Friday - - Beauty -

Q I am a 15-year-old boy. In the past two months I have had ex­ces­sive hair fall. I was on steroids for the treat­ment of Bell’s palsy in Au­gust. Of late I have also no­ticed dan­druff in my hair. How can I stop this hair fall? Will it grow back nat­u­rally?

A You’re right. Bell’s palsy as well as the oral cor­ti­cos­teroids you’ve been tak­ing to treat the disease, both can cause hair fall. This type of ex­ces­sive hair fall is known as tel­o­gen ef­flu­vium.

The other rea­sons in­clude acute sys­temic disease, se­vere psy­cho­log­i­cal stress, and use of cer­tain oral drugs. The on­set of tel­o­gen ef­flu­vium usu­ally oc­curs af­ter two-three months of suf­fer­ing from an at­tack of a disease or use of high doses of med­i­ca­tion. In women, sim­i­lar com­plaints are most fre­quently ex­pe­ri­enced post­na­tal. How­ever, the good news is that in ma­jor­ity of the cases, tel­o­gen ef­flu­vium is tem­po­rary, which means that most of the suf­fer­ers re­cover in four-six months. Use of hair growth stim­u­lat­ing treat­ments, for ex­am­ple, top­i­cal Mi­nox­i­dil, scalp mesother­apy or PRP can sig­nif­i­cantly im­prove re­cov­ery.

Your se­cond com­plaint – dan­druff – is also due to Bell’s palsy and its treat­ment. To treat your dan­druff, I would sug­gest you use a top­i­cal steroidal lo­tion, alone or mixed with an oily base, which can be ap­plied daily or on al­ter­nate days and can be washed with a tar- or sal­i­cylic acid-rich sham­poo. Usu­ally, there isn’t any per­ma­nent cure for dan­druff, there­fore most of the suf­fer­ers are treated through symp­to­matic re­me­dial ac­tions.

DR IKRAMULLAH AL NASIR is a Dubai-based der­ma­tol­o­gist

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