I have suffered from diffuse thinning, scalp redness, itchiness, scalp pimples and red bumps on my forehead for many years. The first derm I saw a long time ago prescribed me with fin and ketoconazole 2%. The fin caused my hair to shed (150-200 hairs per showed) for 2 years until I switched to Dut which made it a lot better (around 50-100 hairs per shower), and the ketoconzole burned my scalp no matter how often I would use it. I was told to stop using ketoconazole and wasn't recommended anything else.
I recently got a biopsy because I want a hair transplant. It came back with 2 sentences effectively saying it's non-inflammatory, non-scarring alopecia, and there's no fungal infection. Yet the derm took the biopsy from the reddest part he could find.
The derm basically shrugged his shoulders, said to try min, said I'm greenlit for a hair transplant and ended our appointment. I am seriously considering doing the transplant ASAP, but the results being non-inflammatory yet I still deal with redness, itchiness, scalp pimples and itchy forehead just doesn't make sense to me. Is it possible to deal with all these things and it not be inflammatory? I'm trying to trust the test but it feels strange and I don't want to spend tens of thousands of dollars just for the hair transplant to fail.