Q. Is it possible to get bald spots with Doxycycline?
Hello doctor,
I was taking Doxycycline for three months. After I got a haircut in third month, I noticed that I had two bald patches (it is not actually bald, they were just super thin with a little bit of hair). I got a haircut again today, and the same problem occurred. I am almost positive that the problem is alopecia areata, and I also have the symptom of nail dystrophy (it appeared around two weeks ago). Do you think Doxycycline caused this issue? How can AA be treated, and how long should I expect for my bald spots to have normal thickness again?
Hi,
Welcome to icliniq.com.
Doxycycline is Tetracycline antibiotic that can cause photosensitivity and photo-onycolysis (nail dystrophy) but alopecia areata is not linked with this medication. On the other hand, nail problems are common with alopecia areata.
The Probable causes:
Autoimmunity, drug induced.
Differential diagnosis:Alopecia areata, drug induced photo-oncolysis.
Probable diagnosis:Alopecia areata.
Treatment plan:Apply steroid preparation over bald patches BD. Oral steroids may be required in future.
Preventive measures:Maintain hygiene of the area, wash with soap and water, use vitamin containing shampoo preparation.
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