Scalp Inflammation And Hair Loss What Could It Be?

[airtas]

About two months ago I had a bump on the back of my scalp.
I also had a lymph node enlarged at the back of my neck.

My primary care doctor shrugged it off and said it was probably a hair follicle infection and to give it a couple months.

We are a couple months in and now I have a nickel sized bald patch and the area is red.

My derm prescribed a steroid to see if it helps with the inflammation but they seemed perplex too. The tested the skin for a fungus and wasn't fungus related.

Any suggestions on what this could be?

Hair follicle infection?
Alopecia Areata?
Inflammation?
Something else?

I am meeting with a new derm next week. The pic is before the hair loss from September.

 

[keepcoolmybabies]

Well it looks like tinea capitis... but if that tested negative than not sure. Possibly could be a form of folliculitis. Or maybe LPP since you have centralized erythema, though I don't see any perifolicular scale.

You should biopsy the area.

 

[airtas]

Well it looks like tinea capitis... but if that tested negative than not sure. Possibly could be a form of folliculitis. Or maybe LPP since you have centralized erythema, though I don't see any perifolicular scale.

You should biopsy the area.

what is LPP?

 

[airtas]

I was using Nizoral two weeks prior to the skin test would that have cleared Tinea Capitis?

 

[keepcoolmybabies]

what is LPP?

Lichen planopilaris.

I was using Nizoral two weeks prior to the skin test would that have cleared Tinea Capitis?

Not sure. Nizoral definitely can't treat it as tinea capitis isn't merely superficial and instead deep under the skin. But perhaps it can still interfere with a standard skin skraping since that in itself is superficial.

 

[Scoobysnack]

Interesting that it happened right in the "eye" of your vertex.

 

[airtas]

This is the spot as of today. I can get a better picture if it helps.

 

[airtas]

Looking back on it I don't know if the photos are from the same spot.

 

[Inigo1202]

Wait for the new dermatologist. He'll tell you.

Its weird though.

 

[airtas]

does a biopsy require stitches in the area?

 

[keepcoolmybabies]

does a biopsy require stitches in the area?

Yes, they will remove a small piece of scalp with a punch device and then apply a couple stitches to the area.

 

[airtas]

Yes, they will remove a small piece of scalp with a punch device and then apply a couple stitches to the area.

Had the biopsy done today. Any recommendations to help reduce scarring?

 

[keepcoolmybabies]

Had the biopsy done today and recommendations to help reduce scarring?

Just keep the area clean and moisturized. If it gets too dry it'll have more likelihood of scabbing up and scarring

 

[airtas]

Is it OK to apply something today or do I need to wait 24 hours?

 

[keepcoolmybabies]

Is it OK to apply something today or do I need to wait 24 hours?

The Doctor should have applied some dressing to the wound. You should leave it as is for the first day.

 

[airtas]

The Doctor should have applied some dressing to the wound. You should leave it as is for the first day.

Thanks! Nothing like explaining this over Thanksgiving dinner!

 

[Joe1111]

What was it

 

[jazz1]

Try these options:

3 Garlic cloves
Onion
Apple Cider Vinegar
2 table spoons olive oil

Extract the juice and apply once per day Plus get a cream called Dactokort contains 1% Hydocortisone and 2% microconozate.

Derma roller 1mm.