Do I have MORE alopecia?

In the past I developed small patches of hair loss on my head which quickly turned into larger patches all over my head  (approx 10 1 to 2 inch circles) including my facial hair and loss of eyebrows, I was diagnosed with Alopecia in 2007 and given anti-depressants.
Gradually the hair started to grow back everywhere except one spot on the back of my head about 1 or 2 inches wide which only partly grew back.
Lately I've noticed the patch getting slightly lighter and some parts of my head I get little sore spot that scab and when the scab falls off there is no hair where the scab used to be, these little spots are DIFFERENT to the patches i developed in 2007 and there are a lot more of them (approx 30-40 patches) but they are much smaller this time, I also noticed strange almost transparent hair growing just above my lip but under my moustache.
Also I am feeling very tired all the time

Thanks for the help'
Brian

[Bhupinder Kaur, MD]

Hello,
For such symptoms, folliculitis and perifolliculitis scalp should be ruled out. Perifolliculitis is characterised by small, very itchy pustules within the scalp, often most troublesome on the frontal hairline. The scalp should be washed with a mild normal shampoo as often as desired. Antidandruff shampoos containing antifungal agents such as ketoconazole or ciclopirox are sometimes helpful. Apart from that you need topical and oral antibiotics, antihistamines, oral steroids and topical tretinoin.

My sincere advice is to get it examined from a dermatologist. It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.