Sir she has dry skin,so need snehan karm,internaly via ghrita,externaly sarwanga snehan and swedan for7- 10 days atleast, Kumkumadi tail for daily application, Avipattikar churna 1/2 tsp bd after food For hair u can advice takra dhara,and leach therepy is also vry effective in this type of case.
Dr. Akshay, I have read your case, in such case Plz check pts hemoglobin. Low HB is most common cause of hair loss, another thing if she has ca deficiency then hair loss will occur, spicy foods and salty foods are major reasons for alopacia, hair loss.Keeping hairs wet after bathing is cause for diffuse hair loss, never allow pt to use warm water on hairs to wash, never allow pt to use chemical shampoos, dye, chemical mehandi which are frequent causes of hair problems. Working in sun for longer periods of time is also dangerous.Ask her appetite, increase her intake of food which is rich in proteins, iron, calcium, zinc, Vit.C, Vit.E
Dr.Akshsya ji, I think this is a disorder of Scarring Alopacia. Permanent destruction of hair follicles secondary to inflammatory and scarring cutaneous disorders. Scarred patches of Alopacia without visible hair follicles occur irregularly throughout the scalp or other hair bearing area. The skin is usually scarred and atrophic. There may be sign of active cutaneous disease, such as lichenplanus causing follicular plugging and pale atrophic areas, or discoid lupus erythematousus with erythematous indurated scaling plaques and follicular plugging.Pseudopelade is a non inflammatory form of scarring alopacia characterised by pale, each, patchy areas of skin atrophy. If you want to give Ayurvedic medicines MANDARA LEPA is the drug of choice. After bath MANDARA tail for massage on scalp. Nothing to give orally. These medicines you have to give for 3 to 6 months.
Sir it may be case of telogen effluvium also related to d diifuse alopecia and also wd d premature graying hair. Telogen effluvium generally cause by- Child birth Abortion Surgical operations Mental stress Antihypertensive drugs Antithyroid drugs Nutritional deficiency Anemia Severe general illness Oral contraceptives drugs Hypothyroidism , hyperthyrodism Hormone therepy And Premature gray hair cause by herridatory factor. Tt. Suggest d supplement diet wd protein, iron and bcomplex also. Also Suggest d Avoid unusual stress, Take healthy food , busy in daily activity, yoga... If pt will not ok after d treatment. So sir ji u can refer d psychiatrist.
@Dr.Ingole Alopecia areata It is considered an autoimmune disease. May conditions associated with thyroid problem. Patient has already taken allopathic medicines for RHD. At first you see what form of medicines she has taken and carefully observe the side effects of particular medicine. RHD mostly originated from ARF associated with Positive ASO titer. Considering all your presented symptoms may think about Lycopodium, Sepia,
Perception? Is it conception? Local application of amixed oil bringaraj,brahmi,durdurapatraadi oil,c ontinuoisly everyday.avoid the patented coconut oil application use coconut oil pure which is used for internal use also. Hairwash with hibiscus shampoo,,twice a week. Internally Brahmi tablet250 mgbid Bringrajasava/swarasa 15 ml thrice a week. Arogyavardhini 250 mg od I opinethat this will do. Course forabout a month and on observation
Dr.Ingole, what are the symptoms related to RHD per se? However in this case first you can prescribe Streptococcin 30, 1 dose then the medicine which seems indicated. In my practice first I prescribe one medicine out of Galanthus nivalis, Iberis, Strophanthus, Cactus,Arsenic alb, Naja. & after the subside of acuteness prescribe the CONSTITUTIONAL medicine. Here I think you can think Nux or Sulphar as a constitutional medicine. Thanks.
Mala pravritti is there constipation or more time mala pravritti? Status of Agni? If constipation then give some anumodana like erand bhrista hari taki or triphala churna... If Agni is hampered or ajirna is there then treat according to it... Give aamalaki with saptamrita luha morning and evening empty stomach... For local use apply lasuna for lekhan karma then apply aamalaki churna with dahi...
Probably, hair loss is a symptom of ALOPECIA AREATA An Autoimmune Disorder. Family history of RHD and DM favours the diagnosis. Oral Steroids, used in the treatment of RHD, may be contributing factor. Detail reporter repertorization can only suggest particular remedy. You can give Nux vom, initially, to clarify the picture.
