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March 19
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Can lupus cause hair loss, and what can be done about bald spots?

Yes, lupus can definitely cause hair loss, including bald spots. The immune system can attack hair follicles, causing inflammation that leads to hair loss. This is especially common with discoid lupus, which can create lesions on the scalp that may cause Show Full Answer

Can lupus cause hair loss, and what can be done about bald spots?

Yes, lupus can definitely cause hair loss, including bald spots. The immune system can attack hair follicles, causing inflammation that leads to hair loss. This is especially common with discoid lupus, which can create lesions on the scalp that may cause permanent hair loss if left untreated. Systemic lupus can also cause hair thinning and loss during flares.

Additionally, some lupus medications like methotrexate, Plaquenil, and prednisone can contribute to hair loss as a side effect.

What you can do:

The most important step is treating your lupus itself. When lupus is under control, hair loss often improves. Talk to your doctor about your bald spots right away, especially if you have any lesions or sores on your scalp, as early treatment can prevent permanent damage.

Your doctor may recommend:
* Topical steroids like clobetasol to help hair grow back
* Steroid injections in the scalp
* Adjusting medications if they're causing hair loss
* Mycophenolate to control skin symptoms

Protecting your hair:

* Use gentle products like baby shampoo
* Avoid hot styling tools and harsh chemicals
* Keep hairstyles loose
* Limit sun exposure to your scalp
* Consider biotin or folic acid supplements (check with your doctor first)

A MyLupusTeam member shared success: "I use biotin [and it] works great! Most of my hair [is] growing back!"

March 19

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