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Ask a Doctor2018-06-12T20:20:45+00:00
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I’m black and recently I’ve been experiencing a lot of hair loss and thinning. In the past my doctor had ran test and it showed that I was anemic and needed to start taking iron pills to bring my iron levels up. Normally, I would take them for about a week and stop. Never been consistent up until now . I’ve been taking them for about a week. It used to be thick and full. I do not use any chemicals, dyes or relaxers. I’ve been without one for over 10 years. I want to know what is causing my hair loss and if it can be reversed? Could it be my thyroid or is it actually me being anemic causing my hair loss.
November 1, 2018

Thanks for your question, and I understand your concern.  There are many causes of hair loss, and an evaluation is person is critical to assess the pattern of your loss.  Both iron deficiency and thyroid disorders can cause hair loss, but there are many other causes that can cause loss as well.  The best course of action would be to make an appointment to discuss and evaluate your specific condition in person.

Quyn Rahman, MD

Knoxville Institute of Dermatology

What does it mean when a mole starts showing a white pale area around it?
September 25, 2018

That is termed a “halo” mole.  The body is attacking the pigment producing cells of the mole and destroying them.    The question is “why?”

In general,  a halo mole is benign, but we often excise them because of uncertainty.

Sophia J Hendrick, MD

Does your office specialize in scalp issues. I have see 4 MDs and I have studied UPtodate throughly. I think it may be folloicutlitis r/t long term yeast or fungal overgrowth, complicated by stress, pre menapause. Chronic getting worse greater than one year. Are you able to do a fungal culture? Considering treatment with oral diflucan or lamisal. I have tried multiple modalities of topical therapy included natural remedies. Can you help please. I ready to shave head to get a full picture of the distribution pattern. It started in the crown and now has move to forhead( hair line receding now) and now moving down side of scalp down behind ears. Was able to take a comb and pull greay yellow flakes from scalp with fine tooth comb( only visualized in mirror magnified x 10.
September 25, 2018

Dermatologists take care of problems of the skin, hair and nails.  Yes, we do fungal cultures.  It takes 2-6 wks to get results back, and we would not treat with an oral medicine unless the culture showed fungus.  Fungal scalp infections are most common in children and less common after puberty, although possible.  Seborrheic dermatitis is a more common problem in adults.

Sophia J Hendrick, MD

Can you get SCC inside your nose? I have a spot just inside my nostril that looks like some of the other spots I have had removed.Thanks!
September 25, 2018

It is possible but not common.  Infection would be more common.  But if the area has been present for a couple weeks, it should be evaluated.

Sophia J Hendrick,MD

My son is two we have been to his pediatrician atleast 5 times about his eczema. They have prescribed us 3 different creams which nothing is helping! He keeps his self up all night itching and it’s around his eyes now. Which they say there’s nothing they can do about his eyes! Is there anything else at home I could do? And anything I can put around his eyes that wouldn’t harm him? I have switched his laundry detergent to dye free and his soap/lotion to dye free. Help!
September 12, 2018

Eczema can be a really tough and chronic problem.  And it may require daily maintenance.  A heavy moisturizer such as Vanicream, Eucerin, or CeraVe CREAM should be applied “all over” twice daily.  If the products previously prescribed did not help enough, then it may be time to see a dermatologist, or perhaps allergist (although most cases are NOT due to allergy).  Eczmea is the most common problem we see in children.

For the itching you could try an appropriate dose of Benadryl at bedtime.

The long term outlook is good.  Most children do outgrow the condition.  Half will outgrow it by kindergarten.

Hope this helps!

SJ Hendrick,MD

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