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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Bald Patch On Scalp?

hello, i m a little worried as i have had a bald patch on my scalp for the past few months, i went to my doctor and they gave me TGel which has not helped atall it has only got worse. my hair is also snapping off and is thinning, do you have any idea what this could be? i am an 18 year old female. Thank you
Thu, 10 Dec 2015
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Pathologist and Microbiologist,  's  Response
Hello and welcome to HCM,
A bald patch on scalp, thinning of hair, snapping of hair at age of 18 years can occur due to various disorders like infection, hormonal disturbance or autoimmune disorder.
Clinical assessment of the scalp and hair is required.
Fungal infection can lead to loss of hair especially over the crown of head.
Hormonal disorder can lead to untimely hair loss.
Autoimmune disorder called alopecia also causes loss of hair.
Autoimmune disorders are more common in females thus, there is more possibility of autoimmune disorder as compared to infectious or hormonal disorder.
In alopecia the hair break slightly above the root and have an exclamation mark like appearance.
The hair loss leads to formation of a bald patch.
However, examination by a dermatologist is required to assess the scalp and hair.
Alopecia responds to treatment and is reversible.

Thanks and take care
Dr Shailja Puri

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Dermatologist,  Dr. Asmeet Kaur Sawhney's  Response
Hi!!Bald patch on the scalp can be due to alopecia areata which is a chronic inflammatory disease of the hair follicles. I recommend you to use a steroid like mometasone lotion on the affected area twice daily. This will help in regrowth of hair.
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What Causes Bald Patch On Scalp?

Hello and welcome to HCM, A bald patch on scalp, thinning of hair, snapping of hair at age of 18 years can occur due to various disorders like infection, hormonal disturbance or autoimmune disorder. Clinical assessment of the scalp and hair is required. Fungal infection can lead to loss of hair especially over the crown of head. Hormonal disorder can lead to untimely hair loss. Autoimmune disorder called alopecia also causes loss of hair. Autoimmune disorders are more common in females thus, there is more possibility of autoimmune disorder as compared to infectious or hormonal disorder. In alopecia the hair break slightly above the root and have an exclamation mark like appearance. The hair loss leads to formation of a bald patch. However, examination by a dermatologist is required to assess the scalp and hair. Alopecia responds to treatment and is reversible. Thanks and take care Dr Shailja Puri