Management

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Early detection of alopecia and its timely treatment can control the problem. Meet your doctor in the following cases:

  • if there is abnormal hair loss
  • if hair is present in the involved area but fails to grow out normally.
  • if continual hair-pulling (trichotillomania) is suspected
  • if the skin under the involved area is abnormal.

The objectives of treatment are to:

  • prevent further hair loss
  • restore the lost hair
  • educate the person to identify the problem early

General management: This includes dietary and lifestyle changes. Some guidelines to be followed are:

  • Eat a well-balanced and nutritious diet rich in proteins, vitamins and minerals. Take plenty of fruits and vegetables. (nutritional care in Alopecia)
  • Use a shampoo suited to your hair type in consultation with your dermatologist
  • Drink at least 8-10 glasses of water.
  • Do a head massage at least twice a week. It will help in increasing the circulation to the scalp.
  • Comb or brush your hair gently.
  • Avoid hair styles that pull on your hair excessively.
  • Cover your head while going out in sun, as ultraviolet rays can damage hair
  • Wear a bathing cap while swimming
  • Avoid excessive shampooing and blow drying
  • Avoid the use of hair dyes, gels or any other harsh cosmetics on hair
  • Maintain proper hygiene of your hair
  • Avoid stress by practicing yoga, meditation or relaxation exercises
  • Medication
  • Alopecia areata
    • Local application or oral administration of corticosteroids or cyclosporin
    • Photo chemotherapy with ultraviolet radiation of A type (PUVA)
    • Local application of minoxidil
  • Masculine alopecia
    • Local application of minoxidil
    • Estrogen and prednisolone ointment application may be helpful
  • Alopecia steatoides
    • Local application or oral administration of corticosteroids may be helpful
  • Androgenic alopecia in women
    • Chemical castration by using combination of cyproterone acetate and ethinylestranol has been tried
  • Primary cicatrical alopecia
    • Local injection of hydrocortisone, prednisone and hyaluronidase may be useful.