What should you know about front bald spot?

A smooth, clearly outlined patch may be a presentation of Alopecia Areata. A scaly, itchy or tender patch with broken hairs can be a presentation of Scalp Ringworm. Hair loss along the hairline after tight braids, extensions, wigs or repeated pulling can be a presentation of traction-related loss.

The spot may be easier to notice when hair is parted or wet. Its appearance alone cannot identify the cause, and a clinician may examine the scalp, hair roots and nearby skin.

Take clear photographs in similar lighting and note when the area first changed. Avoid tight hairstyles, harsh chemicals and scratching; use gentle washing and do not share combs, brushes, hats or towels if scale or broken hairs suggest infection. Do not apply prescription or hair-growth products to a child or irritated scalp without guidance.

Treatment depends on the cause. A dermatologist can discuss medicines for inflammatory or infectious causes and cosmetic options such as Hair Transplant only when the diagnosis and scalp health make that appropriate.

Arrange prompt assessment if the patch is enlarging, painful, inflamed, scaly, crusted, oozing or associated with broken hairs. Seek urgent medical help for facial swelling, fever or severe tenderness. Widespread new patches or loss of eyebrows also deserve timely review.

What features point to the cause of this patch? Do I need testing for infection? Should I stop a hairstyle or product? What treatment is suitable, and how will we monitor regrowth?