Dr. Sneha Mariam Varghese
Venereology
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
Medically reviewed by
Patient's Query
Hi doctor,
I have some questions regarding my scalp issues. My scalp has developed a grayish scaly patch. It seems to be a bump and I have itching on it. I am scared as it can spread to other parts of the scalp. I am using medication shampoo and conditioners for washing my hair for atleast three days because on the fourth day, it becomes extremely itchy. I am having this problem since the beginning of this year and I have developed discoid eczema on the back and chest. Please help me. When I try to lose these patches, it becomes open wounds and they do not seem to be dandruff. I do not know what is the cause. I have tried using topical Fluocinonide .05% and it hurts a lot after applying it. I have developed scabs. Is it a good thing? I have tried Ketoconazole and Mometasone. I am taking Zyrtec and Hydroxyzine 10 mg prescribed by my dermatologist. I am using Clobestol for discoid eczema present on the skin. The doctor told me that these scalp issue seems to be due to seborrheic dermatitis. Please suggest.
Hi,
Welcome to icliniq.com.
I understand your concern and I have gone through the attached photos (attachment removed to protect patient identity). You can have a possibility of having a seborrheic scalp (pityriasis capitis), scalp psoriasis, and fungal infection (tinea capitis). You can confirm the diagnosis by doing a biopsy as these lesions tend to look the same. You can examine the condition under a woods lamp or by doing a dermatoscopy. You can use Tarsalic solution (Coal tar with Salicyclic acid) and apply it to the scalp for five minutes before washing the scalp. Do it twice a week for two weeks. You can also use liquid paraffin on the scalp in the morning and afternoon. You can take tablet Cetirizine 10 mg once at night while having itching. You can take Omega-3 capsules once daily for a month. You can take topical steroids after getting the results of the biopsy. Have a review after two weeks. Follow these measures. Wash your hair with lukewarm water. Do not share your personal items. Do not scratch the area as it can lead to secondary bacterial infection.
Was this conversation helpful?
Same symptoms don't mean you have the same problem. Consult a doctor now!
Venereology
Related Questions
Can you suggest treatment for facial dryness and itchy scalp?
Are my symptoms due to scalp psoriasis?
I am suffering from dry and scaly scalp. Is that scalp psoriasis?
I noticed an itchy, raised and hard lesion on my scalp. What is that?
Scaly or Flaky Scalp
Please help me with my itchy scalp.
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.
This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy
