Female with alopecia areata
This is a difficult condition to treat and requires a very specialized dermatologist who is familiar with the various modalities for this disease
Thanks for sharing. It could be any of these (even all three) and you really need an up close exam.The sensitivity is not typical of alopecia areata. The pustules and burning can suggest follicular injury and traction - absolutely. You are a bit young for primary scarring alopecia like central centrifugal cicatricial alopecia (CCCA) - so that is rather unlikely.But with a close up exam, alopecia areata can likely be diagnosed. If there is any doubt, I would advise a scalp biopsy.Regardless, in my patients with similar stories, a trial of steroid injections along with topical steroid ointments for 1 month plus blood tests for iron, thyroid studies (TSH), vitamin D, ANA, ESR, glucose is essential.