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Solitary patch of hair loss on my vertex
Clinical Presentation:
Morphology: Approx 3cm circular patch. The center is smooth. The border shows roughness, which appears to be short, broken hairs.
Sensory Deficit (Crucial): I have tested the area with thermal (ice) and mechanical (pin) stimuli. The patch shows definite Hypoesthesia (diminished sensation) compared to the surrounding scalp. It is not totally anesthetic but significantly duller.
Associated Symptoms: No itch in the spot itself. However, the rest of my scalp has severe dandruff and pruritus (I recently stopped using shampoo).
My Concern:
Given the hypopigmentation and sensory loss, I am worried about Hansen’s Disease (PB) vs. Alopecia Areata vs. Tinea Capitis.
Questions:
Based on the morphology (smooth center, broken hair border), does this look more like autoimmune or infectious?
Does the sensory loss warrant an immediate biopsy/slit skin smear?
What is the recommended immediate course of action?"
Answers (7)
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Young man....
There are so many good dermatologist' in Bengaluru... please visit one of us or consult us Online with good clear pics.
You history is detailed but you appear to have consulted Dr Google or Dr Chat GPT for your differentials and got yourself all worked up.
This is how stress is built up and perpetuated. RELAX and if you want an accurate diagnosis, a skin biopsy and histopathological analysis is key.
Having said that, clinical pics can also be used to treat your condition.
Yes Alopecia Areata and Fungal infection can both be differential diagnosis' since you brought it up but a pucca picture will be clear upon more closer clinical inspection and/or biopsy as suggested.
A Favourable outcome is guaranteed and it will be sorted.
Godspeed 🙏
Next Steps
Online or In-person Consultation with your Dermatologist
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Avoid social media 🔎 searches to arrive at a diagnosis and treatment for a medical condition that may put undue stress on you.
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Please consult online to get the know the exact cause and treatment
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Like to be alopecia areata
Better get examined
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Consult
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This needs detailed history and examination with pictures. Do not worry it has tests to diagnose the disease.
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You can do online consultation with clinical pictures for medication ls
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Dr. Sonia Tekchandani
Dermatologist
40 yrs exp
Mumbai
Hello, would suggest an online consultation with Doctor. Please send photos of the concerned areas. Need to take detailed history for proper evaluation. Will prescribe medication accordingly.
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Dr. Rashmi Nandwana
Dermatologist
19 yrs exp
Noida
Kindly consult online for proper treatment and guidance.
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Dr. Arpita
Dermatologist
15 yrs exp
Ahmedabad
No need to worry.specific treatment is available.it depends on severity of the disease . Complete medical history is required..
Pls do online consultation with Dermatologist for detailed prescription & guidance.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.