Patient's Query
Hello doctor,
Around 10 years ago, I was suffering from pleural effusion. During treatment, the doctor advised me not to take a bath due to the winter season. As a result, I developed dandruff, which fell onto my face. I am now experiencing itching on my face, forehead, and scalp, along with scaly patches on my nose and surrounding areas.
Please help.
Thank you.
Hello,
Welcome to icliniq.com.
I have gone through your query and understand your concern.
From your description, it appears that you have been dealing with something uncomfortable and persistent that is affecting your peace of mind. Please be assured that you have taken the right step by asking, and I will guide you clearly and safely based on current medical evidence.
Based on your description, you developed dandruff during a period when bathing was restricted due to illness, and now you are experiencing itching on your scalp, face, and forehead, along with scaly patches around your nose and nearby areas. This has likely been ongoing for some time and may have worsened gradually.
Based on your symptoms, this appears to be related to a chronic inflammatory skin condition, most likely seborrheic dermatitis, which commonly affects oily areas such as the scalp, eyebrows, nose, and forehead. It often follows episodes of dandruff and tends to flare up in winter or during illness when skin care is reduced. The good news is that it can be effectively managed with consistent care and a few simple steps.
The condition is usually related to an overgrowth of Malassezia yeast on oily skin, reduced washing or cleansing during illness or cold weather, and increased stress, fatigue, or lowered immunity following a prolonged illness. While other possible conditions with similar symptoms include psoriasis, contact dermatitis, or fungal infections, based on your history, seborrheic dermatitis remains the most likely cause. A physical examination would confirm it.
At this stage, upload a clear photo of the affected areas (scalp, around the nose, and forehead), share if you notice flaking, redness, or oozing in those regions, and mention whether you have used any medicated shampoo or topical cream before.
For now, you can focus on gentle and consistent skin care.
Wash your hair regularly with a mild, fragrance-free shampoo and rinse thoroughly.
Use lukewarm water for cleansing your face and scalp; avoid using hot water.
Cleanse your face gently twice a day using a non-soap, pH-balanced cleanser.
Avoid scratching or picking the scales, as this can worsen inflammation.
Manage stress with relaxation or breathing exercises, as stress often triggers flare-ups.
Maintain a balanced diet rich in fruits, vegetables, and adequate hydration.
If the itching or scaling persists or worsens despite these measures, it would be advisable to consult a dermatologist in person. They may prescribe a short course of medicated shampoo or topical treatment to control inflammation and yeast overgrowth. With regular care and adherence to treatment, most patients experience significant relief and long-term control.
Please keep me updated if you notice any changes or if you upload photos or reports. I will be glad to review them and provide further guidance. Most patients recover very well with proper care and simple adjustments, so it is essential to stay positive and consistent.
I hope I have answered your question.
Let me know if I can assist you further.
Thank you.
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Answered by Education: Medicine Professional Bio: Dr. Ali Torifi Nejad is a highly skilled and established family medicine. He listens attentively to all patient queries and is an expert in devising a proper treatment plan. This doctor is not available for online consultations on the platform anymore. Dr. Ali Torifi Nejad
Medically reviewed byiCliniq medical review team
Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Ali Torifi Nejad
Family Physician
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