Scalp Issues: Seborrheic Dermatitis and Hair Loss Concerns - Dermatology

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Scalp issues


I would like to ask the doctor...
For the past month or two, my scalp has been itchy and sometimes feels warm, with pain.
When I press on certain areas of my scalp, it also hurts (the affected areas have been losing more hair).
After feeling something unusual, I went to a dermatology clinic.
I described my symptoms, and the doctor said it was seborrheic dermatitis.
Will my hair not grow back? Two weeks ago, I visited Chang Gung Memorial Hospital, and the doctor prescribed a bottle of Polytar shampoo for me to use, along with topical medication.
Some of the symptoms have improved, but recently, there are still some areas on my scalp that hurt when pressed.
I have folliculitis...
I will be going back to Chang Gung on Wednesday.
Is it too late for a follow-up? Will my hair follicles be dead? Will my hair not grow back? I developed seborrheic dermatitis this winter, and my hair has been falling out a lot.
I'm really worried...
I'm concerned about how this will affect my appearance.
Thank you for your help...

SNOOPY, 10~19 year old female. Ask Date: 2005/01/01

Dr. Huang Ruiyun reply Dermatology


Seborrheic dermatitis itself does not cause permanent hair loss, so there is no need to worry too much.
Please return for a follow-up appointment at Chang Gung on Wednesday.

Reply Date: 2005/01/01

More Info


Seborrheic dermatitis is a common skin condition that affects the scalp and can lead to various symptoms, including itching, redness, and flaking. It is often characterized by the presence of oily patches, dandruff, and in some cases, hair loss. Your concerns about hair loss and scalp discomfort are valid, especially since seborrheic dermatitis can exacerbate hair thinning due to inflammation and irritation of the hair follicles.

When seborrheic dermatitis occurs, it can lead to a cycle of itching and scratching, which may further irritate the scalp and potentially damage hair follicles. This inflammation can disrupt the normal hair growth cycle, leading to hair shedding. However, it is important to note that not all hair loss associated with seborrheic dermatitis is permanent. If the underlying condition is effectively managed, there is a good chance that hair regrowth can occur.

In your case, it seems that you have already sought medical advice and received treatment, including medicated shampoos and topical medications. The use of products like Polytar, which contains coal tar, can help reduce scaling and inflammation. Additionally, the topical medications prescribed by your doctor are likely aimed at reducing inflammation and controlling the symptoms of seborrheic dermatitis.

It is crucial to follow up with your dermatologist, especially since you are experiencing pain and discomfort in certain areas of your scalp. The presence of pain could indicate ongoing inflammation or irritation, and it is essential to address this to prevent further complications. Your concern about the potential for hair follicles to become permanently damaged is understandable, but timely intervention can often prevent this from happening.

As for your question about whether it is too late for hair regrowth, it is generally advisable to seek treatment as soon as possible when experiencing symptoms of seborrheic dermatitis and hair loss. The sooner you address the inflammation and irritation, the better the chances for recovery. Your upcoming appointment with your dermatologist is an excellent opportunity to discuss your concerns and explore additional treatment options if necessary.

In addition to medical treatments, consider implementing lifestyle changes that may support scalp health. This includes managing stress, as stress can exacerbate seborrheic dermatitis. Ensuring you get adequate sleep, maintaining a balanced diet, and avoiding harsh hair products can also contribute to a healthier scalp environment.

In summary, while seborrheic dermatitis can lead to hair loss, effective management of the condition can promote hair regrowth. It is essential to continue working closely with your dermatologist to monitor your symptoms and adjust your treatment plan as needed. Remember, many individuals with seborrheic dermatitis successfully manage their symptoms and experience hair regrowth with appropriate care and treatment.

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