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[|Human|] Hi , I am 38 years mail and I am having mustache hair loss on the left side. I had consulted to a skin doctor. He advised me two medicines. - morr Soln.and an Ointment. I used for around 45 days but no improvemnt reflected . The hair loss continued. Please advice in this respect. Regards.
[|AI|]  Hello. Thanks for writing to us at Chat Doctor I will keep a possibility of Alopecia Area ta (AA). Alopecia Area ta (AA) is an autoimmune condition. It usually presents as patches of hair loss, most commonly over the scalp but the patches can also present on the beard, mustache or eyebrows or eyelashes. The patches of Alopecia Area ta are smooth, and usually there is no evidence of inflammation like scaling or erythema or itching. People often seek treatment because the bald patches are unsightly and are easily noticeable to others. Various treatment options in alopecia errata in order of the choice of treatment are:-Intra-lesional Triamcinolone acetone: This is first line treatment in adults followed by other modalities like:-Topical Potent steroids (Mometasone Furnace, Clobetasol propionate)-Topical Minoxidil solution-Topical Anthranalin-Topical PVA(Morales +UVA therapy). You are using minoxidil and probably a topical steroid for the patch. The response is usually slow, and it is important to give a fair trial of the topical treatment before switching on to another mode of treatment. I would suggest that you seek another appointment with a dermatologist in your region for the needful, if this treatment doesn't produce any visible signs of improvement for another 2-3 weeks. Although all the therapies that I have mentioned are effective but intra-lesional steroids is the most accepted and most effective line of treatment and is a reproducible effective therapy for focal type of alopecia errata. It can be repeated after 3 -4 weeks and usually hair regrow after 2 injections, given 3 weeks apart. A dermatologist would usually administer this treatment in his office. The injection has to be placed into the patch of hair loss. Regards