I think it is a psychiatric disorder where due to excessive toxicity of neurotransmitters she is having those features, consulting a psychiatrist and evaluation of mental status is necessary because recent studies are saying that excessive heat generation in brain results in hair loss especially in the midline...
Cases that would interest you
- Login to View the image
20 yr old male, h/o itching scalp and hairfall. No itching now. Acute hair fall of about 50per day since a week on changing shampoo. What advice to be given?Kavya Chikkanna7 Likes13 Answers
- Login to View the image
2and half year girl has complaints of hair loss over scalp and eyelashes since one month. she is also having complaints of weight loss. kindly guide in this caseDr. Minesh Bhikadiya4 Likes25 Answers
- Login to View the image
a 11 years girl complaint of loss of hair from eye brow without any other symptoms please suggest investigation, diagnosis, and treatment...Dr. Satyesh Solanki0 Like14 Answers
- Login to View the image
#HolisticMedicine #CCAUpdates All you need to know about Alopecia (hairloss) Most people normally shed 50 to 100 hairs a day. This usually doesn't cause noticeable thinning of scalp hair because new hair is growing in at the same time. Hair loss, baldness or alopecia occurs when this cycle of hair growth and shedding is disrupted or when the hair follicle is destroyed and replaced with scar tissue. The exact cause of hair loss may not be fully understood, but it's usually related to one or more of the following factors: Family history (heredity), especially for male-pattern baldness Hormonal changes (e.g. pregnancy, childbirth or the onset of menopause) Certain medical conditions (e.g. thyroid disorders, diabetes, anemia, Systemic Lupus Erythematosus (SLE), sarcoidosis with skin involvement, and some local conditions such as tinea infection of scalp, lichen planus, and Trichotillomania (a disorder causes people to repeatedly pull out their own hair)) Certain treatment (e.g. cancer treatment (chemotherapy and radiation therapy), blood thinners, high dose vitamin A, drug for arthritis, depression, heart problems and high blood pressure, birth control pills and anabolic steroids (steroids taken to build muscle and improve athletic performance)) Severe emotional and physical stress Nutritional deficiencies (not enough protein or iron, eating disorder such as anorexia and bulimia, and weigh lost) Androgenetic alopecia: Androgenetic alopecia is the most common type of progressive hair loss. It is also known as male-pattern baldness, female-pattern baldness, or just common baldness. Androgenetic alopecia is caused by a combination of genetic and hormonal factors. Dihydrotestosterone (DHT) is the main hormone responsible for androgenetic alopecia in genetically susceptible individuals. DHT causes scalp hair loss by inducing a change in the hair follicles on the scalp. The hairs produced by the affected follicles become progressively smaller in diameter, shorter in length and lighter in colour until eventually the follicles shrink completely and stop producing hair. Male-pattern baldness can begin as early as puberty, and affects around half of all men by 50 years of age. It generally follows a pattern of a receding hairline, followed by thinning of the hair on the crown and temples, resulting in partial or complete baldness. In female-pattern baldness, hair usually only thins on top of the head. It tends to be more noticeable in women who have been through the menopause. Besides Androgenetic alopecia, there are other forms of hair loss such as Alopecia Areata (AA), Telogen Effluvium (TE). Alopecia areata: Alopecia areata most frequently presents as a single round patch (about the size of a large coin) or multiple patches of hair loss that may coalesce into larger areas of alopecia. They usually appear on the scalp but can occur anywhere on the body. It can occur at any age, but mostly affects teenagers and young adults. In alopecia areata, hair is lost because it is affected by inflammation. The cause of this inflammation is unknown but it is thought that the immune system, the natural defence which normally protects the body from infections and other diseases, may attack the growing hair. Why this might happen is not fully understood, nor is it known why only localised areas are affected and why the hair usually regrows again. Telogen effluvium In telogen effluvium (TE), hair density decreases resulting in reduced volume of hair. The decrease of hair density is due to marked increase in hairs shed each day, an increased proportion of hairs shift from the growing phase (anagen) to the shedding phase (telogen). Normally only 10% of the scalp hair is in the telogen phase, but in telogen effluvium this increases to 30% or more. The cause of TE is due to a disturbance of the normal hair cycle. Common triggers of telogen effluvium include childbirth, severe trauma or illness, a stressful or major life event (such as losing a loved one), marked weight loss and extreme dieting, a