25 yo female androgenetic alopecia with red burning scalp, what's the solution?

Question

Dear doctors, I went to many Doctors and they told me I have AGA because my hair is thinning, but non of the doctors knew why my scalp is all the time red. Only in the parts where my scalp is red my hair is thinner. The redness is spread out like a map, I have it every single day. It burns, it doesn't itch, I don't have dandruff, and the scalp is tender. Only the crown of the scalp. I use a hypersensitive shampoo and it is still red and burns. Please suggest me something to reduce the redness.

Jeff Rapaport, MD · Answer

In  my opinion, the redness on your scalp needs to be evaluated. A large percentage of women with androgenic alopecia have inflammation. Inflammation is a cause of hair loss. I would suggest a biopsy of the scalp. Once a diagnosis is obtained, appropriate treatment can be instituted by  a hair loss expert.
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Jeff Donovan, MD, PhD · Answer

There are many reasons for burning and I’d need to see your scalp up close to determine why. A biopsy might even be needed to confidently rule out a scarring alopecia as well as other potential causes that could have been missed. If the burning is not coming from any specific pathology, you might fit the definition of so called “red scalp/burning scalp syndrome.” These are hard to treat sometimes but options include topical steroids, oral gabapentin, topical gabapentin, oral amitryptyline, topical capsaicin. Avoiding harsh shampoos is important. Please see a dermatologist if burning persists.

Muhammad Jawad, MD · Answer

Lichen pilanopilaris is one if the condition where u may find burning sensation but redness is not diffused in it....Go for biopsy..it's diagnostic

William Rassman, MD (retired) · Answer

If many doctors who examined you do not have the answer to your red scalp, from the internet without an examination of you, I can add very little value here

25 yo female androgenetic alopecia with red burning scalp, what's the solution?

Answers (4)

Answer: Red scalp

Answer: Red scalp

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25 yo female androgenetic alopecia with red burning scalp, what's the solution?

Answers (4)

Answer: Red scalp

Answer: Red scalp

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Recommended reading

Everything you need to know about Hair Loss Treatment

Our mission is to create a world where every investment in modern beauty is Worth It.