What kind of hair loss do I have? (Photo)

Question

What kind of hair loss do I have? I already had thin hair and male pattern baldness, in the years I noticed my hairline & crown is getting a bit thinner. I took Accutane 30mg a day and noticed hair falling out very easily. So I quit Accutane after 39 days. So what kind of hair loss do I have? I think telogen effluvium but when I posted this on reddit, people said it was diffuse hair loss. The hair that falls out has a white bulb. I never had bald spots on top of my head until now. What can I do?

Jason Emer, MD · Answer

This does appear to be diffuse hair loss. Please consult with someone who specializes in hair restoration to discuss the best treatment plan for you.

Robert V. Mandraccia, MD · Answer

While your loss may be from Accutane, I believe you should first check hormones, stress levels and other medical considerations. Then, consider Propecia and Platelet Rich Plasma placed directly under the scalp and by microneedling. This has been very successful. Good luck.

Jeff Donovan, MD, PhD · Answer

To determine the reason for your hair loss, you need to be evaluated. Yes, telogen effluvium and androgenetic alopecia are likely based on your story but there are many other reasons and these can only be diagnosed properly by listening to your story, examining your scalp and looking at your blood tests. Without all of this thing done (and done properly), one simply can't confidently give you an answer. It's simply a best guess.

Ryan Welter, MD · Answer

Your picture seems to confirm a diffuse hair loss pattern.  This can be due to accutane but other causes should be considered and ruled out.  You should see a hair loss professional as soon as possible and continue to avoid accutane.

William Rassman, MD (retired) · Answer

There appears to be a diffuse hair loss not inconsistent with hair loss from accutane which may not be reversible.

What kind of hair loss do I have? (Photo)

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