[57M] With hair loss and high DHEA-S

Patient Description

A 57-year-old male presents with significant hair loss at the front (50%) and sides (25%) over the past year. The hair loss onset was sudden, and the patient reports no specific activities or situations that exacerbate the shedding. The patient also reports high levels of DHEA-S, rapid weight loss, muscle loss, low energy, and a decrease in facial hair. Despite eating a lot, the patient does not gain weight. The patient has experienced some stress but denies any changes in hair texture or scalp condition. Additionally, the patient notes crape-like skin but no changes in appetite or digestive issues. There is no family history of adrenal or endocrine disorders, and the patient has not traveled to regions with unusual infections or environmental factors. The patient's past medical history is significant for cardiovascular disease.

Show More

Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

Elevated DHEA-S Levels

  • Adrenal Hyperplasia or Tumors: Elevated DHEA-S levels can be due to conditions affecting the adrenal glands, such as adrenal hyperplasia or tumors. These conditions can lead to an overproduction of adrenal hormones.
  • Endocrine Disorders: Other endocrine disorders, such as polycystic ovary syndrome (PCOS), can also cause elevated DHEA-S levels, although PCOS is more common in women.

Hair Loss and Muscle Loss

  • Hormonal Imbalance: Elevated DHEA-S levels can disrupt the balance of other hormones, potentially leading to hair loss and muscle wasting.
  • Nutritional Deficiencies: Rapid weight loss and muscle loss can also be due to nutritional deficiencies or malabsorption issues.
  • Stress: Significant stress can contribute to hair shedding and other physical symptoms.

Low Energy and Rapid Weight Loss

  • Hyperthyroidism: Conditions like hyperthyroidism can cause symptoms such as rapid weight loss, muscle wasting, and low energy.
  • Metabolic Disorders: Other metabolic disorders could also be contributing to these symptoms.

What you can do

Elevated DHEA-S Levels

  • Consult an Endocrinologist: It's important to see a specialist who can evaluate your hormone levels and determine the underlying cause. They may recommend imaging studies or additional blood tests.
  • Follow Medical Advice: Your healthcare provider may suggest treatments such as medications to regulate hormone levels or, in some cases, surgical options.

Hair Loss and Muscle Loss

  • Nutritional Support: Ensure you are getting a balanced diet rich in essential nutrients. Consider consulting a dietitian for personalized advice.
  • Stress Management: Practice stress-reducing techniques such as mindfulness, meditation, or yoga.
  • Medical Evaluation: A healthcare provider can help determine if there are any underlying conditions contributing to your symptoms and recommend appropriate treatments.

Low Energy and Rapid Weight Loss

  • Thyroid Function Tests: Ask your doctor to check your thyroid function to rule out hyperthyroidism or other thyroid disorders.
  • Regular Monitoring: Keep track of your symptoms, weight, and energy levels. Use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.

What you should look out for

Given the complexity and severity of your symptoms, it's important to seek medical care as soon as possible. Reasons to seek care even more urgently include:

  • Severe Fatigue or Weakness: If you experience extreme fatigue or muscle weakness that interferes with daily activities.
  • Significant Weight Loss: Rapid and unexplained weight loss should be evaluated promptly.
  • New or Worsening Symptoms: Any new or worsening symptoms, such as changes in vision, severe headaches, or chest pain, should be addressed immediately.

Remember, while I can provide information and suggestions, it's crucial to consult with a healthcare professional for a formal diagnosis and treatment plan. If you have more questions or need further assistance, feel free to continue the conversation.

Show More

1
 Hugs
0
 Comments

Save

5 mo ago

People Also Ask


What could cause elevated DHEA-S levels in men?

Elevated DHEA-S levels in men can be caused by adrenal hyperplasia, adrenal tumors, or other endocrine disorders that affect hormone production. It's important to consult an endocrinologist for a proper evaluation.


How can hormonal imbalances lead to hair and muscle loss?

Hormonal imbalances, such as elevated DHEA-S, can disrupt the normal balance of hormones in the body, leading to symptoms like hair loss and muscle wasting. This is because hormones play a crucial role in regulating hair growth and muscle maintenance.


What are the potential causes of rapid weight loss despite a high-calorie intake?

Rapid weight loss despite a high-calorie intake can be due to conditions like hyperthyroidism, where the metabolism is excessively high, or malabsorption issues, where the body cannot properly absorb nutrients from food.


How can stress contribute to physical symptoms like hair loss?

Stress can lead to physical symptoms like hair loss through mechanisms such as increased production of stress hormones, which can affect hair growth cycles and lead to shedding. Managing stress through techniques like mindfulness or yoga can help mitigate these effects.


Preview

Post

No comments yet

Be the first one to comment

Share your feedback

All Stories

Experiencing symptoms?

Our AI will conduct a medical interview and assess what might be happening. You can also make a post afterwards.

Share your feedback