Is Alopecia Areata Contagious? – Hair Loss Information – Balding Blog

I am an army medic stationed in iraq. I had a soldier come to me a few weeks ago with a small bald spot on the back of his head. I looked up the condition online and found out that it’s probably alopecia areata. My question is can the condition be contagious? Keep in mind that we don’t live in the most sanitary conditions. I have recently seen about 8 more guys in my company with the same condition, and their bald spots are spreading fast. One guy’s spot is about 1 1/2 inches now. What do you think it is and what is the treatment? thank you

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To my knowledge alopecia areata is not contagious, but I would worry about other problens like infections which may possibly be causing the balding. It could be something contagious like fungal diseases, which cause patchy hair loss. Get your patients to a competent and knowledgeable doctor there who might take scrapings and appropriate cultures looking for something contagious.

Alopecia and Doctors In India – Hair Loss Information by Dr. William Rassman

The Doctors in India dont seem to know about alopecia Universalis/ Totalis. I am losing, eyebrows, hair (not in patches). Although i have found lately that i can see gaps in my beard. I understand that this is caused by AUTO-IMMUNE diseases. Please can you list all the auto-immune diseases that i should get myself checked for. My father also has alopecia universalis but he actually dint care much, never went to a doctor coz for him it was never a big issue. Its a big issue for me though. He has thyroid. (i dont have).

So Please can you list all the auto-immune diseases that i should get myself checked for; since im not getting much help from dermatologists here.
Thank You

ps: Im not bothered by any hair loss except my eyebrows..

I understand you are at a junction where the doctors you have seen have not been helpful. I also admire your quest to find the cause of your hair loss condition. However, it is not my role to be your doctor or give medical treatment or diagnosis via the internet. At best, I can only give my opinions and thoughts. The medical treatment and plan is completely between you and your physician. That being said, it is my opinion that you may want to try visiting an immunologist for your condition, if indeed you are diagnosed with alopecia universalis. In the United States many dermatologists control the treatments, but as there is no effective treatment, only a few doctors are experimenting on medications for autoimmune hair disorders and these are done at major universities under FDA guidelines. There must be some doctors in India that have similar interests and you should try to find them. I’m sorry that I don’t have more info on where to find them though. I suspect if you are a healthy person with only alopeica universalis there really are no tests that will give you satisfaction.

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Folliculitis Decalvans Specialist in Atlanta? – Hair Loss Information – Balding Blog

Hi Dr.:
I found the previous blog on Folliculitis decalvans very helpful as I am a 23 year old of African descent also suffereing from the same problem. I am searching for a dermatologist with specific training in this area as you suggested but I haven’t had any luck. The listing of Doctors on the American Academy of Dermatology’s website is pretty basic. Do you have any specific pointers or referrals on this. I live in the Metro Atlanta Area. Thanks for your help.

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Try to go to a major university clinic. They are bound to have those that focus in this disease. You have a number of good university medical centers in Atlanta.

For the readers of this blog, note the following references for clarification. This is a bad problem which in essence reflects an aggressive infection of the scalp hair follicles, amongst other causes.

Hair Loss Information » Woman with Chronic Telogen Effluvium – Balding Blog

Hi I am a 44 year old female with chronic TE and a positive hair pull. I had 2 brief incidents in my 30s but this latest one has been continuous for 18 months and I have lost a significant amount of my hair with little or no visible regrowth. All of my hormone tests are normal including thyroid, FSH, LH, estrogen, my testostone is even slightly below normal and my ANA is negative. The only issue I have is low ferritin and I have been taking iron for about a year but can’t seem to get the levels above the low end of normal.

My condition continues to deteriorate despite rogaine and topical steriods. I don’t know where to turn. Any advice would be welcome.

Thanks

There are people who specialize in this. Please let me know where you live and I will try to find someone in your area. For more information see Telogen Effluvium by Elizabeth CW Hughes, MD.

