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Q. I have hard lumps on my scalp that are red and white. What could they be?

Answered by
Dr. Sampada Avinash Thakare
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Jul 25, 2017

Hello doctor,

I have these red and white hard lumps on my scalp. Some are not lumpy but, are just marks. Can you tell me what they are and how to get rid of them? I have dandruff as well.

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Hello,

Welcome to icliniq.com.

  • It can be pityriasis sicca. The diagnosis can be confirmed with a trichoscopy and skin biopsy.
  • Consider the application of Onabet B lotion (Beclomethasone and Sertaconazole) at bed time over the scalp for 14 days.
  • Use a shampoo that contains 2 % Ketoconazole to wash the scalp twice a week.
  • If there is an increase in the size of the lesion, visit a dermatologist to get examined.
  • Do you have similar lesions anywhere else on the body?

For more information consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist

Hello doctor,

Thanks for replying. I do not have any lesions like this anywhere else, it is just on my scalp. They do not change in color or size. So, can I just try the shampoo to see if the marks go away?

#

Hello,

Welcome to icliniq.com.

  • From your history, they are not raised above the skin surface and have fine scales. One of the differential diagnosis can be DLE (discoid lupus erythematosus). But, again that can be confirmed upon a clinical examination and investigations. I still suggest you go for a skin biopsy and trichoscopy, for which you will need to consult a dermatologist.
  • But yes, you can wash your scalp with the shampoo containing 2% Ketoconazole to treat dandruff.

For more information consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist


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