Thyroid Cancer / Nodules & Hyperthyroidism Expert Forum
Hair Loss/Itching and Burning Scalp
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Questions in the Thyroid forum are answered by Mark Lupo, MD. Topics covered include Goiter, Graves Disease, Hyperthyroid, Parathyroid/Calcium Problems, Thyroid Cancer, Thyroid Nodules/Cysts, Thyroiditis, Thyroid & Pregnancy, Thyroid Stimulating Hormone (TSH), Thyroid Tests, and Thyroid Surgery.

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Hair Loss/Itching and Burning Scalp

Dear Dr. Lupo,

I was hoping that you may be able to answer some questions I have about Hashimoto's Thyroiditis.  I was finally diagnosed with this disease two weeks ago.  Prior to the diagnosis, there was no answer to the considerable hair loss I have been experiencing, along with severe itching and burning scalp, every day for the past 7 months.  As I write this note to you I am in absolute misery.  I have been prescribed synthroid 50 mcg and have been taking this for two weeks; yesterday my dosage was increased to 75 mcg.  I wanted to know if the hair loss/itching and burning scalp is a symptom of Hashimoto's, and if it is, will it ever stop?  I was prescribed Xyzal 5mg for the itching, but it does not work.  I have been concerned with further hair loss as a side effect of synthroid, and was wondering if it is possible to treat Hashimoto's with just cytomel.  I would be so grateful if you could give me some insight and advice to my problems...I am barely living right now.  Thank you so much!
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Hair loss and scalp burning is not specific to Hashimoto's -- meaning it may or may not be related.  The best we can do from a thyroid standpoint is replace with levothyroxine (and sometimes in conjunction with T3 - cytomel - but not cytomel alone) to keep the TSH in target (0.3-.2.5 in general for patients on replacement).   If the symptoms are related, they will likely improve -- but it may take 2-3 months....
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Mark Lupo, M.D.Blank
Thyroid & Endocrine Center of Florida
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