Psoriasis, Picking, and Maybe Even Traction Alopecia? – Hair Loss Information by Dr. William Rassman

First, I have to say what an amazingly informative site this is! I am a female in my mid-twenties. On and off for the past 10 years I have suffered psoriasis on my scalp. It gets scaly and itchy. Usually I am able to avoid picking it; however over the past 8 months I went through a very difficult period and was under tremendous stress. Unconsciously, I began to pick at my scalp and it has now turned into a persistent bad habit. I have noticed that as a result my hair is thinning. I have always had thinner hair at this point the hair loss is not blaringly obvious but it is getting to the point that I have to avoid certain hair styles all together and harder and harder to hide. I had assumed that this was a result simply from pulling at the scalp and playing with my hair. Now after reading more on your site I am concerned that I am suffering traction alopecia in addition to the psoriasis. I know that controlling the picking is the first step and I am assuming this is a psychological issure but I have not found anyone to help with this. I saw a Dr. who prescribed me Fluocinonide, which helps moderately with the irritation. Is there another course of action you recomend? A way to help the scalp heal and perhaps prevent traction alopecia?
Thanks!!!!

You are right. You must first treat your obsessive disorder and stop picking at your hair (trichotillomania). Without that, nothing is going to work, because even if you help your hair grow by other treatments, you will most likely continue to pull the hair out. If you could stop picking at your hair, your hair will grow in 4 to 6 months provided that you did not do so much picking that you have developed true traction alopecia.

Also see: I Am Pulling My Hair Out and Need Advice

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Mixed Connective Tissue Disease and Hair Loss – Hair Loss Information – Balding Blog

My husband was diagnosed with mixed connective tissue disease. He is 55 and is currently on prednisone (20mg) and celcept. He is seeing a rheumatologist who is trying to get him off prednisone with very little success. All other medications he has tried are causing severe side effects. He has been in the hospital 3 times since being diagnosed 5 months ago. His hair is thinning and we told his doctor but he has not said much about what to do about it. His disease is still not managed. We would like to get a second opinion. Anyone in San Francisco area or bay area?????

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Unfortunately, I do not have any suggestion for you on treatment. Autoimmune diseases can have hair loss as a side effect and the use of steroids can also be a cause. Ask your doctor for a second opinion. For the readers that wish to learn more about this rare disease, please see MayoClinic.com.

Does Eczema Cause Hair Loss? – Hair Loss Information – Balding Blog

You said in a previous post that skin inflammation causes hair loss. If Eczema is a disease caused by skin inflammation, does Eczema cause hairloss?

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Inflammation of scalp (and eczema) may cause hair loss from scratching when you comb and/or brush your hair, as it may pull out if you are not careful with it. Using a good conditioner will help soften the scales and separate them from any crusts.

Hair Loss from Asacol or Prednisone? – Hair Loss Information by Dr. William Rassman

I’m taking prednisone and asacol, my hair is falling out quite a bit and the dr. doesn’t agree that it’s from Asacol. He thinks it may be from the prednisone. Will this subside? I’ve been taking asacol for about 3 months and about a month ago is when my hair started falling out drastically. Its getting very thin, and I’m afraid of going bald and as a female that’s very scary.

Based on the medications you are taking, I assume you have IBD (inflammatory bowel disease). Prednisone is one of the many medications that may cause you to lose hair or have thinning of the hair. It causes many other negative side effects. However, if you need to be on these medications for a medical condition, it is a catch 22 situation. You need to speak to your doctor about your side effects and your concern for hair loss. You should never stop taking any medication on your own without speaking with your doctor.

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Are Thinning Eyelashes and Eyebrows Related to Thyroid Problems? – Balding Blog

I keep noticing that people with thinning eyelashes and eyebrows keep mentioning thyroid problems. I take synthroid. Can this cause my problem? The lashes are also curling the opposite way that they should. Hoping for an answer. Thank you.

