Patchy hair loss on the scalp?
Hello, two years ago I had circular hair loss on my scalp, and some hair has grown back since then.
However, I have been experiencing frequent pustule formation on my scalp, and sometimes I use my hands to manipulate them, which also leads to the removal of the pus and blood clots.
Currently, I still have patches of hair loss, and I have seen a doctor twice who diagnosed it as alopecia areata.
I am concerned about whether my hair will grow back and how I can improve this condition.
Thank you.
Niming, 10~19 year old female. Ask Date: 2017/01/27
Dr. Wu Yuxin reply Dermatology
It is important to seek medical treatment actively to promote hair growth as soon as possible.
Reply Date: 2017/01/27
More Info
Circular hair loss, also known as alopecia areata, is an autoimmune condition that can lead to sudden hair loss in patches. The fact that you have experienced pustules on your scalp and have been picking at them raises some concerns regarding the health of your scalp and hair follicles. It's important to understand that while alopecia areata can sometimes resolve on its own, the presence of pustules and the act of picking at them can complicate the situation and potentially lead to further hair loss or scarring.
When pustules appear on the scalp, they may indicate an underlying infection or inflammation. This could be due to various factors, including bacterial or fungal infections, or even a reaction to certain hair products. Picking at these pustules can introduce bacteria into the skin, leading to further inflammation and possibly scarring. Scarring can damage hair follicles, making it difficult for hair to regrow in those areas.
Given your history of circular hair loss and the current issues with pustules, it is crucial to seek medical attention from a dermatologist. A healthcare professional can provide a thorough examination of your scalp and may recommend treatments tailored to your specific condition. Treatments for alopecia areata can include corticosteroid injections, topical treatments, or even immunotherapy, depending on the severity and extent of hair loss.
In addition to medical treatments, there are several self-care strategies you can adopt to improve your scalp health:
1. Avoid Picking: As tempting as it may be, refrain from picking at pustules or scabs. This can exacerbate inflammation and lead to further complications.
2. Gentle Hair Care: Use mild shampoos and avoid harsh chemicals that can irritate the scalp. Look for products specifically designed for sensitive skin.
3. Scalp Hygiene: Keep your scalp clean and dry. Regular washing can help prevent the buildup of oils and products that may contribute to scalp issues.
4. Healthy Diet: A balanced diet rich in vitamins and minerals can support hair health. Consider foods high in omega-3 fatty acids, zinc, and vitamins A, C, and E.
5. Stress Management: Stress can exacerbate hair loss conditions. Engage in stress-reducing activities such as yoga, meditation, or regular exercise.
6. Follow-Up Care: Regular follow-ups with your dermatologist can help monitor your condition and adjust treatments as necessary.
In conclusion, while circular hair loss can be distressing, it is essential to approach the situation with a comprehensive plan that includes medical intervention and self-care strategies. By addressing both the alopecia areata and the pustules on your scalp, you can improve your chances of regrowing hair and maintaining a healthy scalp. Remember, early intervention is key, so do not hesitate to seek professional help.
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