Can kenalog injections worsen hair loss?

Question

experiencing post covid telogen effluvium, very diffuse shedding. Biopsy showed no inflamation , no scarring diffuse hair loss only. Due to pain associated with the shedding cycle my dermatologist gave me 5 mg of kenalog injections into the area that were most sore. Could these injections worse my telogen effluvium ?

Marco Barusco, MD · Answer

Hello,

Kenalog (a corticosteroid) injections are not known to worsen telogen effluvium (TE). In fact, they are often used to reduce inflammation and discomfort, which can sometimes accompany shedding. Since your biopsy showed no inflammation or scarring, the injections are likely addressing localized pain rather than the TE itself. TE typically resolves over time as the shedding cycle normalizes, and the injections should not interfere with this process.

Best regards,
Dr. Marco Barusco

Anna Chacon, MD, FAAD · Answer

Thank you for your question.

Kenalog (triamcinolone acetonide) injections are corticosteroids used to reduce inflammation and alleviate pain in various dermatological conditions. While they are not typically used to treat hair loss directly, they are sometimes administered to reduce inflammation or discomfort in the scalp.

Given your situation of experiencing post-COVID telogen effluvium, which is characterized by diffuse hair shedding without inflammation or scarring, the use of Kenalog injections might be to address the pain rather than the hair loss itself. However, there are a few considerations to keep in mind:

Potential Impact on Hair Loss:

Kenalog injections are generally not known to worsen telogen effluvium. Telogen effluvium is a self-limiting condition where hair follicles prematurely enter the resting phase, leading to increased shedding. The injections should not directly affect this cycle.
Localized Effects:

The injections are intended to reduce pain and inflammation in specific areas. Since your biopsy showed no inflammation, the primary benefit in this context would be pain relief.
Possible Side Effects:

While rare, corticosteroid injections can sometimes cause localized side effects such as skin thinning or discoloration. These side effects are typically temporary but should be monitored.
It is important to follow up with your dermatologist to discuss any concerns and to monitor your response to the treatment. If you notice any changes in your hair shedding pattern or if the pain persists, further evaluation may be necessary.

Best regards,

Can kenalog injections worsen hair loss?

Answers (2)

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