MyLupusTeam

What causes eyelash loss and poor eyelash growth in lupus?

Eyelash loss in lupus can happen for similar reasons as hair loss on your scalp. Here are the main causes:

Lupus itself: When lupus is active, your immune system can attack healthy tissue, including hair follicles around your eyes. This inflammation can damage the Show Full Answer

What causes eyelash loss and poor eyelash growth in lupus?

Eyelash loss in lupus can happen for similar reasons as hair loss on your scalp. Here are the main causes:

Lupus itself: When lupus is active, your immune system can attack healthy tissue, including hair follicles around your eyes. This inflammation can damage the follicles and lead to eyelash loss.

Lupus medications: Several medications used to treat lupus can contribute to hair loss, including eyelashes:
* Immunosuppressive drugs like mycophenolate, methotrexate, and cyclophosphamide
* Antimalarials like hydroxychloroquine (Plaquenil)
* NSAIDs
* Corticosteroids

Discoid lupus lesions: If you develop discoid lesions on your eyelids or near your eyes, these can cause scarring that permanently damages hair follicles.

The challenge is that it's often difficult to pinpoint exactly what's causing the loss since both lupus activity and medications can contribute. Treatment options:

The best approach is to get your lupus under control first. When disease activity is managed, eyelash loss often improves. Here are some treatment options to discuss with your doctor:

Medications:
* Topical or injectable steroids like clobetasol can help promote regrowth
* DHEA (only by prescription) may help with lupus-related hair loss
* Adjusting lupus medications if they're contributing to the problem

Important notes:
* If medication is the cause, you may see regrowth within a few months after adjusting your treatment
* Avoid over-the-counter hair loss products like minoxidil (Rogaine) without talking to your rheumatologist first - they're designed for a different type of hair loss
* Some supplements like biotin may help, but check with your doctor first to avoid interactions with your lupus medications
* If scarring from discoid lesions has occurred, the loss may be permanent in those areas, but treatment can prevent further spread

Talk to your rheumatologist about what's causing your eyelash loss so they can recommend the most appropriate treatment for your situation.

 AI-generated responses are not a substitute for medical advice. These services are not intended to diagnose, treat, or cure any condition or disease. Always ask your doctor about specific health concerns.

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