severe skin problem affecting the scalp, a new medication or withdrawal of a hormone treatment Many cases of hair loss are temporary; while some hair loss is permanent. Some are natural part of ageing and do not need treatment; some are part of the process of medical conditions which will resolve as the medical conditions are treated; whereas for some conditions, treatment are available. Hair loss can have an emotional impact, so you may want to look at treatment if you're uncomfortable with your appearance. The goals of treatment are to promote hair growth, slow hair loss or hide hair loss. Drug treatments for some types of hair loss are available. For telogen effluvium it usually resolves completely without any intervention, as the normal length of telogen is approximately 100 days (3 to 6 months) after which period the hair starts growing again (anagen phase). For alopecia areata hair may regrow without treatment within a year. There is drug for treating alopecia areata e.g. corticosteroid, it is used for reducing inflammation and suppress immune system. For androgenic alopecia, drugs treatments are available. In addition to drug treatment there are other available treatments such as surgery, laser therapy, and wigs. Your doctor may suggest a combination of these approaches in order to get the best results. *Drugs for Androgenetic Alopecia: Two medicines, namely finasteride and minoxidil, are used in the treatment of male-pattern baldness. Minoxidil is currently the only medicine available to treat female-pattern baldness. Finasteride is available as oral tablets which are only used for men. It works by preventing the hormone testosterone being converted to the hormone dihydrotestosterone (DHT). DHT causes the hair follicles to shrink, so blocking its production allows the hair follicles to regain their normal size. It usually takes three to six months of continuously using finasteride before any effect is seen. The balding process usually resumes within six to twelve months if treatment is stopped. Minoxidil is available as topical preparations (e.g. topical solution/lotion, and foam) which may be used for men and women. It is applied directly to the scalp. It's not clear how minoxidil works. It usually needs to be used for several months before any effect is seen. The balding process will usually resume if treatment with minoxidil is stopped. The re-grown hair may fall out three to four months after treatment is stopped. Finasteride tablets are prescription only medicines, whereas topical preparations containing not more than 5% of minoxidil are pharmacy only medicines. It is important to seek dermatologist's opinion or medical advice to identify any underlying causes before starting any treatment. *Drugs for Alopecia Areata: Although there is neither a cure for alopecia areata nor drugs approved for its treatment, some people find that medications approved for other purposes can help hair grow back, at least temporarily. Intralesional corticosteroids stimulate hair regrowth at the site of injection and may be of benefit for limited patchy hair loss. Side effect of intralesional corticosteroid injection includes increased risk of infection, headache, joint pain and injection site reaction. Oral pulsed or continuous corticosteroids may be used in severe progressive cases. Both intralesional and oral corticosteroid are prescription only medicines. *Drugs for Alopecia, common side effects and precautions 1. Finasteride (oral) side effects: impotence decreased libido ejaculation disorders breast tenderness and enlargement testicular pain Precautions: Use with caution in hepatic impairment. Patients should be evaluated for prostatic carcinoma before and during therapy. Contra-indicated in women who are or may become pregnant. Women who are or may become pregnant should avoid handling crushed or broken tablets of finasteride. Use of a condom is recommended if sexual partner is pregnant or likely to become pregnant. Cases of male breast cancer have been reported. May increase the risk of high-grade prostate cancer. 2. Minoxidil (topical) side effects: contact dermatitis itching local burning flushing changes in hair colour or texture headache Precautions: Should be restricted to the scalp. Do not apply on other parts of the body. Avoid contact with eyes, mouth and mucous membranes, broken, infected, shaved, or inflamed skin. Avoid inhalation of spray mist when spray applicator is used. Avoid occlusive dressings and topical drugs which enhance absorption. Discontinue if increased hair loss persists for more than 2 weeks. Users should discontinue treatment if there is no improvement after one year. Avoid in pregnancy and lactation. Contraindicated in user with treated or untreated hypertension. General advice: * Eat a nutritionally balanced diet. If you are otherwise well-nourished, taking nutritional supplements has not been shown to be helpful. * Avoid tight hairstyles, such as braids, buns or ponytails. * Avoid compulsively twisting, rubbing or pulling your hair. * Treat your hair gently when washing and brushing. A wide-toothed comb may help prevent pulling out hair. * Avoid harsh treatments such as hot rollers, curling irons, hot oil treatments and permanents.Sushmita Haodijam7 Likes4 Answers
