So I have had this bald spot for years, still don't know the cause?

Hello everyone! 

I am hoping someone can help me figure out what this could be. About 2 years ago I noticed a small bald spot smaller than the size of a dime around my bang area. It is smooth and there is no hair there. I went to my primary care doctor and he looked at it with a microscope, he also did the pull test which came back negative. Then I had blood work done and my thyroid checked and everything was normal except vitamin D, which I now take supplements for. I dont think the spot has changed in size (if so, not drastically) , but it also hasnt grown back or anything. Is this alopecia or something else? In the pictures you can see the spot near my bang area, there are actually two but there are a few hairs separating the two small smooth spots. I have had both of these for over a little over 2 years and they have not grown back.Please help, this really adds extra stress. Im obsessively checking my hair everyday to make sure no other spots have appeared and to make sure my hair doesnt feel thinner.  People tell me to calm down because its just a small area but I think I only worry because I dont know if it will ever grow back or if it will spread eventually.... any advice?

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Permalink Reply by Katniss on April 21, 2015 at 12:31pm

It could be a scar. Maybe chicken pox scar or if you hit your head on something years and years ago. If I were you, I'd just let go of any worry. To me it doesn't look like alopecia. Don't waste your life stressing about it! Your hair looks beautiful and thick!

Permalink Reply by Katniss on April 21, 2015 at 12:52pm

I wanted to add that I have a spot that looks very similar and have had it for years. No changes. Then I developed alopecia, very different sorts of spots. Yet the one small spot has remained unchanged as my other AA spots come and go. Mine is likely a small scar. :)

Permalink Reply by sunshine26 on April 21, 2015 at 1:41pm

Thank you so much! Also, I am not sure if this is normal or not but ever since noticing the spot and researching a ton about hair loss I guess I developed some paranoia.  Sometimes I will notice a shed hair and it looks like an exclamation point hair but its not short in length like they are typically described as being.  but it will fluctuate in thin/thickness towards the end where the bulb is.  I don't find a bunch of these, only every once in a while, is this normal?   

Permalink Reply by Katniss on April 21, 2015 at 2:32pm

Exclamation point hairs are very different than what you described. I totally understand the over researching stuff and getting paranoid though! I do the same thing. But exclamation point hairs are the little hairs left it the scalp when a alopecia spot starts. On me, it feels like stubble. When I get that feeling I know a spot is coming my way. Or a spot is expanding.

Permalink Reply by sunshine26 on April 21, 2015 at 3:21pm

oh okay! You have been really helpful thank you! I appreciate it, its nice having someone with experience give their input because nobody seems to have known any answers, every hair stylist I have asked always says alopecia areata but it didn't seem to fit the criteria I have been reading.  Then I thought maybe it was cictricial alopecia but I think you may be right about it being a scar from something when I was younger.  

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