|
 Dr. Alan J. Bauman is the Founder, Medical Director and Chief Surgeon of the Bauman Medical Group, P.A. located in Wharfside at Boca Pointe in Boca Raton, Florida. His practice is dedicated exclusively to treating male and female pattern hair loss. Dr. Bauman uses state-of-the-art medical and surgical techniques to help his patients maintain and/or restore their scalp hair.
Steve
2004-11-18
Unknown hair loss
I have been loosing my hair about a year now. I"m a 34 year old male. No family history of MPB. My brother, father, fathers brothers and my grandfather all have full head of hair. Only my mothers brother loss his hair early when he was in his 20's.
I have seen thinning over the entire scalp (sides of head and nape of neck). No pattern at all.
When my hair is dry, it appears normal. However, when wet it looks as though I have only a thin layer of hair over my entire head.
I have been on Propecia for 6.5 months, made no difference in my active shed rate.
I've had my blood checked. I have normal range of test,FSH, Iron ect.. Did an ANA test. Came back negative. I did a fugal test, also negative. I went to two derms. One did a biopsy. The results are: "There is no interface reaction involving epidermis or follicular units. Free pigment is no found within follicles. there is no peribulbar lymphocytic infiltrate. A normal compliment of histologically unremarkable follicles is present. No significant organisms are found on a PASD stain with appropriate fungal controls. A few lymphocytes are present in perifollicular array. They do not invade the follicular epithelium. There is no spongiosis or other change in the follicular epithelium associated with these cells."
My derm says he sees no sign of telegon effluvium, Alopecia Aretan, or MPB. He suggest nothing further. Even says to get off propecia if I would like.
My questions to you is, what would / is causing my hair loss? My stress level is as normal as it's always been. I've very laided back, so I don't stress about a lot. Therefore, I don't believe it's stress.
Have you ever heard of anything like this?
thank you for any help,
Steve
P.S
Oh and sometimes through out the day often feel this tingle feeling in my entire scalp. Sometimes I feel it on the side or top or crown. It's a feeling of tingling or a skin craw feeling. Kinda like when your skin craws when you get a chill or scared. However, I only feel it on my crown. It can be anytime and it's random. Is there a relation? I never noticed or felt it before loosing my hair.
Steve,
Your hair loss does not sound like anything I have seen before. Have you tried minoxidil to stimulate the follicles? I would recommend 5% twice a day to the scalp (stay on the propecia, just in case) and give it four to six months along with Nizoral shampoo. You may have some sort of inflammation (un-identified) causing the "crawling" sensation and the hair loss.
Can you send me some photos? I'd like to see the distribution of the loss.
Sincerely,
Dr. B.
doctorb@baumanmedical.com
Click here to return to Dr. Alan J. Bauman, MD's Q&A page.
|
