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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes bald patches on the head?

I have been experiencing this type of hair loss for 9 months now. Blood tests for Iron deficiency and thyroid are normal. I have undergone treatment from a dermatologist which included monthly visits for Kenalog injections and use Clobetesal nightly. I did not have an appointment this month as the thought was it may be my last affected area. Now I have 5 bald patches ranging in size from a nickel to half-dollar. It is thought that it is due to emotional stress as my husband was diagnosed with terminal cancer last January and these spots started to appear the following March. My husband is undergoing chemo with little to not side effects and the treatment will add years to his life, so one would think I would no longer be stressed, I am grateful for that. I just don't know why these are still appearing and should I consider another method of treatment. I plan to schedule another appointment with my dermatologist and I am not sure what to ask for. Could you give me some alternative choices that I may be able to ask him about? I appreciate you being there. Thank you. Claudia Crowe
Tue, 17 Jul 2018
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Dermatologist 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

You seem to be having Alopecia Areata. You can opt for PRP (platelet rejuvenation plasma) treatment where the plasma from your own blood is injected into your scalp which further strengthens your follicles and stimulates new growth. This is done once every 4-5 weeks for a minimum of 8-10 times.

Hope that helps!
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