Is diffuse pattern loss more associated with itching?

youngbaldie

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I am just wondering. It seems that a lot of guys who have the diffuse pattern hair loss, the kind that does not really fit into the norwood classification system, typically have a really severe scalp itch, mostly in the thinning areas. I dont want to single any person out here, but some people have posted pics, where they have an intact hairline but clearly visible thinning patches all down the top of the scalp.. As of now, that is me, all the way. We may eventually get the same Norwood 5 as most balding guys, but we certainly dont form it the same way. Diffuse hair loss just creeps up on you over a period of years. And it looks extremely bizarre, unhealthy, at least on me anyway. If somebody saw it, they would think I have an illness I bet, rather than simply baldness. Ever take a good look at a young man or teenager diffusing? See what I mean?

Speaking for myself, I can actually feel the spots that will thin out next just by the itch. These areas typically bleed a little (even with no scratching for weeks) and red bumps sometimes have developed on the thinning patches. For instance, when I was about 19, when I first had my left temple recede a tad, the whole head seemed to itch all of the time, including the backs and the sides. Scalp was extremely red 24 hours a day. Then about 2 years later, my right temple thinned out along with portions of the crown and mid scalp, all in a very diffuse pattern. Red, oily bumps developed in all these areas. Each of these bumps was extremely itchy and the areas that were thinning always had this tingling senstation to them, even when I wasnt thinking about anything even related to hair loss. Actually, it would be the tingle and itch that would always remind me that I was losing my hair. I also thinned out dramatically around the ears and neckline even. Everything all over was thin, with notable recession on the temples, one moreso than the other, and some bald patches that developed all around the top of the scalp, particularly in the crown.

Also, there was always this really disgusting white gunk that collected on my fingers after scratching my hair or even simply rubbing my finger across my forehead. My scalp, neck, ears, and forehead, and even eyebrows felt like they were on fire 24 hours a day. The only things that help a little are nizoral and neutrogena t-gel with menthol, and yes, I do believe diet also plays a small role possibly.

Anyway, my question is. Do any of you guys out there with typical male pattern baldness (norwood 2, 3, 4 etc.) have increased itching particularly in the thinning spots? Does your balding head ever bleed? I have googled this topic extensively and never find anything except unlikely, unrelated dermatological conditions.

It just seems too coincidental that the itching is the worst in the diffuse areas. I believe this itch is related to hair loss. I have had it since I was 18, almost 19. And I am 24 now, and still have it.

Any theories on what causes this and why it seems to occur more with diffuse pattern hair loss? Perhaps us diffuse guys have a different cause for our balding? Or maybe androgens play a small role that later leads to the growth of some sort of fungus that causes more hair loss? Or is it some kind of serious immune response to the scalp being destroyed by androgens?

Any ideas from the hair loss geniuses on here? Any help would be much appreciated. I really want to solve this for us guys, because it is rarely encountered by dermatologists so they have no idea what it is. All they say is male pattern baldness, but they have no idea how to get rid of the itch, or more importantly why some diffuse sufferers have this burning itch all of the time.

Thanks in advance to anyone that can help.
 
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I don't know but I sure as hell "got the itch". I even think that as long as I got the itch, I know I'm still losing hair.
 

ripple-effect

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youngbaldie, I also have diffuse hair loss and the inflammation you describe is not anything near what I have. Yes, I do experience sensitivity in areas that are losing hair but I do not have the horrible visible inflammation you describe. If you want to try and ease up on the inflammation my best advice to you is to apply Emu oil topically and take fish oil(lots of it) internally to stop the inflammation. This could possibly help you regrow/maintain some hair as well.
 

dr_jekyll

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I also had the itchiness and redness in the thinning areas - although my hair thinned in a typical NW4 pattern. I think these symptoms occur which ever pattern you lose your hair.

Since I started treatment, though, all those symptoms have completely gone.
 

dr_jekyll

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YoungBaldie, click on 'my story' link below: On page 2 there is a close up picture of my forehead - you can see all the red pimples. Is this the sort of thing you are referring to?

The tingling you speak of - I had this at the crown of my head about 2 years ago. I used to think WTF is this! And now 2 years later there is no hair there. (Its growing back ow though :lol:)
 
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dr_jekyll said:
Since I started treatment, though, all those symptoms have completely gone.

I hear that a lot, especially the success stories often contain this statement. That's why I think that finasteride is not doing anything for me, because it doesn't even stop the itch.
 

dr_jekyll

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GHG why dont you try using Nizoral as part of your regimen then you will be using all of the 'big 3'
 

youngbaldie

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dr_jekyll said:
YoungBaldie, click on 'my story' link below: On page 2 there is a close up picture of my forehead - you can see all the red pimples. Is this the sort of thing you are referring to?

The tingling you speak of - I had this at the crown of my head about 2 years ago. I used to think WTF is this! And now 2 years later there is no hair there. (Its growing back ow though :lol:)

Hey, thanks for posting those pics. Yeah, thats what I am talking about. Really impressive thickening you have there, congrats. Looks like the inflammation has gone down considerably too.

Unfortunately, I can't take Propecia anymore because of the sides, but I did noticed decreased itching while on it for 2 months. Glad you had success though. Thanks for sharing.

I myself use nizoral which I believe helps somewhat. I may take some more fish oil and soy.
 
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dr_jekyll said:
GHG why dont you try using Nizoral as part of your regimen then you will be using all of the 'big 3'

Because nizoral makes my scalp burn like hell... I've tried it several times.
 
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Dr. jekyll, can you please try and explain how to do the scalp exercise? What it is that you're doing? I think I can control the muscles above my ears (ie. move the ears) but that doesn't seem affect my scalp at all. I just can't understand what to do by those directions on that link you gave. I've read it several times but just can't do it.
 

seth9027

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Youngbaldie, have you tried Loprox shampoo? My dermatologist prescribed it to me for seborrheic dermatitis, which is one of the same conditions that Nizoral is supposed to treat. It has helped me out a lot with my itching scalp. I read an article that said it's anti-inflammatory activity was greater than that of ketoconazole and hydrocortisone. I am in the same boat as you, let me know if you find something that helps.
 

youngbaldie

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seth9027 said:
Youngbaldie, have you tried Loprox shampoo? My dermatologist prescribed it to me for seborrheic dermatitis, which is one of the same conditions that Nizoral is supposed to treat. It has helped me out a lot with my itching scalp. I read an article that said it's anti-inflammatory activity was greater than that of ketoconazole and hydrocortisone. I am in the same boat as you, let me know if you find something that helps.

Thanks for the tip, I'll look into that.
 
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