Wednesday, December 2, 2020

I have bald areas in my scalp

 


I have bald areas in my scalp

Alopecia areata - Sudden onset, bald discrete areas in scalp, Follicle openings still present, Any age group. Consultation

Tinea capitis - scale and broken hairs still present. Variable redness.  Consultation

Trichotillomania where a person pulls out hairs in their scalp. Usually children. Funny shape and broken hairs. See this case

Scarring alopecia - bald, smooth, no hair follicle openings on the surface, likely Lupus erythematosus or Lichen Planopilaris  

Receding frontal hair line in menopausal female  -- Likely frontal fibrosing alopecia. Slowly receding frontal hair line with smooth hairless frontal forehead. Becoming a common disorder.   Consultation

Rare - Aplasia cutis congenita, A bald area of the scalp present from birth.

Sebaceous nevus     A bald area of the scalp present at birth thickening up at puberty.

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I am losing my hair

 


I am losing my hair

Androgenetic alopecia - males and females, frontal thinning. Widening parting in females and thinning behind. Bitemporal hair line recession in males and occipital thining. Monoxidil, Finesteride ( males and post menopausal females)   Consultation

Telogen effluvium - hair coming out all over the scalp but no bald areas.The small bulb on end of pulled hairs, Occurs after recent illness, operation and when certain drugs are stopped. No distinct bald areas just an overall thinning of the hair.

Alopecia Areata - sudden onset of discrete areas of baldness in the scalp. No inflammation. Hair follicle openings still present in bald areas. Any age group.  Consultation

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My child is scratching excessively

 


My child is scratching excessively

Scabies - If no past history of atopic eczema scabies is highly likely. Look in usual hot spots for burrows, web spaces, wrists, elbows. Ask if anyone else in the family is itchy. In very young babies sometimes pustules on palms and soles.

Atopic eczema - Usually FH of asthma, eczema or hay fever, rash at front of elbows and behind knees, often secondary infection.  Consultations in Dermatology

Papular urticaria - Sudden onset of raised itchy papules in exposed areas if fleas or covered areas if bed bugs. Exposure to pets or sand flies in sand pit. May also be a presentation of scabies. Look for burrow in the roof of the papule.  Consultations in Dermatology

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