- Login to View the image
Alopecia areata, also known as spot baldness, is an autoimmune disease in which hair is lost from some or all areas of the body. Usually, the hair loss occurs from the scalp due to the body’s failure to recognize its own body cells and subsequent destruction of its own tissue as if it were an invader. It usually causes small, coin-sized, round patches of baldness on the scalp, although hair elsewhere such as the beard, eyebrows, eyelashes, body, and limbs can be affected. Occasionally it can involve the whole scalp (alopecia totalis) or even the entire body and scalp (alopecia universalis). It is not possible to predict how much hair will be lost. Regrowth of hair in typical alopecia areata is usually over a period of months or sometimes years, but cannot be guaranteed. The hair sometimes regrows white, at least in the first instance. Further hair loss is not uncommon. In alopecia totalis and alopecia universalis, the likelihood of total regrowth is less. Epidemiology Androgenic alopecia is the most common cause of hair loss in males. The overall incidence in Caucasian men may be as high as 96% or more, but the exact prevalence is unknown. Estimates should include the ages for which the estimate has been generated and the degree of hair loss. Caucasian men aged 20 to 40 years have bitemporal recession in 62% of cases. In men aged 18 to 49 years, the incidence of hair loss measured as type III or greater on the well-accepted Hamilton-Norwood hair loss rating scale is estimated to be at least 42%. Within the ages 40 to 49 years, however, 53% are estimated to have moderate-to-extensive hair loss. Types Alopecia areata (patchy) Alopecia areata (patchy) is the form with one or more coin-sized (usually round or oval) patches on the scalp or other places on the body that grow hair. This type may convert into either alopecia totalis (hair loss across the entire scalp) or alopecia universalis (hair loss across the entire body), but most commonly it remains patchy. Persistent patchy alopecia areata Persistent patchy alopecia areata is characterized by patchy scalp hair loss that continues over a long period of time without ever developing into extensive alopecia areata such as totalis or universalis. Alopecia totalis Alopecia totalis results in hair loss across the entire scalp. Alopecia universalis Alopecia universalis is more advanced than alopecia totalis. This type results in hair loss across the entire scalp and face (including eyebrows and eyelashes), plus the rest of the body (including pubic hair). Other forms of alopecia areata Diffuse alopecia areata Diffuse alopecia areata results in sudden and unexpected thinning of the hair all over the scalp. It can be hard to diagnose because it looks a lot like other forms of hair loss such as telogen effluvium or male or female pattern hair loss. Ophiasis alopecia Ophiasis alopecia areata has a unique pattern of hair loss, which includes the sides and lower back of the scalp (called the occipital region) in the shape of a band. Ophiasis alopecia areata can be more difficult to treat because it does not respond as quickly to medication. Risk factors Genetics: If your parents have the history of alopecia or any atopic disorder, you are at a high risk of suffering from Alopecia Areata. The family history of autoimmune disorders like SLE, RA, etc. also elevate the risk of developing Alopecia during your lifetime. Hair care and styling: Use of the harsh chemical through shampoos, hair coloring products or hair styling habits like using hair dryers can also increase the likelihood of Alopecia since these are found to be stressful to your hair & scalp. Stress: Any exposure to unusual stressful factors like extreme weather conditions, etc. Emotional stress leading to use of anti-depressants or other medication increase the probability of getting Alopecia disorder. Vaccination: Sometimes, particularly in children Alopecia is seen to develop post vaccination. Viral infections: Viral infections can trigger alopecia areata. Vit D deficiency: A study confirms that individuals with low levels of Vit D are at high risk of developing alopecia. Causes So tiny cells in the immune system, called T cells, gather around the base of a hair follicle and try to kill it. This causes the hair to fall out. But at some point, the immune attack must come to an end and the hair grows back. Alopecia areata can be triggered by a recent illness, like a viral infection, or by taking certain medications for other medical conditions. Some people can link the onset of their alopecia to a stressful life event, but many can’t. Sometimes it seems to run in families and it has been known to come on in twins at the same time. More often than not, no cause is found at all. If you have alopecia areata you also