take pain killer like Ibuprofen or paracetamol or diclofenac according to the pain severity.