Q. What can cause itchy scalp and tiny white balls all over the head?

Answered by
Dr. Avina Jain
and medically reviewed by iCliniq medical review team.

Hi doctor,

I am a 28 year old male. I have itchy scalp and hair fall with tiny white ball all over the head and also in shoulder. The balls are attached to the skin and coming out in nails with pressure. I have attached the photos along with this query. I am using anti-dandruff shampoo, which cures the itch for one or two days. But, the white balls are still coming out. I am facing this problem over a year. Now, my hair fall has seriously increased. I have oily skin. Advice me some medicine which is easily available and some technique to care my hair.

Do you have a question on Folliculitis or Dandruff?

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Dr. Avina Jain

Cosmetology Dermatology Venereology


Welcome to icliniq.com.

According to your history and from the photos (attachment removed to protect patient identity), you are suffering from acute dandruff with folliculitis.

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

Hi doctor, Thanks for your reply. Could you please tell me the solution?

Dr. Avina Jain

Cosmetology Dermatology Venereology


Welcome back to icliniq.com.

  • Do you have thyroid disease? Or got it checked anytime?
  • You need oral antibiotic for sometime. I hope you can get them without prescription.

The Probable causes:

The white balls are pustules, occurring due to scratching and then infection.

Probable diagnosis:

Seborrhea capitis with folliculitis.

Treatment plan:

1. Take tablet DOXT-S Doxycycline 100 mg one tablet every day for two weeks with one full glass of water.
2. Salisia-KT shampoo (combination of Salicylic acid and Ketoconazole) every alternate day for scalp. Keep lather for 5 minutes and then wash. After two weeks, when dandruff comes under control decrease it to twice a week and then once a week.

Preventive measures:

1. Avoid scratching with nail.
2. Avoid oiling the scalp. If needed, then only for an hour and then wash it off.
3. You can use other shampoo if needed on other days.
4. You should increase your fruit, protein and vegetable intake.

Regarding follow up:

Revert back after two weeks for follow up to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist

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