Is there a new treatment for baldness? Can seborrheic dermatitis be cured?
Hello: Yesterday's television news reported on a new method for treating baldness, which involves extracting 3cc of blood and analyzing 6 hair strands for genetic testing, followed by medication based on the genetic results.
The effects seem remarkable, as it appeared that many patients experienced significant hair regrowth.
Is this just a promotional gimmick, or is there indeed a new method in the medical field? If so, could you please provide a brief explanation of the treatment, its approximate cost, and also address my concern about two areas of seborrheic dermatitis on my scalp? One area has healed with medication, but the other frequently relapses.
What could be the reason for this, and is it not curable? The ointment prescribed by my doctor is "Dermovate." Is it a steroid medication, and what are the potential effects of long-term use? Additionally, why do doctors often prescribe different medications for the same condition (seborrheic dermatitis)?
Xiang Gong, 40~49 year old female. Ask Date: 2004/02/27
Dr. Chen Yiying reply Dermatology
Hello: In response to your question, experienced dermatologists can accurately diagnose androgenetic alopecia based solely on clinical presentation.
Currently, the medical community recognizes effective treatments such as oral "Finasteride" and topical "Minoxidil" solutions.
Genetic testing is not necessary for everyone; the focus should remain on treatment, as genetic testing is often more promotional than practical.
Seborrheic dermatitis is generally more difficult to cure, but medication should still be used as prescribed during flare-ups.
The use of corticosteroids for seborrheic dermatitis under a physician's guidance is very safe, provided they are applied to the affected areas and discontinued once the condition improves.
Although the symptoms may be similar, the choice of medication may vary based on the severity of the lesions and whether the inflammation is acute or chronic, leading to the selection of different strengths and formulations.
Reply Date: 2004/02/27
More Info
The recent news report you mentioned about a new hair loss treatment involving gene testing has certainly sparked interest. However, it is essential to approach such claims with a critical eye. While genetic testing can provide insights into an individual's predisposition to certain conditions, including hair loss, the current medical consensus does not support the idea that gene testing alone can dictate a specific treatment plan that guarantees results.
In dermatology, particularly in the treatment of androgenetic alopecia (commonly known as male or female pattern baldness), the most established treatments are topical minoxidil and oral finasteride. Minoxidil, available over-the-counter, is applied directly to the scalp and has been shown to promote hair regrowth in some individuals. Finasteride, on the other hand, is a prescription medication that works by inhibiting the conversion of testosterone to dihydrotestosterone (DHT), a hormone linked to hair loss. Both treatments have been extensively studied and have proven efficacy, although results can vary from person to person.
The idea of using genetic testing to tailor treatments is still in its infancy. While it may hold promise for the future, currently, the focus remains on established therapies. The cost of these treatments can vary widely based on location and healthcare provider, but typically, minoxidil can range from $20 to $60 per month, while finasteride may cost around $30 to $80 per month, depending on insurance coverage.
Regarding your concerns about seborrheic dermatitis (脂漏性皮膚炎), it is a common skin condition that can be challenging to manage. The recurrence of symptoms, even after treatment, is not uncommon. This condition is often linked to factors such as stress, hormonal changes, and even environmental factors. The corticosteroid cream you mentioned, Dermovate (clobetasol propionate), is indeed a potent topical steroid used to reduce inflammation and control flare-ups. While effective, prolonged use of topical steroids can lead to side effects such as skin thinning, and therefore, it is crucial to use them as directed by your physician.
Doctors may prescribe different medications for seborrheic dermatitis based on the severity of the condition, the patient's response to previous treatments, and any potential side effects. This variability in treatment is due to the condition's complex nature and the need for a tailored approach to manage symptoms effectively.
In summary, while the concept of gene testing for hair loss treatment is intriguing, it is not yet a widely accepted practice in dermatology. Established treatments like minoxidil and finasteride remain the primary options for managing hair loss. For seborrheic dermatitis, a multifaceted approach is often necessary, and it is essential to work closely with a dermatologist to find the most effective treatment plan for your specific situation. Regular follow-ups and open communication with your healthcare provider can help manage both conditions effectively.
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