Hair Loss: Causes, Concerns, and Where to Get Help - Dermatology

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Hair loss issues


Hello Dr.
Jiang: Recently, I have noticed that my hair is thinning more and more.
There is no family history of baldness.
Five years ago, I had an immune system disorder, and the doctor diagnosed it as ankylosing spondylitis.
I have been taking steroids for over two years, and I am unsure if this has had an impact.
I would like to get checked, but I don't know where to go for a thorough examination.
Could you recommend a clinic that provides detailed assessments, preferably near Taichung or Nantou? Thank you!

weiyin, 20~29 year old female. Ask Date: 2006/03/24

Dr. Zheng Lizhen reply Dermatology


Hello, which area is experiencing more hair loss? Is there any inflammation or scarring on the scalp? You may visit a nearby teaching hospital's dermatology department for consultation.
The specialists can determine if the hair loss is related to an autoimmune disease and provide relevant tests.
Taichung Veterans General Hospital, China Medical University Hospital, and Chung Shan Medical University all offer such tests.
Generally, ankylosing spondylitis does not cause hair loss; however, insufficient sleep or poor emotional health can lead to hair shedding, which is classified as telogen effluvium.
After some time, the hair will regrow.
Sincerely, Dr.
Cheng Li-Chen, Dermatology.

Reply Date: 2006/03/24

More Info


Hello! Thank you for reaching out with your concerns about hair loss. It's understandable to feel anxious when noticing changes in your hair, especially when there is no family history of baldness. Hair loss can be a complex issue with various underlying causes, and it’s important to approach it systematically.


Understanding Hair Loss
Hair loss, or alopecia, can occur due to a multitude of factors, including genetics, hormonal changes, medical conditions, medications, and lifestyle factors. Given your history of autoimmune issues and the use of corticosteroids for ankylosing spondylitis, it’s possible that these factors could be contributing to your hair loss. Corticosteroids can affect hair growth, and autoimmune conditions can lead to various forms of hair loss, including alopecia areata.


Common Causes of Hair Loss
1. Genetic Factors: While you mentioned that there is no family history of baldness, it’s worth noting that genetic predisposition can still play a role in hair thinning or loss.

2. Hormonal Changes: Conditions such as thyroid disorders or hormonal imbalances can lead to hair loss. It might be beneficial to have your hormone levels checked.

3. Medical Conditions: Autoimmune diseases, like the one you mentioned, can lead to hair loss. Other conditions, such as iron deficiency anemia or scalp infections, can also contribute.

4. Medications: Certain medications, including corticosteroids, can have side effects that include hair loss. It’s important to discuss your current medications with your healthcare provider.

5. Stress and Lifestyle: High stress levels can lead to a type of hair loss called telogen effluvium, where hair follicles enter a resting phase and shed more than usual.


Where to Seek Help
Given your situation, it would be advisable to consult with a dermatologist who specializes in hair loss. They can perform a thorough examination, take a detailed medical history, and possibly conduct blood tests to rule out underlying conditions. In the Taichung or Nantou area, you might consider visiting a reputable dermatology clinic or a specialized hair loss center. Look for clinics that offer comprehensive evaluations, including scalp examinations and blood tests.


Recommendations for Next Steps
1. Consult a Dermatologist: Find a dermatologist who has experience in treating hair loss. They can provide a tailored approach based on your medical history and current symptoms.

2. Blood Tests: Request tests to check for thyroid function, iron levels, and other potential deficiencies that could be contributing to your hair loss.

3. Stress Management: Consider incorporating stress-reducing activities into your routine, such as yoga, meditation, or regular exercise, as stress can exacerbate hair loss.

4. Healthy Diet: Ensure you are consuming a balanced diet rich in vitamins and minerals that support hair health, such as biotin, zinc, and omega-3 fatty acids.

5. Avoid Harsh Treatments: Be gentle with your hair. Avoid harsh chemicals, excessive heat styling, and tight hairstyles that can cause traction alopecia.


Conclusion
Hair loss can be distressing, but understanding the potential causes and seeking the right help can lead to effective management. It’s essential to address both the physical and emotional aspects of hair loss. Remember, you are not alone in this, and with the right support and treatment, there are ways to improve your situation. Don’t hesitate to reach out to a healthcare professional who can guide you through this process. Best of luck, and take care!

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