Hair Loss: Autoimmune Disorders and Seborrheic Dermatitis - Dermatology

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Autoimmune diseases, hair issues, seborrheic dermatitis?


I can clearly see my scalp on the top of my head, and I've noticed this for several years now.
I have undergone blood tests for hormones at a gynecologist, thyroid tests at a family medicine clinic, and skin examinations (currently trying topical treatments).
Since all tests have shown no abnormalities, my hair on the top of my head continues to thin.
Could issues with my immune system or autonomic nervous system (I also experience tinnitus and occasional shortness of breath) be contributing to my hair loss? Is the tendency for oily scalp, allergies, or itching related to seborrheic dermatitis? Can minoxidil help with hair growth? What adjustments can I make in my daily routine? I really hope to see some improvement.
Thank you.

Lian, 20~29 year old female. Ask Date: 2022/02/08

Dr. Wu Yuxin reply Dermatology


To determine the cause of hair loss, the treatment methods will vary, and Minoxidil may not be effective for all types of hair loss.
It is essential to seek medical attention first, as any subsequent discussions would be hypothetical and cannot be confirmed without an actual examination of the condition.

Reply Date: 2022/02/08

More Info


Understanding hair loss, particularly in the context of autoimmune disorders and seborrheic dermatitis, requires a comprehensive approach that considers various factors, including hormonal imbalances, skin conditions, and lifestyle choices.


Autoimmune Disorders and Hair Loss
Autoimmune disorders can indeed contribute to hair loss. Conditions such as alopecia areata, where the immune system mistakenly attacks hair follicles, can lead to sudden hair loss. While your tests have not indicated any autoimmune issues, it is essential to consider that some autoimmune conditions may not always show up in standard blood tests. If you suspect an autoimmune disorder, it may be worthwhile to consult with a specialist who can conduct more specific tests or assessments.


Seborrheic Dermatitis and Its Impact
Seborrheic dermatitis is a common skin condition that can cause red, flaky, and itchy patches on the scalp. It is often associated with an overproduction of oil and can lead to dandruff. This condition can exacerbate hair loss due to inflammation and irritation of the hair follicles. If you are experiencing scalp itchiness and oiliness, it is likely related to seborrheic dermatitis. Treatments typically include medicated shampoos containing ingredients like ketoconazole or selenium sulfide, which can help reduce inflammation and control the condition.


Hormonal Factors
Hormonal imbalances can also play a significant role in hair loss. Conditions such as polycystic ovary syndrome (PCOS) can lead to elevated androgen levels, which may cause thinning hair. Since you have already undergone hormonal testing, it may be beneficial to follow up with an endocrinologist if you continue to experience symptoms that suggest hormonal issues.

Lifestyle and Stress Management
Your mention of tinnitus and occasional shortness of breath suggests that you may be experiencing stress or anxiety, which can also contribute to hair loss. Stress can trigger a type of hair loss known as telogen effluvium, where hair follicles enter a resting phase and shed more than usual. Managing stress through relaxation techniques, regular exercise, and adequate sleep can be beneficial.

Dietary Considerations
Nutrition plays a crucial role in hair health. Ensure you are consuming a balanced diet rich in vitamins and minerals, particularly those known to support hair growth, such as biotin, zinc, and vitamins A, C, D, and E. Omega-3 fatty acids, found in fish and flaxseeds, can also promote scalp health.


Treatment Options
Regarding your question about "必賴克廔" (likely referring to a specific medication or treatment), it is essential to consult with your healthcare provider to determine if it is appropriate for your situation. Treatments for hair loss can vary widely, from topical minoxidil to oral medications, depending on the underlying cause.


Conclusion
In summary, hair loss can be multifactorial, involving autoimmune responses, skin conditions like seborrheic dermatitis, hormonal imbalances, and lifestyle factors. It is crucial to continue working with healthcare professionals to explore these avenues further. Regular follow-ups, possibly with a dermatologist or an endocrinologist, may provide additional insights and treatment options. Additionally, focusing on stress management, nutrition, and scalp care can contribute positively to your overall hair health.

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