Hair and Skin Issues: Thin Hair Growth and Bumpy Skin - Dermatology

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Hair problems & skin?


1.
Since birth, I have had very little hair, and my hair is very fine and soft, growing very slowly—about 15-20 cm in six months.
Recently, I noticed that all the hair roots are as thin as a needle, and even the newly grown short hairs are the same.
Is this normal? I have been very troubled by this lately and have been trimming the ends of my hair one by one.
2.
My skin has small bumps that resemble goosebumps, with fine hairs inside.
Even if I remove them, they continue to appear all over my arms and the outer sides of my thighs.
My mother has the same issue, and she mentioned that it improved after menopause.
What could this skin condition be?

Lucy, 30~39 year old female. Ask Date: 2017/02/23

Dr. Wu Yuxin reply Dermatology


Without actually seeing the lesion, it is impossible to determine.
If it is very concerning, please seek medical attention as soon as possible.

Reply Date: 2017/02/23

More Info


When it comes to hair and skin issues, particularly regarding thin hair growth and bumpy skin, there are several factors to consider. Your concerns about having fine, slow-growing hair and the presence of bumpy skin with small hairs can be indicative of underlying conditions that may require attention.

Firstly, regarding your hair growth, it is not uncommon for individuals to have naturally fine or thin hair. However, if you have noticed a significant change in the texture or thickness of your hair, such as the hair roots resembling the size of a needle, this could be a sign of a condition known as telogen effluvium. This condition can be triggered by various factors, including stress, hormonal changes, nutritional deficiencies, or even genetic predispositions. It is essential to consult with a dermatologist or a trichologist who specializes in hair and scalp health to assess your situation accurately. They may conduct a physical examination, review your medical history, and possibly perform a scalp biopsy or blood tests to determine the cause of your hair thinning.

In terms of hair care, maintaining a healthy scalp is crucial. This includes using gentle hair care products, avoiding excessive heat styling, and ensuring you are consuming a balanced diet rich in vitamins and minerals that promote hair health, such as biotin, zinc, and omega-3 fatty acids. If your hair loss is significant, treatments such as minoxidil (Rogaine) may be recommended, which can help stimulate hair growth and prevent further loss.

Now, addressing your skin concerns, the description of your skin having bumps that resemble "chicken skin" could be indicative of a condition known as keratosis pilaris. This is a common, harmless skin condition characterized by small, gooseflesh-like bumps, often found on the upper arms, thighs, and buttocks. It occurs due to the buildup of keratin, a protein in the skin, which blocks hair follicles. While keratosis pilaris is not harmful and often improves with age, it can be treated with exfoliating creams containing alpha hydroxy acids or urea, which help to remove dead skin cells and smooth the skin's texture.

Your mention of similar skin issues in your mother suggests a potential genetic component, as keratosis pilaris can run in families. However, it is essential to note that while some skin conditions may improve with age or hormonal changes, others may require ongoing management.

In summary, both your hair and skin concerns warrant a thorough evaluation by a healthcare professional. They can provide personalized advice and treatment options based on your specific situation. In the meantime, focus on maintaining a healthy lifestyle, including a balanced diet, proper hydration, and stress management techniques, as these can significantly impact both hair and skin health.

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