Scalp Care for Atopic Dermatitis and Stress-Related Hair Loss - Dermatology

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Scalp care


Hello, Dr.
Huang...
I would like to ask you a question.
I have atopic dermatitis and an allergic constitution.
I usually use La Roche-Posay Hydraphase to care for my skin.
Recently, I saw that La Roche-Posay also has a shampoo for treating seborrheic dermatitis.
Today, I bought the Gentle Cleansing Shampoo and the Kerium Anti-Dandruff Shampoo.
I would like to know if La Roche-Posay products are effective as well, since I have been using Polytar before and now I want to switch to something else.
Lastly, I want to ask...
my dermatologist said that my anxiety about hair loss is causing stress-related hair loss.
However, I do not have bald patches like alopecia areata.
I originally thought that stress-related hair loss was alopecia areata, but my entire scalp has become thinner.
From certain angles, I can see my scalp in some areas.
Is this considered stress-induced hair loss? I initially thought it was androgenetic alopecia, but after a visual examination, the doctor said it is not.
He also mentioned that although my dermatitis has improved significantly, my excessive worry about hair loss has caused a large number of hairs to enter the telogen phase.
The doctor said that as long as I relieve my stress, my hair will gradually recover in about 6 months to a year.
I apologize for asking so many questions...
Thank you! n_n

Weijifen, 10~19 year old female. Ask Date: 2005/03/01

Dr. Huang Ruiyun reply Dermatology


Whether a shampoo is suitable for you can only be determined by personal experience.
This is known as telogen effluvium; the more you worry about it, the worse it can get.
Don't create unnecessary stress for yourself.

Reply Date: 2005/03/01

More Info


Managing scalp care for atopic dermatitis and stress-related hair loss can be quite challenging, especially when dealing with the complexities of skin conditions and emotional stress. Atopic dermatitis, also known as eczema, is a chronic inflammatory skin condition that can lead to dry, itchy, and inflamed skin. It often requires a multifaceted approach to treatment, including topical therapies, lifestyle modifications, and stress management techniques.

Firstly, regarding the use of skincare products like the "理膚保水" (La Roche-Posay) line, it is essential to choose products that are specifically formulated for sensitive skin. These products often contain soothing ingredients that can help alleviate irritation and maintain skin hydration. If you have found that these products work well for your skin, it may be beneficial to continue using them. The gentle cleansing and moisturizing properties of these products can be particularly helpful in managing atopic dermatitis.

When it comes to shampoos, you mentioned trying a gentle conditioning shampoo and an anti-dandruff shampoo. It is crucial to select shampoos that are free from harsh chemicals, fragrances, and sulfates, as these can exacerbate scalp irritation. The "沙力克抗屑洗髮精" (Selsun Blue) is known for its active ingredients that can help control dandruff and soothe the scalp. However, always monitor how your scalp reacts to new products, as individual responses can vary.

As for your concern about stress-related hair loss, it is indeed a recognized phenomenon. Stress can trigger a condition known as telogen effluvium, where hair follicles prematurely enter the resting phase, leading to noticeable hair thinning. This type of hair loss is typically temporary, and as your dermatologist mentioned, addressing the underlying stress can lead to gradual recovery over several months. Techniques such as mindfulness, meditation, regular exercise, and adequate sleep can significantly help in managing stress levels.

It's also worth noting that while you may not have classic signs of alopecia areata (which presents as patchy hair loss), the thinning of hair across the scalp can still be attributed to stress. The key is to focus on reducing anxiety and promoting a healthy scalp environment. Regular scalp massages, maintaining a balanced diet rich in vitamins and minerals (especially biotin, zinc, and omega-3 fatty acids), and staying hydrated can support hair health.

If you are considering using hair growth products like minoxidil (often referred to by its brand name, Rogaine), it is generally safe to use alongside treatments for scalp conditions, provided that your scalp is not inflamed or broken. However, it is always best to consult with your dermatologist before starting any new treatment to ensure it aligns with your current skincare regimen and health conditions.

In summary, managing atopic dermatitis and stress-related hair loss requires a comprehensive approach that includes gentle skincare products, effective stress management techniques, and possibly the incorporation of hair growth treatments under medical guidance. By focusing on both your physical and emotional well-being, you can create a conducive environment for hair regrowth and scalp health. Remember, patience is key, as recovery can take time, but with the right strategies, improvement is certainly achievable.

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