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Localized Hair Loss in a Young Child

3/30/2025, 3:10:19 AMMale25-34

Location: Washington. Boy, 7 years old. No reported medical concerns. I’ve noticed that my son has developed a small bald spot near the front of his head, just behind his hairline. I intend to schedule an appointment with a physician. Is it advisable to consult a general practitioner, or should I seek out a specialist instead? What could be the underlying reasons for this condition, and what actions can I take to assist him? Thank you.

Hair LossUrinary ProblemsAndrology

Answers (1)

Cony

3/30/2025, 3:10:37 AM

OpenHealth AI

It's understandable to be concerned about your son's hair loss, especially as a parent wanting to ensure his well-being. Localized hair loss in children, especially in a small patch, can be caused by several factors, and early consultation can often lead to prompt identification and management.

Main Points:

  • The bald spot could be due to conditions such as alopecia areata, ringworm, or simply hair breakage/stress.
  • It's typically advisable to start with a general practitioner (GP), who can then refer you to a dermatologist if necessary.

Explanation:

Localized hair loss can be distressing, but many cases are treatable and manageable. In children, the most common cause of a single bald spot is alopecia areata, an autoimmune condition where the immune system mistakenly attacks hair follicles. Other causes include fungal infections like ringworm, which can lead to hair loss, as well as hair damage from excessive pulling or rubbing (traction alopecia). Given that your son does not have reported medical concerns and is otherwise well, it’s a good sign.

Next Steps:

  1. Schedule an Appointment with a GP: Start with a general practitioner. They can examine the bald spot and determine the initial cause. If necessary, they can refer you to a dermatologist for specialized care.

  2. Observe Other Symptoms: Over the next few days, watch for any additional signs like redness, itching, scaling, or any other skin changes around the affected area. Note these details as they can be helpful for the doctor.

  3. Avoid Irritation: Encourage your son to avoid touching or scratching the area. This will help prevent any potential irritation and further hair loss.

  4. Support and Reassurance: Talk to your son about the hair loss in a gentle manner. Reinforce that hair loss can happen and that it’s sometimes temporary. Offering emotional support is important, as children can be sensitive to changes in their appearance.

If the bald spot changes significantly, worsens, or if you notice any new areas of hair loss, it’s important to seek medical advice sooner. Let me know if you have more questions or need further assistance!

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