The Hair Loss Encyclopedia

Bilateral Osteonecrosis of the Femoral Head Associated with Corticosteroid Therapy for Alopecia Areata: A Case Report and Review of the Literature

August 2018 in “ Therapeutics and Clinical Risk Management ”

Yutaka Kuroda, Toshiyuki Kawai, Koji Goto, Shuichi Matsuda

alopecia areata corticosteroid therapy osteonecrosis of the femoral head total hip arthroplasty joint-preserving surgery MRI femoral head collapse AA ONFH

TLDR Corticosteroid therapy for alopecia areata can cause severe hip bone damage.

A 23-year-old woman developed bilateral osteonecrosis of the femoral head (ONFH) after receiving corticosteroid therapy for alopecia areata (AA). Despite various treatments, including high-dose corticosteroids, her AA progressed, leading to ONFH, diagnosed as stage three postcollapse on the right and stage one precollapse on the left. She underwent total hip arthroplasty for the right hip and joint-preserving surgery for the left. This case underscored the severe risk of ONFH with corticosteroid use, emphasizing the need for early detection through MRI and careful monitoring to prevent femoral head collapse. The findings highlighted the importance of weighing the benefits and risks of corticosteroid therapy in treating AA.

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Alopecia Areata: An Autoimmune Disease Causing Hair Loss

research Alopecia Areata: An Autoimmune Disease Causing Hair Loss

421 citations, April 2012 in “The New England Journal of Medicine”

Alopecia Areata is an autoimmune condition causing hair loss with no cure and treatments that often don't work well.

Alopecia Areata: Evidence-Based Treatments

research Alopecia Areata: Evidence-Based Treatments

71 citations, March 2009 in “Seminars in cutaneous medicine and surgery”

Alopecia areata can cause unpredictable hair loss, and treatments like corticosteroids and minoxidil may help but have varying side effects.

Interventions for Alopecia Areata

research Interventions for Alopecia Areata

2 citations, February 2009 in “Journal of Evidence-Based Medicine”

No treatment showed significant long-term hair growth benefits for alopecia areata.

Interventions for Alopecia Areata

research Interventions for Alopecia Areata

164 citations, April 2008 in “Cochrane library”

Current treatments for alopecia show no significant long-term benefits.

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6 / 1000+ results

community Boys I am just a gonner. What on earth is my scalp even going through. Looks like world war 3. Pyril 3 months. Topical melitonin/progesterone/fin, dut, fin, oral min, laser trash, anus stimulation. Nothing. Donor area is decimated 😂.

in Progress Pictures 83 upvotes 2 years ago

Treating Seborrheic Dermatitis, a fungal scalp condition which can cause hair loss. Treatments discussed include antifungal shampoos, cold showers, exfoliating the scalp, taking Vitamin D, and stimulating the prostate through the anus.

community Well here I am 3-4 years later.

in Update 56 upvotes 9 months ago

The conversation is about someone who has been taking finasteride for hair loss without success, considering switching to dutasteride or giving up treatment. Suggestions include trying dutasteride, microneedling, infrared therapy, multivitamins, and high-concentration topical solutions combining finasteride and dutasteride.

community The Worst Hair Loss Condition You (MAY) have: LPP

in Research/Science 43 upvotes 2 months ago

Lichen Planopilaris (LPP) is an autoimmune condition causing permanent hair loss and fibrosis, often misdiagnosed. Treatments include pioglitazone, topical corticosteroids, anti-inflammatory medication, and Jak inhibitors.

community 2.5 years Minoxidil and HRT, CPA->Lupron +Minox 5%

in Transgender 611 upvotes 1 week ago

The user experienced significant hair regrowth after 2.5 years of using Minoxidil 5% and hormone replacement therapy (HRT) with Lupron, despite initial scalp irritation. Finasteride was ineffective for them.

community Rare Non responder to Finasteride, Dutasteride, and oral minoxidil

in Minoxidil 78 upvotes 8 months ago

A user did not respond to finasteride, dutasteride, and oral minoxidil for hair loss after four years of treatment and is considering scalp micropigmentation (SMP). Other users suggest the hair loss pattern may indicate alopecia areata and recommend seeing a dermatologist.

community 17M biotin and minoxidil hair regrowth progress

in Progress Pictures 83 upvotes 1 year ago

A user's hair regrowth journey using biotin and minoxidil after initial treatments with Nizoral shampoo and Ketoconazole serum didn't work. The comments suggest the hair loss might not be male pattern baldness (MPB), but possibly Alopecia Areata, an autoimmune disorder, and recommend getting a second opinion and considering other treatments like corticosteroids.

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Twenty Nail Dystrophy with Alopecia Areata in an Atopic Child

research Twenty Nail Dystrophy with Alopecia Areata in an Atopic Child

April 2019 in “International journal of research in dermatology”

A child with rough nails also had hair loss and allergies.