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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Cause For Hair Thinning And Itchy Scalp?

hi i have a very itchy scalp in middle of crown area, its kinda off and on, and i take real good care of my hair but that hair in that spot will grow and there is no baldness but the hair there is thinning and it will break could you please tell me what is your opinion on what i should do.
Fri, 9 May 2014
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Dermatologist 's  Response
Hello and welcome to healthcaremagic

I have gone through your concern and I have understood it. I would keep possibility of seborrheic dermatitis and Androgenetic Alopecia.

Dandruff or seborrheic dermatitis is an important cause of increased hair shedding. Dandruff is bound to recur again, therefore people with dandruff should use an antidandruff shampoo to keep the dandruff under check, rather than using a regular shampoo.

If I was your treating doctor I would have asked you to use an antidandruff lotion/shampoo. My choice is 2% ketoconazole shampoo thrice weekly for 2-4 weeks followed by once or twice weekly for maintenance. It is available OTC as Nizral 2% solution.

For Androgenetic Alopecia, Treatment modalities include Topical Minoxodil 5%(Mintop Forte) and oral finasteride. While minoxidil is a non-specific hair growth promoter, finasteride is specific for androgenetic alopecia, it inhibits as well as reverses miniaturization. There are well controlled trials and US FDA approval for them for this kind of hair loss in males.
hope this helps you

regards
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Cause For Hair Thinning And Itchy Scalp?

Hello and welcome to healthcaremagic I have gone through your concern and I have understood it. I would keep possibility of seborrheic dermatitis and Androgenetic Alopecia. Dandruff or seborrheic dermatitis is an important cause of increased hair shedding. Dandruff is bound to recur again, therefore people with dandruff should use an antidandruff shampoo to keep the dandruff under check, rather than using a regular shampoo. If I was your treating doctor I would have asked you to use an antidandruff lotion/shampoo. My choice is 2% ketoconazole shampoo thrice weekly for 2-4 weeks followed by once or twice weekly for maintenance. It is available OTC as Nizral 2% solution. For Androgenetic Alopecia, Treatment modalities include Topical Minoxodil 5%(Mintop Forte) and oral finasteride. While minoxidil is a non-specific hair growth promoter, finasteride is specific for androgenetic alopecia, it inhibits as well as reverses miniaturization. There are well controlled trials and US FDA approval for them for this kind of hair loss in males. hope this helps you regards