I’m a 19 year old male whose hairline has been steadily declining since I was about 15. Hair is thickest at the back of the head, and thinner towards the forehead. There are no balding spots; but I’m noticing that V-shape with regards to the temples. I figured this was typical hereditary hairloss, except since my early-to-mid teens I’ve experienced a slightly rough-feeling rash around my scalp, which seems to pop around it in spots at random from day to day - particularly towards the front of my head towards the forehead. It looks like a sunburn, but it’s there year-round and there are some small pimple-like sores scattered about wherever the rash is. They don’t hurt when pricked, though I’ve avoided this. I’ve seen a dermatologist (roughly two years ago), whose best guess was acne (which was on my face at the time), so I was given Accutane for three months - my face is great, but the scalp problem persists. I’ve also been on tetracycline occasionally. And I know a Accutane causes hairloss, so I’m sure it hasn’t helped the problem. But over the last few months the hairloss has been socially noticable, though before I took Accutane some would still wonder where my hairline is. So, I guess my question is…can you guess the mystery rash? Two doctors and a dermatologist have had no idea, since I’ve no symptoms of Sebhorrea (sp?) and the like, and well, am completely confused with what’s going on. Few are bald in my family, and those that are weren’t balding before 30. And the rash is unique. I can’t think of anything unique to my environment to cause it, though I have an affection for coffee and started smoking recently (cigarette a day). Any idea?

After two doctors who have actually examined your scalp, I doubt I can guess what your mystery rash on your scalp may be (especially via the internet). If you are thinking that you are developing frontal balding, please read the following reference article: Juvenile vs Mature Hairline — Am I Going Bald?

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