Scalp injury
Hello Dr.
Wu, I am from Changhua.
On November 15th (Sunday), I learned that my girlfriend (27 years old) had an issue with dandruff in middle school, which led her father to mistakenly apply alcohol to her scalp (twice, as she described).
It wasn't until college that a classmate jokingly pointed out her thinning hair that she realized the alcohol had damaged her scalp, making it prone to redness and swelling, as well as hair loss (which a dermatologist confirmed during a hospital visit).
My girlfriend, who cares about her appearance, has had to wear hairpieces when going out, which has made her feel somewhat insecure.
Over the years, she has explored many methods to treat her scalp issues, but none have proven effective so far.
Therefore, I would like to ask if you have any medical advice that could help improve her hair condition.
Today, I happened to meet a friend at work who introduced me to black rice grown in Tianzhong and Xizhou, which is rich in anthocyanins.
I heard that anthocyanins are beneficial for the scalp and eyes, so I bought some to give to my girlfriend.
Thank you, doctor!
Zhanghua Mr. Li, 30~39 year old female. Ask Date: 2015/11/16
Dr. Wu Yuxin reply Dermatology
Alcohol is not likely to cause damage to the hair or hair follicles; there should be other reasons for the issue.
Without actually seeing the lesions, it is not possible to confirm the diagnosis.
It is recommended to have a dermatologist evaluate the condition for accurate assessment.
Reply Date: 2015/11/16
More Info
Scalp injuries can arise from various causes, including chemical exposure, trauma, and underlying medical conditions. In your girlfriend's case, the use of alcohol on her scalp during her teenage years has led to significant issues, including inflammation, hair thinning, and psychological distress. Understanding the causes, effects, and treatment options for scalp injuries is crucial for managing her condition effectively.
Causes of Scalp Injuries
1. Chemical Exposure: As in your girlfriend's case, the application of harsh chemicals like alcohol can damage the scalp's skin barrier. This can lead to irritation, inflammation, and hair loss. Alcohol can strip the scalp of its natural oils, leading to dryness and increased sensitivity.
2. Trauma: Physical injuries to the scalp, whether from accidents or aggressive hair styling practices, can also result in damage. This can include lacerations, bruising, or even traction alopecia from tight hairstyles.
3. Medical Conditions: Conditions such as psoriasis, eczema, or fungal infections can also affect the scalp, leading to symptoms like redness, itching, and hair loss.
Effects of Scalp Injuries
The effects of scalp injuries can be both physical and psychological. Physically, the damage can manifest as:
- Inflammation: Redness and swelling of the scalp.
- Hair Loss: Thinning or patchy hair loss due to damage to hair follicles.
- Sensitivity: Increased sensitivity to touch or products applied to the scalp.
Psychologically, the impact can be profound, leading to feelings of self-consciousness or low self-esteem, particularly if the individual feels their appearance is affected.
Treatment Options
1. Topical Treatments: Over-the-counter or prescription topical treatments can help soothe the scalp. These may include corticosteroids to reduce inflammation, antifungal creams for infections, or medicated shampoos for conditions like psoriasis or seborrheic dermatitis.
2. Nutritional Support: A balanced diet rich in vitamins and minerals can support hair health. Nutrients such as biotin, zinc, and vitamins A, C, D, and E are essential for hair growth. The black rice you mentioned, rich in anthocyanins, may provide antioxidant benefits that could support scalp health, although more research is needed to establish direct effects on hair growth.
3. Hair Restoration Treatments: If hair loss is significant, options such as hair transplants or PRP (Platelet-Rich Plasma) therapy may be considered. PRP therapy involves injecting a concentration of platelets derived from the patient's blood into the scalp to stimulate hair follicles.
4. Psychological Support: Given the emotional impact of hair loss, counseling or support groups may be beneficial. Addressing self-esteem issues and providing emotional support can be an essential part of the healing process.
5. Avoiding Irritants: It’s crucial for your girlfriend to avoid any further exposure to irritants. This includes steering clear of harsh hair products, minimizing heat styling, and protecting her scalp from sun exposure.
Conclusion
In summary, scalp injuries can have a range of causes and effects, and treatment should be tailored to the individual's specific situation. It’s essential for your girlfriend to consult with a dermatologist or a trichologist who can provide a comprehensive evaluation and recommend appropriate treatments. While the black rice you plan to gift her may offer some nutritional benefits, it’s important to combine this with a holistic approach that includes medical treatment and emotional support. With the right care and attention, there is potential for improvement in her scalp health and overall well-being.
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