Hair and scalp conditions are common and may present as hair thinning, patchy hair loss, flaking, redness, or persistent scalp itch, affecting people of different ages and varying in severity and duration.
At Auria Dermatology Clinic, we assess and manage a range of hair loss conditions and scalp disorders, including androgenetic alopecia, alopecia areata, seborrhoeic dermatitis, and scalp psoriasis or sebopsoriasis. A proper dermatological assessment will help to identify the cause and guide appropriate management.
Androgenetic alopecia is a common, non-scarring hair loss condition caused by inherited sensitivity of hair follicles to androgens. This leads to gradual shortening of the hair growth cycle and progressive reduction in hair thickness over time.
People may first notice increased hair shedding or a gradual reduction in overall hair density. Over time, visible thinning becomes more apparent in characteristic patterns.
In men, this often presents as recession at the temples or thinning at the crown. In women, thinning is typically more diffuse across the scalp, with the frontal hairline usually preserved.
Although the condition does not cause physical discomfort, concerns are often related to visible changes in appearance and uncertainty about progression.
Androgenetic alopecia is influenced by genetic predisposition and inherited sensitivity of hair follicles to androgens, which contributes to gradual hair follicle miniaturisation over time. Increasing age is also a recognised factor, as hair growth cycles naturally change with ageing.
Management aims to slow progression and support hair density. Treatment options may include:
Treatment choice depends on individual factors, tolerance, and medical suitability, and response is reviewed over time.
Alopecia areata is an autoimmune hair loss condition in which the immune system targets hair follicles, resulting in non-scarring hair loss. The course of the condition can be variable, with periods of hair regrowth and recurrence. Severity ranges from small, localised patches to more extensive hair involvement.
Alopecia areata typically presents as sudden, well-defined patches of hair loss. The affected skin usually appears smooth, without redness or scarring.
Hair loss most commonly affects the scalp but may also involve the eyebrows, beard, or other hair-bearing areas. The unpredictable nature of the condition often leads to concerns about whether hair loss will recur or spread.
Alopecia areata may occur in individuals with a personal or family history of autoimmune conditions. Episodes can sometimes be preceded by physical or emotional stress, although this is not always identifiable. The condition can occur at any age, including childhood.
Management is guided by the extent of hair loss and individual preferences. Treatment response varies, and regular review helps guide ongoing care. Options may include:
We also diagnose and manage a wide range of other medical hair and scalp disorders, not limited to discoid lupus erythematosus, lichen planopilaris, tinea capitis and frontal fibrosing alopecia. These may require more detailed investigatios, such as a scalp biopsy. Consult our dermatologist for more information.
Seborrhoeic dermatitis is a chronic inflammatory scalp condition related to skin sensitivity and the presence of naturally occurring yeast on the skin. It often follows a relapsing course, with symptoms fluctuating over time. The condition is not contagious and does not cause permanent hair loss.
Seborrhoeic dermatitis commonly presents with flaking of the scalp, often described as dandruff. The flakes may appear white or yellowish and can be accompanied by redness along the scalp or hairline.
Many people experience scalp itch or mild discomfort, which may fluctuate over time. Symptoms may improve with treatment but can recur from time to time.
Seborrhoeic dermatitis is associated with scalp skin sensitivity and the presence of naturally occurring yeast, which can trigger inflammation and scaling in susceptible individuals. Stress, fatigue, weather changes, and humidity may worsen symptoms, and genetic factors may also play a role.
Treatment focuses on reducing inflammation, scaling, and itch, and may include:
Sebopsoriasis is a scalp condition with overlapping features of seborrhoeic dermatitis and psoriasis. It tends to be more persistent than dandruff alone and may reflect an underlying psoriatic tendency. The condition may wax and wane over time.
Sebopsoriasis typically presents with thicker, more adherent scales on the scalp, often with underlying redness. Affected areas may extend beyond the hairline, and itch or mild discomfort may be present.
Sebopsoriasis occurs in individuals with underlying psoriasis or a genetic predisposition to inflammatory skin conditions. Environmental factors, stress, and immune-related mechanisms may contribute to symptom development or flare-ups.
Management depends on severity and response to treatment and may include:
You may consider seeing a dermatologist if symptoms are persistent, recurrent, or causing concern, including:
A consultation with Dr Laura Hui allows for accurate diagnosis and discussion of suitable management options.
Not all hair loss is permanent. Some conditions are temporary or episodic, while others are progressive. A proper assessment helps clarify this.
Dandruff is a mild form of seborrhoeic dermatitis. More persistent symptoms may require medical treatment.
Some scalp conditions are chronic and may require ongoing maintenance to reduce flare-ups.
Care at Auria Dermatology Clinic is consultation-based and focused on accurate diagnosis. Each patient receives an individualised assessment and management plan based on their condition and needs.
