Is the bald patch at the back of my head alopecia areata?

Question

Hello doctor,

I am a 22-year-old woman, and I have had a bald patch at the back middle of my head for the last seven years. I have had soft, easy-to-break nails for as long as I remember. I concluded that I have alopecia areata. Kindly suggest a treatment.

Answer 1

Hello,

Welcome to icliniq.com.

With your descriptions, it seems you are having alopecia areata. Alopecia areata is a nonscarring type of hair loss that can affect any hair-bearing area and manifest in many different patterns. Alopecia areata can affect any hair-bearing area, and more than one area can be affected at once. Associated conditions may include thyroid disease, anxiety, and stressful life events six months before the onset. You can go for local injections of Triamcinolone acetonide (Kenocort) 5 mg/ml over the scalp and intralesional intradermal 0.1 ml per square centimeter once in three weeks intervals. It should be given by a dermatologist only and usually requires two to three sittings depending on the response or you can try Fluocinolone acetonide cream 0.2 % (Synalar HP) during the morning and 0.03 % Tacrolimus during the night over for a month. Consult your specialist doctor, discuss with them, and take medications with their consent. Review with picture after one month.

Thank you.