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[quote=Anonymous][quote=Anonymous]I am the OP and have scheduled an appointment with a new dermatologist.

What questions should I ask? Im scared this will be yet another one of those situations where they just shrug their shoulders.

This dr has his own hair clinic so I wonder if he will even want to look at blood work? As you can imagine this has been mental hell.

Thank you to everyone 💗[/quote]

The derm is a good next step, as they can examine her scalp with a trichoscope and take a biopsy if needed. In the meantime, I would recommend getting an inexpensive trichoscope online (amazon) and researching images of alopecia areata trichoscopy findings vs other causes of shedding like telogen effluvium and androgenic alopecia to have some frame of reference when you go to the doc. It might also give you some peace of mind that it's not alopecia and may be temporary shedding that will grow back.

I have alopecia areata and had diffuse thinning, stages of patchiness, some regrowth, then lost almost all of my hair. Went through a lot of docs and derms in the early stages before I was officially diagnosed and effectively treated, and now I'm on a JAK inhibitor, an immunosuppresant that is recently FDA approved. It's working really well for me with minimal side effects, so even this worst case scenario of being nearly bald has been temporary. I've been through a lot, though, and I especially feel for your teen. I would not have handled it well at that age.

I have another autoimmune disease (celiac) which may have made me more predisposed, but I'll never know for sure what triggered it. I had tons of diagnostic bloodwork and other doctors visits to rule out other health issues before seeing a derm, but they also showed nothing but some low iron, low vit d, and some mild inflammatory markers. Happy to answer any other questions.[/quote]

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