Can lupus cause balding spots and how can hair regrow from lupus-related hair loss?
Yes, lupus can cause balding spots. There are two main types of lupus-related hair loss:
Scarring alopecia occurs with discoid lupus and creates lesions on the scalp that can lead to permanent bald spots if left untreated. Between 30-50% of Show Full Answer
Can lupus cause balding spots and how can hair regrow from lupus-related hair loss?
Yes, lupus can cause balding spots. There are two main types of lupus-related hair loss:
Scarring alopecia occurs with discoid lupus and creates lesions on the scalp that can lead to permanent bald spots if left untreated. Between 30-50% of discoid lesions appear on the scalp. Early treatment is crucial because once scarring occurs, hair follicles are destroyed and cannot regenerate.
Nonscarring alopecia is associated with systemic lupus and causes hair to become thin and brittle. This type is reversible because hair follicles aren't destroyed - they just rest during active lupus periods.
To help regrow hair, the most important step is getting your lupus under control. Once disease activity is managed, hair loss typically improves.
Treatment options include:
- Topical steroids like clobetasol to speed regrowth
- Mycophenolate for skin symptoms and hair loss
- DHEA (prescription only) for lupus symptoms including hair loss
- Steroid injections in the scalp
Protect your remaining hair by:
- Using gentle products like baby shampoo
- Avoiding hot styling tools and harsh chemicals
- Keeping hairstyles loose
- Limiting sun exposure with hats or scarves
Talk to your rheumatologist before trying over-the-counter supplements, as they may not work for lupus-related hair loss and could interact with your medications.
March 19
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