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
You have lichen planopilaris. It may look like male balding, but it's not. Please see a dermatologist who specializes in hair loss for guidance on treatment.
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.