Hair Loss: Causes and Medication Effects Explained - Dermatology

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Dear Dr.
Cheng: I am experiencing abnormal hair loss in patches and am unsure what condition this might be.
Could it be related to the medications I am taking?

Jin Gang, 30~39 year old female. Ask Date: 2000/11/23

Dr. Zheng Lizhen reply Dermatology


Based on your description, I cannot provide you with an accurate answer, as there are many conditions that can cause patchy hair loss, such as alopecia areata, syphilis, lupus, leprosy, tinea capitis, trauma, and trichotillomania, among others.
I recommend that you consult a dermatologist for an accurate diagnosis and treatment.

Reply Date: 2000/11/23

More Info


Understanding hair loss can be a complex issue, as it can stem from a variety of causes, including genetic factors, hormonal changes, medical conditions, and even psychological stress. In your case, the sudden and patchy hair loss you are experiencing may be indicative of a condition known as alopecia areata, which is an autoimmune disorder that leads to hair loss in patches. However, it is essential to consider other factors, including medication effects, emotional stress, and underlying health issues.

1. Medication Effects: Certain medications can indeed contribute to hair loss. Common culprits include those used for treating high blood pressure, depression, and other chronic conditions. If you are taking medications, it is crucial to consult with your prescribing physician or a pharmacist to determine if your hair loss could be a side effect of your medication. Some medications can disrupt the hair growth cycle, leading to increased shedding or hair loss.

2. Psychological Stress: Emotional stress can also play a significant role in hair loss. Stress can trigger a condition called telogen effluvium, where hair follicles prematurely enter the resting phase of the hair growth cycle, leading to increased shedding. Given your mention of stress from work and personal loss, it is plausible that psychological factors are contributing to your hair loss. Managing stress through therapy, mindfulness, or other coping strategies can be beneficial.

3. Hormonal Changes: Hormonal imbalances, particularly those related to androgens (male hormones), can lead to hair thinning and loss. This is often seen in conditions like polycystic ovary syndrome (PCOS) in women, where elevated androgen levels can cause thinning hair. If you suspect hormonal issues, it may be worth discussing this with your healthcare provider.

4. Nutritional Factors: A well-balanced diet is crucial for maintaining healthy hair. Deficiencies in essential nutrients such as iron, zinc, and vitamins (especially B vitamins and vitamin D) can lead to hair loss. Ensuring you have a diet rich in these nutrients can help support hair health.

5. Scalp Health: The condition of your scalp can also affect hair growth. Conditions like seborrheic dermatitis or fungal infections can lead to hair loss. If you notice any unusual symptoms on your scalp, such as redness, itching, or flaking, it may be worth consulting a dermatologist.

6. Diagnosis and Treatment: To determine the exact cause of your hair loss, a thorough evaluation by a healthcare professional is necessary. This may include a physical examination, blood tests to check for hormonal levels and nutritional deficiencies, and possibly a scalp biopsy if an autoimmune condition is suspected. Treatment options vary depending on the underlying cause and may include topical treatments, oral medications, or lifestyle changes.

In conclusion, hair loss can be multifactorial, and understanding the underlying causes is crucial for effective treatment. If you are experiencing significant hair loss, it is advisable to seek a comprehensive evaluation from a healthcare provider who can guide you through the diagnostic process and recommend appropriate interventions. Addressing both the physical and emotional aspects of hair loss can lead to better outcomes and improved overall well-being.

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