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dear sir,thanks a lot for your kindness and great care about answering my questions. dr, can ketoconazole be taken systemically to treat seborrehic dermatitis?

There is a ketoconazole oral, but it has huge warnings about liver problems that can sometimes be fatal. That being said, ketoconazole is an antifungal medication… and to treat seborrheic dermatitis (dandruff), you would probably be better off with a shampoo.

I found this very interesting article on The Huffington Post about Jeremy Piven’s hair over the years. His hair has changed from bald to pretty much normal hair now. Any ideas on how he has added so much hair and made it look natural?

Here is the link to the article on the Huffington Post: Jeremy Piven’s Many Hairlines

This shows just how much the individual’s look is made by his hair. Let’s take a look at these 3 photos of Jeremy Piven…

We (society) have developed stereotypes based on hair. For example, the Jeremy Piven on the left with the very high hairline suggests he’s aging, while the Jeremy Piven at the right is sexy and youthful looking. The photo on the left was actually from years before the image on the right. The photo in the middle (from July 2009) is just interesting to me because it looks like the hair on top of the head has a different color than hair on the sides and back. To me, that indicates a tell-tale sign for a hairpiece. Generally though, high-end hair systems can look great as long as you have the time, patience, and money to maintain them. For a Hollywood actor like Mr. Piven, he’s probably got all 3. Or at least the money and patience. The better way to go would of course be a hair transplant, which is permanent and doesn’t require the maintenance of a toupee.

Hi Doctor Rassman

i been considering to take dutasteride for my hair loss . I been taking proscar for more than a year and seems that there is no improvement in my condition.There are many good report that dutasteride works much better than finasteride and soem of the people i know also have good result from it but from what you say, dutaseride may cause sterility in future.I can’t find any report on this.Can you please specify why will it cause sterility?And i understand that all side effects will stop once you stop taking the pills and that there are no permanent side effects.Please correct me if i am wrong as now the only concern that is stopping me from taking dutasteride is what you say about sterility.Appreciate your reply.Thanks

Regards

I really have no opinion of my own when it relates to dutasteride, as I’m still waiting for some kind of assurance from the FDA that this medication won’t cause sterility problems. I’m trying to find clinical reference, and while there might be more out there, one that I found referenced was published in the Journal of Clinical Endocrinology and Metabolism back in 2005. Although that study was not long term and was mainly about steroids, one of the study groups included dutasteride (although it was taken with other drugs) and indicated temporary sterility. I realize this isn’t a perfect example, and I’ll try to dig up some other studies one way or the other, as this is something that needs to be addressed.

I’m also concerned that the most recent Korean clinical trial didn’t reference sterility at all, positive or negative (I just wrote about this). Keep in mind that we want the FDA to clear this medication for hair loss treatment and address this potential problem in its review.

This isn’t hair-related, but it is quite interesting and may have applicability to many of you. After you review it, you might want to talk with your doctor about this subject.

Abstract from the study:

The use of statins is widespread and many patients presenting for surgery are regularly taking them. There is evidence that statins have beneficial effects beyond those of lipid lowering, including reducing the perioperative risk of cardiac complications and sepsis. This review addresses the cellular mechanisms by which statins may produce these effects. Statins appear to have actions on vascular nitric oxide through the balance of inducible and endothelial nitric oxide synthase. The clinical evidence for these benefits is also briefly reviewed with the objective of clarifying the current status of statin use in the perioperative period. There is reasonably strong evidence that patients already taking statins should continue on them perioperatively. However, the evidence for the prophylactic use of statins perioperatively is weak and lacks prospective controlled studies.

Read the full text — Statins for All: The New Premed?

For years, I have been taking statins even with a normal cholesterol level. Many people who die of heart disease have normal cholesterol. Today’s regular Western diet may not be good for your health and as my father died from heart disease, the genes are there in my family line. Unfortunately, sudden death is often the first sign of heart disease (in 70% of those who have a heart attack). Although this article points to the risks associated with anesthetic risks and ways of mitigating them, my feeling is that there is a great value to taking a statin drugs routinely.

Snippet from the article:

Like any 12-year-old getting ready for her first school disco, Aimee Blinkhorn wanted her hair to look perfect. But as her mother put it up into pretty curls, she noticed a small bald patch at the back of her daughter’s head, about the size of a 50p piece.

‘Neither of us was particularly alarmed,’ says Aimee, now 26 and living in Manchester. ‘I just presumed some hair had come out when I pulled out a hair tie.’

But over the next few months, more bald patches appeared. Soon there were six of them - and twice the size of the first.

Read the full article at UK’s Daily Mail.

This is a great story about a courageous young woman that has been living with alopecia universalis. I applaud her for bringing her story to the public, and I hope she inspires others with this condition. If you want to know more about the disease, please see the National Alopecia Areata Foundation.

i have alopecia universal, i was wondering about eyebrow transplant. is it possible ?

If you have alopecia universalis, then you don’t have any body hair at all — so unfortunately, transplanting hair isn’t an option.