Resolved question:
hello
i am asking for my daughther aged 8 ye 1 months ., she was born with dark black hair .,
her hbg now was 12.4 gm/dl and tyroid levels were normal ,
her weight was 29 and ht 139
the problem she losses her hair while combing and her turns to mild grey noticeble .,
i have done trichoscan by last year which shows some mild abnormality ., i have given biotin 5mg supplements from past june to october and i stopped .,
now last week i again done the trichoscan the results were shocking ,
i have given only biotin and not calcium panthonate ( as low dose b5 was not available )
i have ordered 100mg b5 through online waiting to receive
please advice me whether shall i continue biotin and how long ? any toxicity ?
and shall i give b5 supplements to her ? then dosage ? how long ? any side effects? any toxicity ?
some blames b5 will causes hair fall and thins hair
she is well other than this grey hair and hair fall
i am attached the values of two trichoscan
note my daughter lips are pinkish in colour very similar to leukoderma ( but not sure )
trichoscan on 29/04/2014
analysed area (cm2)------------1.81
hair count-----371.5
hair density (1/cm2)------205.60
anagen hairs (%) ---- 61.3
telogen hairs (%)-----38.7
vellus hair density (1/cm2)---------6.1
terminal hair density (1/cm2)------199.6
vellus hairs-------11.0(3.0%)
terminal hairs ------360.5(97.0%)
-----------------------------------------------------------------------------------------------------
trichoscan on 20/02/2015
analysed area (cm2)------------1.87
hair count-----151.5
hair density (1/cm2)------81.1
anagen hairs (%) ---- 57
telogen hairs (%)-----43
vellus hair density (1/cm2)---------0.5
terminal hair density (1/cm2)------80.5
vellus hairs-------1.0(0.7%)
terminal hairs ------150.5(99.3%)
please advice
Submitted:
4 Days
Category:
Dermatologist
Hello
Thanks for posting your query at DoctorSpring.com
I can understand your concern.
I have reviewed the reports but i would like to request you to send me the reference values if mentioned wroth the trichoscan report.
Also i notice that you mention about the lips. Since how long are they of that colour? Could you send me a picture.
Regarding the greying of hair are they all grey or is there a specific distribution? Have you noticed that they are particularly grey at the front only?
I am just trying to rule out any correlation between the concerns that you mention.
Take care
THANKS DR
REF VALUES
ANAGEN HAIRS % GREATHER THAN 80%
TELOGEN HAIRS % LESSER THAN 20%
VELLUS HAIRS LESSER THAN 0.50%
TERMINAL HAIRS GREATHER THAN 99.50%
REGARDING HAIR COUNT AND HAIR DENSITY NO REF RANGE
BUT HAIR COUNT AND HAIR DENSITY OF SCANNED AREAS ARE REDUCED BY 2/3 WHEN
COMPARED TO LAST YEAR SCAN
THE HAIR IS NOT FULLY GREY SOME STRANDS FULLY GREY AND SOME AT THE BOTTOM AND SOME AT THE TOP
NOTE : HER ERYTHROCYTE ZINC LEVEL WAS HIGH ie 1746 PPB (NORMAL 643--1594)
THATS WHY I AM VERY MUCH CONCERNED
LIP PICTURES UPDATED
Hello,
Thanks for your reply.
I agree the terminal hair density has gone down. Vellus hair come down as age progresses. They are present at birth and then they shed off As the child grows.
I would recommend an improvement in her nutrition as oral vitamin supplements alone cannot help proper hair growth.
Her diet needs to contain proteins, iron, calcium n vitamins. This will stimulate better hair growth.
Application of solutions like neoptide containing decapeptides which are growth factors will be useful.
I would recommend a visit to a dermatologist for physical evaluation so as to rule out any other local cause of hair loss.
Please let me know if you have any queries.
Take care
What about the dose of biotin and b5.. I have attached lips pictures and please give advice for that . about neoptide it's safe for kids aged 8...
Hello
Thanks for the picture.
I wouldn't label this as vitiligo. Its normal lip colour. The upper lip is a little dark. At this age i would just advise moisturizing the lip twice daily.
Take care
Thanks dr What about the dosage of b5 and biotin
Biotin 5 mg is good enough. I don't really recommend vitamin B5 seperately but a multi vitamin Would be the best.
Regards.