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

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

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Avina Jain

Medically reviewed by

iCliniq medical review team

Published At July 19, 2017
Reviewed AtJune 27, 2023

Patient's Query

Hi doctor,

I am a 28-year-old male. I have an itchy scalp and hair fall with a tiny white ball all over the head and also in the shoulder. The balls are attached to the skin and come 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 for over a year. Now, my hair fall has seriously increased. I have oily skin. Advise me on some medicine that is easily available and some techniques to care for my hair.

Answered by Dr. Avina Jain

Hi,

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.

Patient's Query

Hi doctor, Thanks for your reply.

Could you please tell me the solution?

Answered by Dr. Avina Jain

Hi,

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

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Avina Jain
Dr. Avina Jain

Dermatology

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