Doctor insights on:
Alopecia Areata Steroid Treatments
Can alopecia areata be treated in pregnancy with kenalog (triamcinolone) injections or should expectant mothers wait until after delivery?
Yes, probably.: Intralesional steroid injections are pretty much the only thing that is effective for alopecia areata, because the steroid has to get down to the level of the hair roots to have a beneficial effect, and topical steroids don't get down there. Given enough time the hair will usually grow back by itself, eventually, but it will take a long time; steroid injections speed things up considerably. ...Read more
My five-year old has alopecia areata. Her hair is very thin in patches but not completely gone. She uses a steroid cream. Anything else I can do? Tks
21 yr old ving lichen planus pigmention 4m1 yr. Also, hd alopecia areata. I took steroids 4 dat bt now not taking. Not getting relief by ointmt. Wt 2 do?
Size matters: The size of hair loss patches can determine treatment. Small patches are often treated with injections of cortisone into the skin of the affected area. Widespread hair loss or very large or numerous patches may be treated with internal cortisone (steroids) either by mouth or given as a shot in the muscle. Sometimes chemicals are used on the surface to cause an allergic reaction and inflammation. ...Read moreSee 1 more doctor answer
Autoimmune: It is believed that alopecia areata or focal loss of hair is generated through an autoimmune mechanism and affects individuals with other possible autoimmune diseases including asthma or thyroid disorders. Please visit aad.org or naaf.org for more detailed information. ...Read moreSee 1 more doctor answer
Alopecia areata is a patchy loss of hair that can occur in any hair bearing area of the body, but is most notable when it affects the scalp, eyebrows or beard.
It results from our own immune cells attacking cells in our hair follicles. Its not clear why it occurs.
It may resolve on its own. It may also be treated with topical, injected, or oral medications depending on the circumstances. ...Read more
ALOPECIA TX: Alopecia or hair loss may be multifaceted. You need full Exam &lab work up especially Vit d/Thyroid studies /TESTOSTERONE/ b12 and folate. If they are normal start high dose Biotin zinc B12 and folic acid. Rogaine (minoxidil) and Propecia may be helpful. If there is no improvement consult dermatology for biopsy to rule out auto-immune ALOPECIA AERATA. With supplements start at a Lo dose and work up. ...Read more
Not specifically: Asthma and allergies are what are called atopic diseases which are hypersensitivity reactions in various parts of the body (asthma — lungs, allergies — mucosal membranes) due to various triggers like viruses, allergies, pollution, etc., whereas alopecia areata is an autoimmune disorder where the body's immune system attacks the hair follicles for reasons that are not clear. ...Read more
Accutane Alopecia: Accutane use may cause hair loss and alopecia, according to Drugs.com. Patients taking Accutane should not take supplements containing vitamin A, according to Drugs.com. Accutane is a form of vitamin A and taking vitamin A supplement at the same time with Accutane can cause vitamin A toxicity which can cause hairloss. Accutane may also cause permanent hair loss, according to Drugs.com. Accutane damages hair shafts and follicles. ...Read more
Telogen effluvium: Because acute telogen effluvium is a reactive process, which resolves spontaneously, treatment usually is limited to reassurance. Any reversible cause of hair shedding, such as poor diet, iron deficiency, hypothyroidism, or medication use, should be corrected. Alopecia areata can be controlled with intralesional scalp cortisone injections. Your thyroid also needs to be checked. ...Read more
ALOPECIA W/U: YES : Alopecia or hair loss may be multifaceted. You need full lab work up especially Thyroid studies b12 and folate. If they are normal start high dose Biotin zinc B12 and folic acid. Also, MASON-PEARSON brush spreads sebum and improves blood flow. & Rogaine (minoxidil) may help If there is no improvement you beed dermatology consult for biopsy to rule out auto-immune ALOPECIA AERATA. ...Read more
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