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Forum Name: Dermatology Topics

Question: Bald Spots on head?


 audrina_hall - Thu Jun 24, 2010 4:18 pm

My 8 year old brother started to random bald spots in his head, is there any problems? He has no other medical problems, what could be the reason why that's happening besides stress and immune system problems? And, can you use croton seeds or black seed oil to fix the bald spots? Or, are there any medical treatments you can use for bald spots?
Thanks! Highly appreciated!
 Dr.M.jagesh kamath - Wed Jun 30, 2010 10:30 am

User avatar Hello,There are two main conditions that lead to areas of hairloss in children.These are Alopecia areata and the other, fungus infections of the scalp.
The earlier one does not have symptoms like itching,and is selflimiting.Common in adolescents too this is a condition related to immune mechanisms.Alopecia areata presents as single or multiple smooth areas of hairloss.The course of this condition though is unpredictable yet many regrow hair with minimal or no treatment.Yet a few may proceed to loose more hair leading to total loss of hair.
Alopecia areata belongs to the class of nonscarring alopecia.The other is tinea capitis caused by fungus infection of the scalp.This also leads to patchy hairloss and is a part of an epidemic and transmitted from child to child.Scaling,inflammation,and broken hairs are characterestic.This condition responds eminently to antifungal antibiotics.Alopecia areata is treated with external application or intra lesional steroid injections.Systemic steroids are used in severe types.Do consult your physician.
Best wishes.
 audrina_hall - Sat Jul 03, 2010 2:43 pm

Thanks so much 4 replying. But actually we did consult a physician. And, they said that steriods shots are the only way to inject, but I don't want to get those shots, because they have many bad side affects; especially on an 8 yr old. And, I talked to some doctors in india, and they said the best way to fix this baldness is to use croton (pronounced jamal cota in punjabi). So, please let me know if that is safe to use.


THanks again.
 Dr.M.jagesh kamath - Sat Jul 03, 2010 8:51 pm

User avatar Hello,Counter irritants to stimulate the hair follicle has been used and include onion,croton oil etc.But then croton could cause high amount of irritation and children and pregnant women should not receive treatment with croton oil.Caution applies here for others too.
Since Alopecia Areata is a selflimiting condition a wait and watch attitude should be ok since in most there is spontaneous regrowth of hair.Recurrences though, are also common.
If there has been loss of eyelashes or the areas are very big prognosis would not be good.Otherwise some regrowth is ususal in about 3 months.
Perhaps your doctor may prescribe nutritional suppliments, and may be tacrolimus creme which does not have the steroid based side effects.
Best wishes.

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