Thyroid disorders can affect hair growth. In particular, low function of thyroid can cause loss of hair in the eyebrows. Patients who suffer from hypothyroidism (decreased function of thyroid gland) may lose their eyebrow hair, especially the hair in the lateral one third of it. I am not aware that thyroid diseases or its medications can change the curling of the eyelashes. See a doctor to further evaluate this.




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I Didn’t Know Weaves and Wigs Would Make My Traction Alopecia Worse! – Hair Loss Information – Balding Blog

I’m a 38 yr old black female. My hair started thinning in the crown about 10 yrs ago. I started braiding it to keep out the chemicals. About 3 1/2 years ago I was diagnosed with traction alopecia. Had never heard of it before. I started wearing weaves and wigs to cover up the ugliness. I never realized that this would make my situation worse. Now the balding has spread to the top and front of my head. Is it too late for a hair transplant that would work. The hair on the sides and back is relatively thick, but it seems so unhealthy. At the rate I’m going I feel like I should just shave my head bald and call it a day. I feel so ugly. I did see a dermatogolist for the diagnosis, but I never got any advise on what I should do to help the situation. Can you recommend anyone to see on this side of the country??

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If you are diagnosed with traction alopecia, you need to keep your hair short with no weaves and wigs. After stopping the insult, you should wait for at least six months and see if your hair regrows. In many cases, traction alopecia may cause permanent damage to the hair follicle and may not reversible. Repeating the evaluation of your hair after this period of time will show the areas of permanent hair loss. At that point, a hair transplant specialist can evaluate you for further treatment options if the hair failed to grow back. Then, if you are using a wig, be sure that it is converted to clips to prevent the transplants from developing traction alopecia.

Spina Bifida and Hair Loss – Hair Loss Information – Balding Blog

My 24 year old son, with spina bifida (mylomeningocele) has suddenly, started aggressively going bald. I’m stunned, there is no hair loss like this on either side. My father had a full head of hair, his bio father and grandfather had crown loss after the age of 50.

Could this be related to his spina bifida? I’m very upset. It’s not enough to be a young man paralyzed, but he also has to be bald??

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Balding impacts almost 50% of men in their lifetimes. Even when there is no obvious family history, the genetics can skip generations. He should be treated like any young balding man. Get his hair mapped out for miniaturization to find out if he has the genetic pattern balding process going on. A diagnosis is critical. The best treatment for genetic hair loss is Propecia (finasteride 1mg) daily. He needs a Master Plan for his hair loss. The Spina Bifida in conjunction with balding may make for more stress, and stress is clearly something that accelerates the rate of hair loss in young men.

Dr Strick’s Alopecia Treatment – Hair Loss Information by Dr. William Rassman

Hi Dr Rassman, I was diagnosed with alopecia areata and I would like to see the Dr Richard Strick that you wrote about on this blog but I am coming from FL and am wondering is that a specialty that he does or can any dermatologist do that treatment?
Thanks

If you are coming from Florida and want to see him, I would call his office and get the appointment first. His information can be found on the American Society for Dermatologic Surgery site. Maybe he can recommend a local doctor for you at the time of your visit.

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Hair Loss and Radical Prostatectomy – Balding Blog

I’m 63, and 18 mos ago had a radical prostatectomy. About 12 mos before that I began losing hair, and began using Minoxidil, which I stopped when my prostate cancer was diagnosed. I continue to lose hair, even though I am now cancer free and over the “shock” period. My hair is very fine. I am not taking any medications, and regularly take a multivitamin, selenium, vit.D and Glucosamine.

I only wash my hair with baby shampoo. What can I do to slow down/stop/reverse hair loss?

You might try finasteride 1mg dose daily (with your doctor’s approval of course) and restart the minoxidil. Withdrawal of minoxidil (when it has been working well) will cause hair loss (or to be more clear, the loss of all benefits you received). You are to be congratulated for beating the prostate cancer.




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