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Hair loss with greying. Can I give B5 supplements?

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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




Category: Dermatologist

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Category: Cosmetic and Plastic Surgeon
Dr. Kruti Jobanputra Banodkar is online now

Expert:  Dr. Kruti Jobanputra Banodkar replied 4 Days.

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


Patient replied :

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


Expert:  Dr. Kruti Jobanputra Banodkar replied 3 Days.

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


Patient replied :

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...


Expert:  Dr. Kruti Jobanputra Banodkar replied 2 Days.

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


Patient replied :

Thanks dr What about the dosage of b5 and biotin


Expert:  Dr. Kruti Jobanputra Banodkar replied 1 Day.

Biotin 5 mg is good enough. I don't really recommend vitamin B5 seperately but a multi vitamin Would be the best.
Regards.


Dr. Kruti Jobanputra Banodkar
Category: Cosmetic and Plastic Surgeon
Experience: 
Diploma in Dermatology - Royal College Of Physicians & Surgeons Of Glasgow, UK , 2010
Residency - DNB, Dermatology -  K.J Somaiya Hospital, Mumbai, 2009
Medical School & Internship - MBBS - Dr. D . Y . Patil Medical College, Mumbai, 2004
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