have a slightly higher-than-average chance of developing other autoimmune diseases such as thyroid disorders, pernicious anemia and vitiligo. Your doctor may wish to check for these if there are any signs of them along with the hair loss. Symptoms There are different Alopecia causes, but there are certain common signs and symptoms which can lead you to find an Alopecia Areata cure. Sudden loss of hair is defined, usually small round patches in the beginning. Coin-sized patches of hair begin to fall. Excessive hair-fall even on touch, or clumps of hair left on the pillow or in the shower. Bald patches spread rapidly, and hair growth may be affected in other body areas including eyelashes and beard, for example. A burning sensation or crawling sensation or itching on the scalp or the body area before hair loss. Chronic or extensive alopecia sometimes can be associated with pitting of nails. Complications Alopecia areata patients are at risk for psychosocial consequences of their disease, such as depression and anxiety. They should be assessed for atopy, vitiligo, thyroid disease, and other autoimmune conditions. Diagnosis and test Generally, dermatologist treats alopecia areata. They are doctors who specialize in the diagnosis and treatment of problems related to skin, its structure, functions, and diseases, as well as its peripheral (nails, hair, sweat glands). Hair loss alone should not be considered to diagnose alopecia areata. There are other types of diseases as well that might cause hair to fall out similar to alopecia areata The typical diagnosis procedure includes Hair analysis and Blood tests Hair analysis Doctors might examine a few hair samples using a microscope Doctors might also perform a scalp biopsy to ensure that hair loss is not due to other conditions including fungal infections As part of scalp biopsy, doctors might even remove a small piece of skin on the scalp for a more detailed analysis Blood tests If other autoimmune conditions are suspected for hair, then doctors might suggest blood tests to be done Doctors would like to test for the presence of one or more abnormal antibodies because if these autoantibodies are found in the blood, it confirms that there is an autoimmune disorder in the body There are other blood tests that can be of help to rule out hair loss due to other conditions like the antinuclear antibody test, testing the iron levels and thyroid hormones test Treatment and medications There is not yet any reliable cure for alopecia areata and other forms of autoimmune hair loss. Because spontaneous regrowth is common in alopecia areata, and research has often been of poor quality, the effectiveness of reported treatments is mostly unknown. Topical treatments Several topical treatments used for alopecia areata are reported to result in temporary improvement in some people. Their role and efficacy are unknown. The hair may fall out when they are stopped. These include: Potent or ultrapotent topical steroids Minoxidil solution or foam Dithranol (anthralin) ointment Intralesional corticosteroid injections Injections of triamcinolone acetonide 2.5–10 mg/ml into patchy scalp, beard or eyebrow alopecia areata may speed up regrowth of hair. Its effect is temporary. If bald patches reappear, they can be reinjected. Systemic corticosteroids Oral and pulse intravenous steroids in high dose can lead to temporary regrowth of hair. Most physicians agree that long-term systemic steroid treatment is not justified because of potential and actual adverse effects. Immunotherapy The sensitizing agent’s diphenylcyclopropenone (diphencyprone) and dinitrochlorobenzene provoke contact allergic dermatitis in treated areas. These sensitizers can be reapplied once weekly to bald areas on the scalp. The resultant dermatitis is irritating and may be unsightly. It is often accompanied by a swollen lymph gland. Other treatments A combination of the lipid-lowering agent’s simvastatin and ezetimibe (which have immunomodulating effects) has been reported to be effective. There is no convincing data to support the use of methotrexate, sulfasalazine, azathioprine, ciclosporin or phototherapy. JAK inhibitors Several patients with severe alopecia areata have had improvement when treated with oral tofacitinib or oral ruxolitinib, which are Janus kinase (JAK) inhibitors. It is thought they may act by blocking interleukin (IL)-15 signaling. Watch out for the results of clinical trials of these biologic medicines. Prevention The condition cannot be prevented or avoided. The cause is unknown and varies by person. Alopecia areata is not tied to stress, as some people believe. Some people have a family history of alopecia areata. Having a family member with alopecia areata and another immune system disease can raise your risk of having it. Other immune system diseases include type 1 diabetes, rheumatoid arthritis, thyroid disease, lupus, Addison’s disease, and atopic dermatitis. It is rare for a parent to pass the condition onto a child.Dr. Nitin Kanholkar2 Likes5 Answers