What causes scaly patch on the scalp?

Question

Hello doctor,

I have been suffering from a chronic 1.2 patch on my scalp, which has scales in it. If I remove these scales, gum-like liquid forms in that area and it dries to form the scales again. It reduces if I tonsure my hair and increases with hair growth. I do not have similar patches anywhere else in my body. I have tried many medicines, but they were of no use. I am currently using Lobate ointment with no result. Please suggest an efficient treatment for the same.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

It is a partially treated lesion. From your description, your scaly scalp could be seborrhea or psoriatic plaque. An autoimmune disorder has probably caused it. Investigations to be done:

Fasting lipid.
Hepatitis B and C serology.
Skin biopsy.
Scraping for fungus.

I suggest you apply Betamethasone dipropionate twice daily for two weeks and follow-up with pictures. Use a shampoo with Salicylic acid as one of the key ingredients. Avoid smoking, alcohol, and the use of NSAIDs (non-steroidal anti-inflammatory drugs).

Thank you.