Why Is There a Hairless Patch on My Lower Leg? - Dermatology

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Hair growth on the legs?


Doctor, why is there a small area on the inner lower leg that is hairless despite having hair on the rest of the leg?

Qū, 10~19 year old female. Ask Date: 2015/03/18

Dr. Li Yufen reply Dermatology


Hello: The distribution, quantity, and thickness of human hair are related to an individual's innate constitution.
Acquired local inflammation or injury may damage hair follicles, resulting in hair loss.
Thank you!

Reply Date: 2015/03/18

More Info


The presence of a hairless patch on your lower leg, especially if it occurs in an area where hair typically grows, can be attributed to several potential causes. Understanding the underlying reasons for this condition is essential for determining the appropriate course of action.

1. Alopecia Areata: One of the most common causes of localized hair loss is a condition known as alopecia areata. This autoimmune disorder occurs when the immune system mistakenly attacks hair follicles, leading to sudden hair loss in patches. Alopecia areata can affect any hair-bearing area, including the legs. The affected areas may appear smooth and devoid of hair, and the skin may not show any signs of irritation or inflammation.

2. Traction Alopecia: If there has been any form of trauma or consistent pulling on the hair in that area, it could lead to traction alopecia. This is more common in individuals who frequently wear tight clothing or engage in activities that may stress the hair follicles.

3. Folliculitis: Inflammation of the hair follicles, known as folliculitis, can also lead to hair loss in specific areas. This condition can be caused by bacterial or fungal infections, leading to irritation and subsequent hair loss.

4. Skin Conditions: Certain skin conditions, such as eczema or psoriasis, can affect hair growth. If the skin in the hairless area appears red, itchy, or scaly, it may indicate an underlying dermatological issue that requires attention.

5. Nutritional Deficiencies: Hair growth can be influenced by nutritional factors. Deficiencies in essential vitamins and minerals, such as iron, zinc, and biotin, can lead to hair thinning or loss. If you suspect that your diet may be lacking, it might be worth consulting with a healthcare provider or a nutritionist.

6. Hormonal Changes: Hormonal fluctuations can also impact hair growth. Conditions such as polycystic ovary syndrome (PCOS) or thyroid disorders can lead to changes in hair distribution and density.

7. Genetic Factors: Family history can play a role in hair growth patterns. If there is a history of hair loss or thinning in your family, it may be a contributing factor.

8. Injury or Scarring: If there has been any injury to the skin in that area, such as cuts, burns, or surgical scars, it could result in hair loss due to damage to the hair follicles.

If you are experiencing a hairless patch on your lower leg, it is advisable to consult a dermatologist or healthcare provider for a thorough evaluation. They can conduct a physical examination, review your medical history, and possibly perform tests to determine the underlying cause of the hair loss. Depending on the diagnosis, treatment options may include topical medications, lifestyle changes, or other interventions to promote hair regrowth and address any underlying conditions.

In summary, while a hairless patch on your lower leg can be concerning, understanding the potential causes can help you seek appropriate care. Early intervention can often lead to better outcomes, so don’t hesitate to reach out to a medical professional for guidance.

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