Conversation: The conversation between human and AI assistant.
[|Human|] My 18 yo son has lost a patch of hair that started about a month ago and has rapidly spread. It is square, started about the size of one sq inch and getting larger daily, right now it is about 3 sq inches. It is on the back of his head, lower right side. His usually thick hair is also thinning very fast. He has had a full blood workup done, whicChatDoctore back with hormone levels normal & nothing else showed up out of the ordinary. Dermatologist did an TSH thyroid test which also came back normal. She wants to give him a series of 3 steriod shots (into his head & body). She cant tell me what is causing this, (alopecia is a catch-all it seems) so it seems to me that she is treating the symtoms only. At this point, I dont trust her. I want to know what is causing this. I have considered a fungal infection or a parasite but I thought those things would have shown up in the original blood tests. What other tests can our GP, Internist run? Also, I would prefer to find a natural way to cure this if possible.
[|AI|]  Hi. As per your case-history my probable diagnosis is alopecia aerate. My treatment advice-1. Don't worry it is a self-limiting disorder.2. It is most commonly associated with thyroid dysfunction. As it is negative in your case nothing to worry.3. You have already been given intraluminal steroid, and it seems to be less effective. So it is better to try other treatment option like tacrolimus 0.1 % ointment twice daily.4. Oral medicines like camisole, Zinc acetate can be given after consulting a dermatologist. Thanks. Chat Doctor.