[41F] Experiencing hair loss and deep skin pimples

Patient Description

A 41-year-old female presents with sudden hair loss primarily at the hairline and deep, painful pimples on the face, hairline, and neck. The hair loss has been occurring for 2-3 weeks and is noticeable across the scalp. She has experienced hair loss in the past during a COVID-19 infection. The pimples have been present for 6-8 weeks, with about 6 large lumps and approximately 30 small bumps. The patient has a medical history of GERD, high blood pressure, and anemia, diagnosed in April and October of the previous year. She is currently on Carvedilol, iron supplements, and Pantoprazole. She has a known allergy to Penicillin, which causes a rash. No changes in menstrual cycle or excessive hair growth on other parts of the body have been reported. No other medications or contributing activities or habits have been identified.

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Arora's Assessment

What might be happening

Based on the information provided, possible conditions include:

  • Telogen Effluvium: This is a common type of hair loss that can occur after a major stress event, such as a severe infection like COVID-19. It usually presents as a diffuse hair loss across the scalp, rather than in patches.

    • Treatment typically involves addressing the underlying cause and waiting for the hair to regrow, which can take several months.
  • Hormonal changes: Conditions like Polycystic Ovary Syndrome (PCOS) can cause hair loss and acne. However, you have not reported other common symptoms such as irregular periods or excessive hair growth on the body.

    • Treatment for hormonal imbalances often involves medication to regulate hormone levels.
  • Acne Vulgaris: This is a common skin condition that causes various types of pimples. Acne at the hairline and neck could be related to certain hair products.

    • Treatment typically involves topical creams and gels, oral medication, or a combination of these.
  • Cystic Acne: This is a severe form of acne that causes large, red, and painful lumps beneath the surface of the skin. It is most common in teenagers, but can affect adults as well.

    • Treatment often involves prescription medication.

What you can do

  1. Maintain a healthy lifestyle: Eating a balanced diet, getting regular exercise, and ensuring you get enough sleep can all help to improve your overall health and potentially reduce symptoms.

  2. Hair care: Avoid tight hairstyles that pull on the hairline, and avoid harsh treatments like hot rollers, curling irons, and hot oil treatments.

  3. Skin care: Avoid oil-based or heavy cosmetics, sunscreens, and hair products. Do not pick or squeeze the pimples as this can lead to scarring and infection.

  4. Over-the-counter treatments: For the acne, you could try over-the-counter treatments containing benzoyl peroxide or salicylic acid. However, these can be irritating to some people's skin.

  5. Consult a healthcare professional: Given your symptoms, it would be a good idea to consult a healthcare professional. They can provide a formal diagnosis and appropriate treatment options.

What you should look out for

  • If your hair loss continues or worsens
  • If your pimples become more painful, spread, or are accompanied by other symptoms such as fever
  • If you notice other symptoms such as weight changes, changes in your menstrual cycle, or excessive hair growth on your body

Remember, while I strive to provide accurate and helpful information, I'm not a doctor. Please consult with a healthcare professional for a formal diagnosis and treatment.

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11 mo ago

People Also Ask


What is Telogen Effluvium and how is it related to hair loss after COVID-19?

Telogen Effluvium is a temporary form of hair loss that occurs after a significant stress event, such as a severe illness like COVID-19. It results in diffuse hair shedding across the scalp and typically resolves on its own within several months as the hair regrows.


Can hormonal changes cause both hair loss and acne, and what are the signs to look for?

Yes, hormonal changes can cause both hair loss and acne. Conditions like Polycystic Ovary Syndrome (PCOS) can lead to these symptoms. Signs to look for include irregular menstrual cycles, excessive hair growth on the body, and weight changes.


What are the differences between Acne Vulgaris and Cystic Acne?

Acne Vulgaris is a common skin condition characterized by various types of pimples, including blackheads and whiteheads. Cystic Acne is a more severe form, causing large, painful lumps beneath the skin's surface. Cystic Acne often requires prescription medication for treatment.


What over-the-counter treatments are recommended for acne, and how should they be used?

Over-the-counter treatments for acne often include products containing benzoyl peroxide or salicylic acid. These should be used as directed on the packaging, typically applied to clean, dry skin. It's important to start with a lower concentration to see how your skin reacts, as these ingredients can be irritating for some people.


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