Female Hair Loss After Anorexia and Bulimia – Hair Loss Information – Balding Blog

My hair was quite thick when i was younger but I suffered in the past of anorexia and bulimia and my hair got thinner. It has been now less than a year that i am cured but noticed that my hairloss has increased. Is there anything that you can recommend and will my hair get back to its original condition.

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First, hair loss comes from many causes so you need to have a complete medical work-up to separate the real diseases that cause hair loss from the genetic programming that we inherit from our family lines. There are many ‘medical’ causes for hair loss and maybe you have one of them, such as hypothyroidism, eczema, alopecia, dieting, malnutrition, autoimmune, drugs, infection, genetics, etc.

  1. Hormone levels for DHEAS, Testosterone, Androstenedione, Prolactin, Follicular Stimulating Hormone, and Leutinizing Hormone
  2. Serum Iron, Serum Ferritin, TIBC (Total Iron Binding capacity)
  3. Thyroid Stimulating Hormone (TSH)
  4. VDRL
  5. Complete Blood Count (CBC) to rule out anemia

A good doctor is your first step. The problem with women’s hair loss is that when it occurs, it may precipitate genetic hair loss, the thinning of which may not be reversible. In your particular case, it is possible that your experience with anorexia and bulimia earlier may have ‘triggered’ the genetic process (if you have it). Get your tests done and communicate with your doctor, bonding with him/her so that your problem is theirs as well and be sure that you do not have a precipitating cause of the hair loss.

My Hair Is My Beauty and I’m Running Out Of It – Hair Loss Information – Balding Blog

I am a 21 year old African American female who has been dealing with Seborrheic Dermatitis and eczema since the age of fourteen. I have used everything from Mycolog, Desonide lotion to Selenium sulfide based shampoos. Now don’t get me wrong the do relieve me from the itching and greasy scaling of the skin. However in 2004 I noticed that the back region of my hair was thinning out. Also the right side had become infected due to constant scratching and became inflammed. About 2 weeks later the hair in that surrounding area started to fall out. I decided to do a biopsy so they could see exactly what was going on and hopefully remove the extra skin. I was later told that it was growing so I could either leave it in the state it was right now or try again. I chose to wait because it has really been frustrating for me and I didn’t want to make it worse than it already was. The only thing that bothers me is that I’m a young adult and I hide because of my appearance. It’s just a well known fact that a woman’s hair is her beauty and I’m running out of it. I just need some help and guidance and was wondering if you would point me the right direction. I was wondering will my hair ever grow back and how will I restore so it doesn’t happen again.

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It seems you are being followed by medical doctors for the cause of your hair loss. If there is an infection on your scalp complicated by your dermatitis and eczema, most medical doctors are well trained to address your problems. I realize hair loss can be a devastating experience for both men and women, but it is my opinion to treat the underlying medical condition and your hair should return once you get your medical problem solved.

Seborrheic Dermatitis and Artificial Hair – Hair Loss Information by Dr. William Rassman

I am female and have had seborrheic dermatitis for several years and have consistently scratched at it over several years causing gradual hair loss that I have recently noticed, which has led me to stop scratching despite the itching. Is it possible to regrow my hair after such an extended period of time? If not, I was wondering if you might know the cost of artificial hair surgeries, NOT hair transplants.

Scratching your hair can cause Traction Alopecia, which sounds like the diagnosis. Wait out a period of 6-12 months without scratching and see if it returns.

With regard to the artificial hair, the process has been banned in many countries (it is not FDA approved and is known to cause many problems). First, you would have to find a country that lets the product be used at all, then finding a doctor is the second problem, but worse is that many of the people who get artificial hair, get infections in the scalp so the cost must include the costs to control infection and replace the rejected hair (almost a daily process). I do not have information on costs, however.

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No Hair Transplants for Alopecia Universalis Sufferers – Hair Loss Information by Dr. William Rassman

Dear Sir,
Does alopecia universalis (genetic) have no cure? I’ve been losing scalp hair for the past year. Now i’m losing eyebrows too and the hair which i thought was POTENTIAL DONOR hair is also becoming thin (not losing though). I guess now the importance of miniaturization is understood….

