Though I have alopecia, I seem to have different patches other than alopecia. How to treat it?

Hi,

Welcome to icliniq.com.

I understand your concern. The two pictures look different (attachment removed to protect patient identity). The first one is inflamed and the other one is non-inflamed. It is difficult to conclude anything based on the picture. If you have a history of other immune conditions such as thyroid, then these white patches can occur anywhere on the body and it can be alopecia areata. These patches are needed to be observed under magnifying glass or lens to see the hair roots. The non-inflamed one looks like alopecia areata.

The one with inflammation seems to be cicatricial alopecia where the inflammation leads to scarring. For both conditions, treatments are available. Your doctor can suggest you to take topical steroid or immunosuppressant for treating alopecia areata. The other inflamed patch can be treated by taking systemic anti-inflammatory drugs along with steroids. This has to be initiated only after examining the hair roots under magnifying glass or lens. Alopecia can get subsided by taking treatment but there is a high chance for you to have a recurrence.