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Question
Posted by: Jolene | 2011/10/07

Hairloss and burning and scalp

Hi Doc

Thank you for assisting people like us on a forum.

Since may this year I''ve been experiencing hairloss. I went to a dermatologist end of June, she said that she could not see anything wrong and that it is probably due to a hormonal change.

My hairloss has not stopped, I''m still " shedding"  enough to block a shower. I went back to her mid September and she said that she still can''t see anything, that is probably due to a underlining medical condition ( I have suffer neprhotic syndromme, caused by minimal change disease, I leask huge amounts of proteine through my urine - protein levels low, but kidney funciton fine)

I have stages were my scalp flares up, it is pink/red (looks like sunburn, no patches) it is hot to the touch, feels very inflamed, my roots will hurt, my scalp burns ( no itching), there is small painfull bumps/ pimples, I cant see it, but I can feel it and it flakes.

These flares come and go, and each time I''ve been at dermatoligst it has been normal.

My hair is very thin now, and the burning scalp can''t be normal, sure that can''t be related to the hormonal changes or low levels of protein in the blood.

Please coudl you assist me, I can''t afford to go to a doc again to hear nothing is wrong.

Thanking you in advance for your assistance

Jolene

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Our expert says:
Expert ImageAnti-ageing expert

Hi Jolene, thank you for the question and I am sorry to hear what you have been through in the past 5 months.

This is a difficult question to answer over the net as there are a number of causes of sudden hair loss and most of them require blood tests and/or skin biopsies. Following your description it certainly sounds like some form of infective or inflammatory cause and as such one should strongly investigate along these lines. For completeness sake I have listed all the causes of hair loss below and my advice would be to do some research (through Google) and once you have narrowed it down take it along with you to your family physician for specific investigations. It will also be easier once the inflamed burning scalp appears to see you doctor who can investigate and take skin scrapings, swabs for MC&S, and perform a skin biopsy.

Hair loss is divided into a number of broad groups:

The differential diagnosis of diffuse, extensive, sub acute and chronic non-scarring hair loss in women include:

Telogen effluvium: stress related or after pregnancy, or sfter significant weight loss
Androgenic alopecia: usually genetic and typically has no hormonal changes
Sex hormone abnormalities
Iron deficiency: iron levels normal so further in depth tests required
Thyroid disease
Connective tissue disease
Drug induced alopecia
Alopecia areata: some causes include Tinea capitis, secondry syphilis, and frontal fibrosing alopecia

Scarring alopecia(I would definitely look into these):

Infection: bacterial, fungal, viral
External injury
Neoplasms
Inflammatory dermatoses: SLE, lichen planus, scleroderma, Sarcoidosis, necrobiosis lipoidica
Blistering disorders: cicatricial pemphigoid, porphyria cutanea tarda, epidormolysis bullosa


I hope the above helps as one can find sites that will describe the above causes and the symptoms one can experience with each; I am hoping you find a similar descriptive process that can help the doctor in making the diagnosis and therefore start you on the correct treatment regime. I strongly feel that this is an inflammatory or infective process and needs to be treated urgently. Another option is to print my answer and take it to your family doctor who should be able to assist you further.

The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.

2
Our users say:
Posted by: Howdy | 2011/10/18

I feel so much happier now I undreastnd all this. Thanks!

Reply to Howdy
Posted by: anti-ageing expert | 2011/10/09

Hi Jolene, thank you for the question and I am sorry to hear what you have been through in the past 5 months.

This is a difficult question to answer over the net as there are a number of causes of sudden hair loss and most of them require blood tests and/or skin biopsies. Following your description it certainly sounds like some form of infective or inflammatory cause and as such one should strongly investigate along these lines. For completeness sake I have listed all the causes of hair loss below and my advice would be to do some research (through Google) and once you have narrowed it down take it along with you to your family physician for specific investigations. It will also be easier once the inflamed burning scalp appears to see you doctor who can investigate and take skin scrapings, swabs for MC&S, and perform a skin biopsy.

Hair loss is divided into a number of broad groups:

The differential diagnosis of diffuse, extensive, sub acute and chronic non-scarring hair loss in women include:

Telogen effluvium: stress related or after pregnancy, or sfter significant weight loss
Androgenic alopecia: usually genetic and typically has no hormonal changes
Sex hormone abnormalities
Iron deficiency: iron levels normal so further in depth tests required
Thyroid disease
Connective tissue disease
Drug induced alopecia
Alopecia areata: some causes include Tinea capitis, secondry syphilis, and frontal fibrosing alopecia

Scarring alopecia(I would definitely look into these):

Infection: bacterial, fungal, viral
External injury
Neoplasms
Inflammatory dermatoses: SLE, lichen planus, scleroderma, Sarcoidosis, necrobiosis lipoidica
Blistering disorders: cicatricial pemphigoid, porphyria cutanea tarda, epidormolysis bullosa


I hope the above helps as one can find sites that will describe the above causes and the symptoms one can experience with each; I am hoping you find a similar descriptive process that can help the doctor in making the diagnosis and therefore start you on the correct treatment regime. I strongly feel that this is an inflammatory or infective process and needs to be treated urgently. Another option is to print my answer and take it to your family doctor who should be able to assist you further.

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