Diagnosis and Differential Diagnosis Patchy hair loss with a normal scalp and no self-perceived symptoms. Pseudobulbar baldness should be differentiated from pseudobulbar baldness, which is a kind of inflammatory scarring alopecia, often secondary to inflammatory skin diseases such as scalp lupus erythematosus and lichen planus. The skin of the bald area is atrophied and thinned, the hair follicle opening disappears, and the bald area is well-defined, but the edges are not very regular.
Treatment: 1. Remove possible triggering factors: Pay attention to the combination of work and rest, which needs to be explained to the patient. For patients with extensive baldness or complete or general baldness, it is advisable to wear a wig to reduce the psychological burden.
2.Regulate nervous function: Patients with nervousness, anxiety and insomnia can be given sedatives such as diazepam and glutamate.
3.Local hormone therapy: For patients with small lesions, tretinoin suspension can be used. Can also be applied externally strong glucocorticoid preparations.
4.Minoxidil solution topical: Minoxidil topical can promote skin congestion, improve local blood circulation and promote hair growth.
5.Physical therapy: 308nm laser can promote local blood circulation, promote hair growth, with little side effects.
6.Chinese medical method.