I’m a 34 yo white healty male. When I was 30 (2 mts before I turned 31) I noticed a lot of hairs on my pillow and when I ran my hands through my hair. My hair was extreamly thick. When I was 32 I went to a local Dr. that is a hair specalist. He did a biopsy said 2 vellus hairs to 25 total hairs. Had mild follicular and lymphohistiocytic infiltrate. He says I dont have AGA.

Fast forward two years to today, Im 34 hairs still come out same rate(been on propecia 2 yrs) biopsy says I have 3 velous hairs out of 23 total hairs. My family has little to no MBP (only mothers brother and her father a little) I see zero frontal recesion, no balding in the crown. No change in the way my hair is around my head other than its getting thinner everywhere, sideburns,sides, nape of neck, crown, vertex,all thinning at the same rate. What are your thoughts?
Thank you

Biopsies should not be done to rule in the androgenetic alopecia (AGA) diagnosis. They should be saved for special forms of alopecia which require the microscopic analysis and staining techniques that show cellular details. When doctors find lymphohistiocytic infiltrate, they often look to classify other cells in the area of biopsy which should not be present in large quantities, for large quantities of lymphocytes, eosinophils, etc, may point to infection or auto-immune diseases. The diagnosis of AGA is better made with a video densitometer (see Miniaturization: Critical to the Master Plan for Hair Loss), as it is non-invasive and simple.

I have been suffering from some major skin problems on my face for 9 months now!! Doctors haven’t helped. I’ve spent thousands of dollars. I have recently come to believe I might be suffering from demodicosis/demodecosis/demodicidosis. And yes, I have noticed a ton of my hair everywhere. I noticed someone wrote in a few months back saying he had cured himself of it. Is there any way I might be put in contact with him?? I’m curious to know what type of protocol he followed & his symptoms. You must understand, this plague has ruined my life and I want to get rid of it. I’ve pasted the link below. Your help would mean the world. Thank you kindly

Demodicosis and Hair Loss

Not all people who write use a valid email address, added to the fact that the sheer amount of email this blog receives would make hunting the person down pretty difficult (I realize there is a “search” feature in most email programs, but alas, the message was from half a year ago). Perhaps the person that wrote the original email is reading this and will get in contact with me again with permission to pass his contact info on.

I did find an article of human infestation that may be of interest. See: PubMed. You might have to be logged in to read the article, but the summary is:

49 patients with different clinical types of demodecosis were examined. There was a pronounced decrease in the T-cellular immunity state on the skin. The state of immunity was directly dependent on the degree of clinical manifestation and when the patients contracted the disease, and it correlated with data from the humoral immunity state study (CIC).

This article suggests an immune problem may exist in those that have the infestation. You should see a good doctor (dermatologist) if you feel that this infestation is present. Good luck.

I am most pleased to contact you from Tbilisi, Georgia. I am male, 24 years old.

I would like to tell you about my problem which occurred at the age of 3 when my hair started falling out (circumscribed alopecia) which has resulted in full baldness and continues till today. It should be noted that a genetic factor is absolutely excluded as far as no one in my family have ever had similar pathology. My parents associate this disease with a strong stress and fear. The treatment which I have undergone over many years in my country yielded no result and therefore, I am kindly asking you to assist me.

I learned about your clinic a week ago and I was greatly delighted as after many hopeless years, I am filled with strong hope. Please advise me if you are able to cure me at your clinic and let me know terms and conditions of treatment.

Thanks for attention! It is interesting to me, what result have been received at treatment total alopecia(circumscribed alopecia) in your clinic. Whether in my case probably treatment in your clinic and what result will be received? How many will manage the treatment in your clinic?
Thank’s for your attention

I believe what you are describing is a condition we call alopecia universalis. There is a population of people who have this condition appear at about 3 years old. The hair falls out in clumps and takes less than a year to complete. The end results are bald children and the condition is not curable. Please send me pictures of yourself now and if you have pictures of you at 3 years old, that might be helpful.

My brother has lost his entire body hair at the age of 6, due to medication. He had been suffering from typhoid and small pox at the same time then. Since then we had tried lot of medications, both homeopathic and allopathic. He had a patchy growth of hair during these medications at the age of 18+. Right now he is totally bald, no body hairs and no eyelashes and eyebrows. He is of 26 years of age now.
Can you please help me out.

It seems your brother may be suffering from a condition known as alopecia universalis or alopecia totalis. There is really nothing much you can do in terms of regrowing or transplanting hair.

You may find more information on this topic at the following websites:

• National Alopecia Areata Foundation
• HairLossTalk.com – Alopecia Universalis
• Past BaldingBlog posts on “Alopecia Universalis”

Hi Dr. Rassman,

I’m a 20 yr old white male and I’ve seen my beautiful dense hair reduce it’s volume to about 40% over a 7 months period. It all started about a month after I relocated to another city. 2 months ago I went to a dermatologist. She gave me this treatment: Hairgrow 2% Minoxidil, Ducray Sabal shampoo and some vitamins. I don’t think it’s working because I’ve analyzed my scalp and I have less hair than 2 months ago. The thing is, I don’t have MPB but rather a diffuse alopecia. I honestly have no idea what the cause is because I have a healthy life style with balanced meals and workout. My father has MPB so in the worse case I should have developed MPB as well.
I would be forever grateful if you could shed some light on my problem. Thanks in advance.

When you describe a diffuse alopecia, I really do not know what you are seeing. When I describe a diffuse alopecia, I expect to see miniaturization of hair throughout the scalp, including the rim of hair around the sides and back (we call this the permanent hair zone). When miniaturization occurs in the permanent zone in a man, this is a very bad omen for long term deteriorating hair loss, something that is not easily managed with drugs and certainly not transplants. Rather than go into the complex area of the real diffuse alopecias, their diagnosis and management, I would suggest that you get your scalp mapped for miniaturization to find out what is really going on. Is this real? Is this a disease that you are manifesting?