In such a case, what can i do?? My doctor says to just learn to deal with it because medications are not effective in alopecia universalis. Can you please comment on it.

If you have been diagnosed with Alopecia Universalis, there is really nothing much you can do in terms of regrowing or transplanting hair.

I’m sure you know much about this disease, but for readers of this blog that may not be familiar with Alopecia, please see:

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Inflammatory Scalp Disease – Hair Loss Information – Balding Blog

what is inflammatory disease on scalp ?? Is it different from male pattern baldness? I get lots of itching on my scalp…and directly entering norwood class 6… but my doc saw my hair under some glass which looks like a huge magnifying glass and said its male pattern baldness…

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Inflammatory scalp disease is when there’s an inflammatory process occuring in your scalp causing hair loss. There will be macrocyte and other white blood cells releasing histamine and other chemicals to cause the inflammatory process. The diseases which can cause skin inflammation are psoriasis, alopecia areata, eczema, a variety of autoimmune problems, or infections. This is different for male pattern baldness (MPB), because MPB is caused by DHT attacking the follicles through growth interference and not by an inflammatory process. Some forms of inflammation do not cause hair loss, so you will need a doctor to help confirm your diagnosis, which sounds like what your doctor was trying to do for you.

Hair Loss Information » Chemo and Hair Growth – Balding Blog

Hi, in regards to this man’s question from your site: Hair Grew Back After Many Years

Did he ever send you pictures? I know names are kept confidential, but if what he says is true, there may be something closely related to my problem, which I consider extremely serious but no one else does.

When I was 22 had testicular cancer, right testicle removed, then 2 years later it spread to my lungs. I had 4 cycles of first line chemo, the most you can get, and afterward my hair grew back completely normally – no hair thinning, loss, recession – it was like it was always, a complete head of hair. But a few months later, the cancer showed up again, so I went on HIGH DOSE chemotherapy for 4 months. It’s been about 1 year since then, and since, my hair looks like I’ve been balding for decades. 4 months and I go from a complete head of hair to visible balding at the back of my head. The strange thing is, the follicles are completely miniaturized, but all over my head, and even my underarm hair and pubic hair are thinned out. The fact that it won’t grow on top is killing me however. I have very little family history of this, my dad is 50 and his hair isn’t budging.

Anyway, I’m not expecting you to give me solutions, just answers, or at least an intelligent hypothesis. I cross-referenced a list of the American academy of dermatologists and the New Yorker’s list of top 50 doctors to find a specialist, and here’s what he told me: “sometimes after chemo the texture of the hair can change. What’s happening with you is, male-pattern-baldness is probably affecting it somewhat but it’s at a right angle to your problem, it’s most likely a mixture of different things.” This was supposed to be the cream of the crop. He refused to do tests, scalp biopsies, anything, saying they would show nothing so why do them.

I know a decent amount about this after obsessing about it for a year over internet research. I know chemotherapy has nothing to do with dht, and right now my oncologists want me to go on testosterone supplements because my levels are low, so I know that this is not a straightforward problem.

Please, give a poor guy at the end of his ropes a break, don’t cast me out as one of the millions of hopeless cases. I’ve done this a hundred times, and have been disappointed with responses like “sorry, can’t help.” Can you at least take a hypothetical stab at an explanation, or put me in contact with that guy who’s hair grew back with chemotherapy?

In regards to the patient you mentioned whose hair grew back — unfortunately, there were no pictures supplied in his email.

Your hair loss is likely a result of your chemotherapy (you knew that). Your hair texture and growth cycle does change after chemotherapy (you knew that). A biopsy will not help, because we already know the cause of your hair loss (you knew that too, but it wasn’t explained to you in the right way). It takes time and everybody is different (again, you knew that). A year is a long time, but there is nothing except time on your side before you can see if your hair will grow back (you should know this too).

It seems you have done your homework and want a solution, but sometimes there is nothing more than what you already know. In the mean time, you should follow your oncologist’s advice.