Respected professional collegues please do suggest yr experience in treating the below case. 26yr/M ; Alopecia areata (Tinea Capitis) since 6 months. There was only two tiny spots like that, it aggravated soon after taking injectable steroids in last 6 months.

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Thanks for tagging Dr Iyer . The history of no response/ agravation on inj.steroids as well as smoth shiny bald patches with no sign of any hairfollicle having a trace of sign of hair makes me think that it might be a case of civatrical ( scaring) alopecia where hair follicles are destroyed by inflamatory reaction. No signs of inflamation or scar may be visible becsuse the process occurs below the skin at the level of hair follicle opening which along with sebacious glands are destroyed. One can be sure of this by biopsy only and trichoscopy may help in DD. With this note u may seek the help of a good dermatologist. Nonresponse might be because of follicular destruction and what u call agravation might be just die to ' progression of the underlying disease' Biopsy also settled the point if the process is still active or burnt out. Your two questions are answered in my own perspective. You always tag a number of specialists and one of your diverse arrows may stike the bulls eye. Good luck Sir.

Rogan Jararih+Rogan Bejja Murag Apply on spaces. Soot Shekher ras+mahalaxmi vilas ras with milk empity stomuc. After meal Bhrihraj Asav with Saptamrit loh.upto 3 months continued. If need use trifla at night aftr each 3rd day.pl. guide/alert ptn. Never To use such tmt.

Avoid junk, packed, salty food. Fruitsalad, fermented food. Regular meditation. Shirodhara with sesame oil with bhringraj oil. Cap.Cutis 2-2-2 4 week. Hairzoneespray twice. Avoid addiction if any.

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आयुर्वेद में इसे इन्द्रलुप्त कहते हैं। व्रणराक्षस तैल लगाने के लिए त्रिफला चूर्ण 10 ग्राम रात को सोते समय दूध के साथ दे कायाकल्प वटी 2 सुबह शाम सेवन कराएं सत गिलोय 4 रत्ती रस माणिक 2 रत्ती शोधित गन्धक 4 रत्ती शहद के साथ सुबह शाम सेवन कराएं

Shiro dhara and Shiro basti will be helpful. .Rx mahatiktam kawth. .mahamanjistadi kawth. .saribadyarista. .gandhak rasayan.

ALOPECIA AREATA..

@Dr. Asv Prasad ..ji I tag you whenever Im at my witts end...In this case..this patient is an iatrogenic conglomerate so where does one break the iceberg from...if he can't see the TIP...itself?

Hope Sir u have seen my reply on the allopathy doctors reply side.
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There are several causes like ratubat e fasida,fasad e dam ,fasad e balgham So we have to diagnose the temperament of the pt after that we can treat the pt

@Dr. Asv Prasad ji....@Dr. Avitus John Raakesh Prasad @Dr. P.kishore Kumar ....Please GUIDE...my quest-Why STEROIDS aggravate?What next now?

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