Alopecia diffuse, areata
I saw a small coin size patch on back of my head near my left ear in the month of September 2015. This was alopecia areata, I visited 3 doctors. One gave me an injection just on the spot and now the patch is no more. However since that time I have hair fall from all around my scalp, this seems diffuse alopecia. This is continued till today, I lose more than 100 hairs a day. Hairs are falling from head, eyebrows, armpits, groins. Have also visited homeopathy doctor, but no relief. I read about alopecia, it says it gets triggered by some event in body. I am also having migrane. Was diagnosed for migrane in month of march last year, after which I travelled abroad for a month. But not sure what triggered alopecia. is there a cure, how much more time I have to cope with this. Should I get treated for something else. Is there any test should I go through. Just to mention, I have too much body heat, person sitting beside me can feel that. Migrane is still there, all over scalp. please help.
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Dr. Manoj Agarwala
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Thanks for the query. This is a common condition, and probably indicates a disturbed immune system. You may be having a condition called alopecia areata, if there are well defined patches of hair loss. Other diagnosis may also be possible and can be ascertained while consulting. However, this is the diagnosis most of the times. Treatment is simple and has different approaches. You need to discuss with a dermatologist to understand it at length. Skin is the mirror of internal health and to get a perfect skin you need to treat both ways - internally and externally. A healthy diet and lifestyle is mandatory to achieve results. Sometimes you can have alopecias in combination like male pattern baldness with androgenic alopecias. So better get evaluated, if needed a scalp biopsy should be done to understand it in details and which will help in treatment planning. For male pattern baldness - The treatment typically consists of usage of oral medication (Finasteride) and topical lotion (Minoxidil ). The dosage and duration is decided by your dermatologist.  You need to be patient with the treatment protocol as it takes months to see initial improvement. Certain dermatologists supplement biotin, hair serum and advice procedures like PRP therapy which may accelerate the rate of hair growth. PRP needs multiple sessions roughly at 6 weeks intervals. PRP therapy is increasingly being accepted by dermatologists all over the world. Apart from active pharmaceutical medicines, a healthy diet and lifestyle is mandatory to achieve results.
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