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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Bald Patches On Scalp?

Hello I ve recently had two bald patches about the size of a nickel appear on my scalp, they don t itch and I have no skin irritation, they appeared about a month after I was using some stimulant free supplements like green tea extract, Tribulus, and l - car natine for a weight loss regimen I began anything information as to what it could be?
Tue, 11 Nov 2014
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Dermatologist 's  Response
Hello. Thanks for writing to us at healthcaremagic

I will keep a possibility of Alopecia Areata(AA)

Alopecia Areata(AA) is an autoimmune condition. It usually present as patches of hair loss, most commonly over the scalp but the patches can also present elsewhere like the beard, moustache in males; eyebrows; eyelashes etc
The patches of Alopecia Areata are smooth, and usually there is no evidence of inflammation like scaling or erythema or itching.
People often seek treatment because the bald patches are unsightly and are easily noticeable to others.

Various treatment options in alopecia areata in order of the choice of treatment are:

-Intra-lesional Triamcinolone acetonide: This is first line treatment in adults followed by other modalities like:
-Topical Potent steroids (Mometasone Furoate, Clobetasol propionate): Preferred in children.
-Topical Minoxidil solution
-Topical Anthralin
-Topical PUVA(psoralens +UVA therapy).

All of them are effective but intra-lesional streoids are the most accepted line of treatment and is a reproducible effective therapy for focal type of AA.
It can be repeated after 3 -4 weeks and usually hair regrow after 2 injections, given 3 weeks apart.
A dermatologist would usually administer this treatment in his office. The injection has to be placed into the patch of hair loss.

I would suggest that you visit a dermatologist in your region for the needful.

Regards
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What Causes Bald Patches On Scalp?

Hello. Thanks for writing to us at healthcaremagic I will keep a possibility of Alopecia Areata(AA) Alopecia Areata(AA) is an autoimmune condition. It usually present as patches of hair loss, most commonly over the scalp but the patches can also present elsewhere like the beard, moustache in males; eyebrows; eyelashes etc The patches of Alopecia Areata are smooth, and usually there is no evidence of inflammation like scaling or erythema or itching. People often seek treatment because the bald patches are unsightly and are easily noticeable to others. Various treatment options in alopecia areata in order of the choice of treatment are: -Intra-lesional Triamcinolone acetonide: This is first line treatment in adults followed by other modalities like: -Topical Potent steroids (Mometasone Furoate, Clobetasol propionate): Preferred in children. -Topical Minoxidil solution -Topical Anthralin -Topical PUVA(psoralens +UVA therapy). All of them are effective but intra-lesional streoids are the most accepted line of treatment and is a reproducible effective therapy for focal type of AA. It can be repeated after 3 -4 weeks and usually hair regrow after 2 injections, given 3 weeks apart. A dermatologist would usually administer this treatment in his office. The injection has to be placed into the patch of hair loss. I would suggest that you visit a dermatologist in your region for the needful. Regards