Patchy Hair Loss (Photo)
Doctor Answers 3
Male with patchy hair loss
Patchy Hair Loss
You have a scarring alopecia, most probably lichen planopilaris but it is better idea to go to a dermatologist for full exam and skin biopsy.Hair transplantation does not work for restoration of hair, because of immunologic attack to hair roots.
Lichen planopilaris in men
For men with LPP, I advise blood tests for CBC, TSH, ferritin, ESR, AST, ALT, AST, cholesterol. Depending on the history, I may include ANA. Hepatitis B and C screening is helpful is we are planning use of immunosuppressants. A scalp biopsy is not usually necessary but if your doctor is not sure it is a good idea and will lead to the diagnosis.Treatments include topical steroids, steroid injections, topical calcineurin inhibitors, oral doxycycline, oral hydroxychloroquine, oral methotrexate, oral mycophenolate, oral cyclosporine.Please see a dermatologist who treats scarring alopecia.
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