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I noticed an itchy, raised and hard lesion on my scalp. What is that?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I noticed a scalp lesion two months ago. It is a bit scaly if scratched, hard and raised. I would like to peel it off, but it is not getting removed. But, I did not notice any hair loss. Other than a little bit of itching of the scalp, there is no issue.

Hi,

I am glad you chose icliniq for your medical-related queries.

I understand your concern and will try to help you with it.

It can be scalp psoriasis or warts. Please send me a photo to diagnose the condition and suggest your treatment.

Thank you for consulting me.

You can always reach me at icliniq.com.

Patient's Query

Hi doctor,

Thank you for the reply.

Please see the photos attached. Thank you.

Hi,

Welcome back to icliniq.com.

I read and understand your concern.

This does not look like psoriasis or wart. It looks like prurigo (attachment removed to protect patient identity). Prurigo is an itchy nodule. The more you itch, the more it worsens. I suggest you the following treatment. Consult your specialist doctor, discuss with him or her and take treatment with consent.

  1. Apply Topisal-S 6% lotion (Clobetasol and Salicylic acid) every night.
  2. Tablet Levosiz (Levocetirizine) once daily.

This should resolve the lesion within two weeks. Please try not to scratch.

Looking forward to your response in order to help you.

Thank you.

Patient's Query

Hi doctor,

Thank you for the reply.

Are you sure that it is not a ringworm or any other fungal infection?

Hi,

Welcome back to icliniq.com.

I read and understand your concern.

Fungal infections of the scalp are uncommon at this age and also they look different. I am sure that it is not ringworm or fungal infection.

Looking forward to your response in order to help you.

Thank you.

Medically reviewed byiCliniq medical review team

Published At January 14, 2017
Reviewed AtOctober 24, 2024

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