Hair Loss, Rash, and Skin Tags – Comprehensive Dermatology Care for a 46-Year-Old Woman
Hair loss and skin irritation are more than cosmetic issues—they often reflect deeper hormonal or lifestyle changes. At Reena Jogi MD Dermatology in Houston and Katy, TX, we routinely help patients manage chronic hair loss, rashes, and benign skin growths through advanced medical and procedural care. This case features a 46-year-old woman presenting with androgenetic alopecia, hand dermatitis, and skin tags.
Chief Complaints: Hair Loss and Chronic Rash
This patient sought care for:
Scalp hair thinning that had gradually worsened over the past few years
Red, flaky, and itchy rash on the hands, present for several years
A recent medication change, possibly related to her flare
Unwanted skin tags on the neck
She was not on any hair loss treatment at the time of her visit and had no prior lab work.
Diagnosis 1: Androgenetic Alopecia (Female Pattern Hair Loss)
Clinical Findings:
Diffuse thinning on the crown and midline
Positive hair pull test
Family history of AGA (mother)
We diagnosed androgenetic alopecia (L64.8) and recommended a scalp punch biopsy to confirm and rule out scarring alopecia or telogen effluvium overlap.
Treatment Options Discussed:
Oral minoxidil (low dose)
Topical minoxidil (Rogaine)
Finasteride or spironolactone
Supplements like Nutrafol, Viviscal, Votesse
Low-Level Laser Therapy (LLLT)
Platelet-Rich Plasma (PRP) therapy
Alma TED ultrasound therapy
Hair transplant (as a later-stage option)
After an in-depth review of the risks, benefits, and mechanisms of each approach, the patient chose to proceed with PRP treatment in the near future. A handout was provided to guide expectations.
Diagnosis 2: Chronic Hand Dermatitis
The patient also reported a longstanding itchy, flaky hand rash, consistent with chronic irritant or allergic dermatitis.
Contributing Factors:
Possibly linked to a new medication
Affected areas included both hands and feet
We offered patch testing for allergy evaluation and discussed reintroducing a topical steroid like Topicort for short-term control.
Diagnosis 3: Skin Tags (Acrochordons)
The patient had multiple pedunculated skin-colored papules on the neckline, diagnosed as skin tags (L91.8). We discussed removal of 5–10 lesions for a flat fee ($150), and the patient expressed interest in scheduling this in the near future.
Conclusion: Holistic Dermatology for Hair and Skin in Houston and Katy
This case illustrates the multifaceted dermatologic concerns often seen in women in their 40s, including hormonal hair loss, contact dermatitis, and cosmetic skin growths. At Reena Jogi MD Dermatology, we empower patients with education and evidence-based treatment tailored to their goals—whether medical, aesthetic, or both.
If you're struggling with similar issues, schedule a consultation at our Houston or Katy locations for expert dermatologic care that addresses all your concerns under one roof.
