Conversation: The conversation between human and AI assistant.
[|Human|] I am 21 year old and I hve alopecia my hair is growing but the patches r getting bigger and patch also increasing  i have tried injections onion juice helped me with hair growth but what to do about it to stop the patch get bigger day by day please help me
[|AI|]  Hello. Thanks for writing to us at Chat Doctor I will keep a possibility of Alopecia Area ta(AA) that is active or extending. Alopecia Area ta(AA) is an autoimmune condition. It usually presents as smooth bald patches of hair loss, most commonly over the scalp. The patches of Alopecia Area ta are smooth, and usually there is no evidence of inflammation like scaling or erythema or itching. When the disease is active, the patches may extend Or get bigger. However, AA is self limiting in most and ultimately new patches stop appearing and extending as disease activity gradually vanes away. Intra-lesional depot preparation of Triamcinolone acetone is the treatment of choice in adults. The injection seems to have worked in your case. However, new patches may form or existing patches may increase in size, just as the case in you. In most cases it is self limiting and new or extending patches also need to be injected in the same way. However, in some cases dermatologists may choose to start patients on Oral Minipulse (OMP) to arrest the progression of disease. You may discuss more about this with your treating doctor. Other topical treatments that have been tried either alone or in combination with intraluminal steroids are Topical Potent steroids (e.g. Mometasone Furnace, Clobetasol propionate); Topical Minoxidil solution; Topical Anthracite; Topical PVA(Morales +UVA therapy) regards