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Health & Beauty Talk with Dr.Orawan


  Thank you for many responses from our RBSC members. I do apologize for some misunderstandings for our VIP RBSC members who help this this columm to be more interesting by suggesting and bringing up the more interesting by suggesting and bringing up the interesting questions All of them are in good health and figures such as General M.L. Vichai Chayangkura who has beautiful skin without cancer, Mr.Prakob Srisangnam whose nails are all normal, Ms.Jintana and Ms.Supradya Aursudkij who need no treatment just brought up the most popular questions and Ms.Vipa Maneepairoj who is very king,healthy and pretty. I do apologize in case that some misunderstandings might occur. Not even one of the clinical pictures are theirs. From now on to prevent the abbreviated names and last names of our grateful VIP members with their questions.


This columm I would like to answer 2 questions form Mr. S.C. our RBSC sport club member who ask about “Hairs” The first question asks about hair loss on a coin shape appearance: the cause and the treatment. Hair loss has many causes, for the coin shape hair loss without scales we can find in all ages and both sexes. The exact cause still unknown but in dermatology we conclude that stress and auto imbalance cause hair to fall out in a coin shape (round shape) pattern usually 1-2 areas which termed “Alopecia Areata”. Some cases the hair loss spread out to the whole scalp which termed “ Alopecia Totalis” or even spread to the whole scalp which termed “Alopecia Universalis”

This types of hair loss can be cured for a period of months to years depends on the severity of the hair loss.

Treatment can be given by injection, oral, topical or Laser to promote new hair growth and prevent further hair loss. This can be cured.

We have to differentiate this type of hair loss from fungel infection which usally occurs only in children because in adults the sebaceous gland develop fully and can protect one from severe scalp fungal infection or hair loss.


The second question asks about the treatment for baldness. The baldness in men and women are different patterns and the treatments can’t be the same. This kind of hair loss cause by internal male hormone that aggravates thin hair growth replaces the hair that have been lost. These cause baldness.

For men, nowadays FDA approves the treatment with topical Minoxidil and oral Finasteride which prevents prostate gland from hypertrophy and aggravate scalp hair growth without involving other hairy parts such as eyelashes, beards or body hairs. For cosmetic result one should take the medicines for life with safety under dermatological supervision and one can get benefit after 2 months.


For females, the oral medicines are not the same kinds only the topical Minoxidil lotion, some scientific approval herbal shampoos and lotions promote hair growth and maintains normal hair color too. Same as males, the medications should be continued until one realizes that she doesn’t care about it. But if you want to look good and young, continue medication under supervision of specialized dermatologist will be worthwhile.

Thank you Mr.Sumit for participation with this columm. Any questions about health and beauty would be appreciated.

The Email address is bdc@bkkdermato.com




¢éÍÁÙŨҡ¹ÔµÂÊÒà RBSC Vol.3 No.36 June 2004


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