Woman With Hyperpigmented Plaque And Alopecia

    Christie G. Regula, Jennie T. Clarke
    TLDR The treatment didn't work for the woman's hair loss and skin darkening.
    The document described a case of a woman presenting with a hyperpigmented plaque and alopecia. The clinical evaluation and diagnostic process were detailed, highlighting the importance of considering various differential diagnoses in such presentations. The case underscored the need for thorough examination and appropriate diagnostic testing to determine the underlying cause of the symptoms, which could range from dermatological conditions to systemic diseases. The report emphasized the role of dermatologists in managing complex cases involving skin and hair disorders.
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      community I am a dermatologist with a clinical interest in alopecia. AMA

      in Will treatment work for me? 2 years ago
      In this conversation, 4990 discussed various treatments for hair loss, including oral minoxidil, PRP, transplan, Jak inhibitors, Dutasteride, Finasteride, Olumiant, Ketoconazole, RU58841, microneedling, baricitinib, and CCCA. They recommended scalp biopsies in unclear cases of DUPA, twice weekly to twice daily shampooing for topical minoxidil users, and two sessions spaced one month apart with follow up at month three to determine the effectiveness of PRP treatment.

      community Are Derma Rollers Actually Harmful in the Long Run?

      in Microneedling  40 upvotes 1 month ago
      Derma rollers may cause scarring alopecia, leading some to prefer dermastamps or dermapens for microneedling. Combining minoxidil with microneedling is effective, but proper technique and healing time are essential to prevent damage.

      community Does finasteride/dutasteride reverse aging?

      in Chat  45 upvotes 5 months ago
      Finasteride and dutasteride can improve skin texture and reduce acne by lowering DHT but do not reverse aging. They may enhance skin and hair health for some, but can also cause side effects like dry skin and sexual dysfunction.

      community 8 months on oral minoxidil. No sign of regrowth.

      in Minoxidil  14 upvotes 6 days ago
      The user has been taking 2mg oral minoxidil and 1mg finasteride but has seen no hair regrowth after 8 months, leading to concerns about being a non-responder. They are considering increasing the minoxidil dosage or switching to dutasteride, while also using keto shampoo and microneedling, but remain skeptical about the effectiveness of minoxidil.

      community What are these spots on my scalp

      in Treatment  51 upvotes 8 months ago
      A user noticed non-itchy, non-bleeding spots on their scalp while experiencing hair loss. Replies suggest the spots are likely sunspots or liver spots and recommend seeing a dermatologist; hair loss is attributed to male pattern baldness.

      community Why is no one pointing out dandruff as the number 1 evidence/symptom of MPB?

      in Chat  55 upvotes 1 year ago
      The post discusses the theory that persistent dandruff in areas prone to hair loss could be a sign of hair follicles dying due to DHT, indicating balding. The responses vary, with some users noting improvements in dandruff and hair loss with treatments like Dutasteride, while others experienced hair loss without dandruff.

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