Hair Thinning and Pore Calcification: Expert Advice - Dermatology

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Hair is slightly thinning... follicular calcification?


Hello Dr.
Tsai,
I am 21 years old, but I have noticed that my hair on the top of my head is a bit thinning.
I don't have a lot of hair, and it seems like this wasn't an issue before; I've only noticed it in recent years.
I'm not sure what the cause is.
Could it be due to using Gatsby white hair wax or a poor shampoo? Is it okay to use Johnson's baby shampoo? Additionally, I've noticed some white hairs at the back of my head in recent years, and I'm quite worried about that.
Is there anything I should pay attention to? Should I increase my intake of certain foods or vitamins? Are there any dietary considerations I should be aware of?
Also, I have small, bump-like spots on my arms and limbs that resemble acne.
I saw a doctor when I was younger, and they said it was pore calcification and that it would resolve as I grew older.
However, it has been over five years, and it hasn't improved.
What should I do? Is there any specific food or vitamin I should take? Are there any dietary considerations I should keep in mind?
Thank you,
Steve

Steve, 20~29 year old female. Ask Date: 2007/09/12

Dr. Cai Changlin reply Dermatology


Hello, in response to your questions.
Regarding your first question about hair thinning, there are many causes ranging from external factors to internal genetic factors, and the manifestations of hair thinning can vary.
It is essential to have an in-person examination and some tests to gather further clues for diagnosis.
I recommend that you consult a nearby dermatologist for assistance.

As for your second question, although I haven't seen it firsthand, I suspect it may be keratosis pilaris.
Many patients with this condition primarily have it due to their genetic predisposition.
Currently, there is no definitive cure, but some topical treatments can help improve and manage the condition.
Diet typically does not have a significant impact.

Reply Date: 2007/09/12

More Info


Hello Steve,
Thank you for reaching out with your concerns about hair thinning and pore calcification. At 21 years old, noticing changes in your hair density can be concerning, but it’s important to understand that various factors can contribute to these changes, including genetics, lifestyle, and even the products you use.


Hair Thinning
1. Causes of Hair Thinning: Hair thinning can be attributed to a variety of factors. Genetic predisposition is a significant contributor, especially if there is a family history of hair loss. Hormonal changes, stress, nutritional deficiencies, and certain medical conditions can also play a role. It's worth noting that using styling products like hair wax or certain shampoos can sometimes lead to buildup on the scalp, which may affect hair health.

2. Product Use: You mentioned using Gatsby hair wax and a specific shampoo. While these products may not directly cause hair loss, they can contribute to scalp issues if they lead to buildup or irritation. Switching to a gentle, sulfate-free shampoo may help. The Johnson's Baby Shampoo you mentioned is generally mild and may be a good option for reducing irritation.

3. Diet and Nutrition: A balanced diet rich in vitamins and minerals is crucial for maintaining healthy hair. Key nutrients include:
- Biotin: Found in eggs, nuts, and whole grains, biotin is known to support hair health.

- Zinc: Present in meat, shellfish, legumes, and seeds, zinc plays a role in hair tissue growth and repair.

- Iron: Found in red meat, spinach, and lentils, iron deficiency can lead to hair loss.

- Omega-3 Fatty Acids: These are found in fish, flaxseeds, and walnuts and can help nourish hair follicles.

4. Vitamins: Consider a multivitamin that includes B vitamins, vitamin D, and vitamin E, as these are essential for hair health. However, it's best to consult with a healthcare provider before starting any new supplements.


Pore Calcification
1. Understanding Pore Calcification: The condition you described as "毛孔鈣化" (pore calcification) may refer to a type of keratosis, which is a common skin condition where small bumps form due to the buildup of keratin. This is often harmless but can be bothersome.

2. Management: While many people find that these bumps improve over time, there are treatments available if they are persistent. Topical treatments containing salicylic acid or urea can help exfoliate the skin and reduce the appearance of these bumps. Consulting a dermatologist for personalized treatment options would be beneficial.

3. Dietary Considerations: While there is no specific diet that directly affects pore calcification, maintaining overall skin health through hydration and a balanced diet can be beneficial. Foods rich in antioxidants, such as fruits and vegetables, can support skin health.


Conclusion
In summary, hair thinning at your age can be influenced by a variety of factors, including genetics and product use. It’s advisable to switch to gentler hair care products and ensure you’re consuming a balanced diet rich in essential nutrients. For the pore calcification, consider consulting a dermatologist for appropriate treatments. Remember, managing stress and maintaining a healthy lifestyle can also significantly impact both hair and skin health.

If you have further questions or concerns, don’t hesitate to reach out to a healthcare professional for personalized advice. Take care!

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