September 2014 in “Chinese Journal of Dermatology”
Hair diameter difference, brown skin discoloration around hair follicles, and missing hair in certain areas are key signs of androgenetic alopecia (commonly known as hair loss) when viewed under a dermoscope.
A 24-year-old male is using topical finasteride 0.1% with minoxidil 5% and oral finasteride 1 mg to treat hair loss but is experiencing scalpflaking from the topical solution. He is considering switching to a minoxidil foam without propylene glycol and continuing oral finasteride due to its effectiveness.
The user has been using Minoxidil and Finasteride since late 2019 with good results but is experiencing a dry, flaky scalp and shedding hairs. They also use Nizoral, biotin, zinc, magnesium, and collagen supplements, and their dermatologist prescribed fluocinolone acetonide to reduce flaking.
Minoxidil can cause scalpflaking and dryness, often due to its alcohol content. Switching to foam minoxidil or using antifungal shampoos like Ketoconazole may help reduce these side effects.