I have hair fall, itching, and white flakes on scalp. Why?

Question

Hi doctor,

For four years, I have been suffering from severe hair fall. I have also visited a hair clinic once, but their treatment is too expensive. So, I have not continued the treatment. As my earning is very low, I have never visited any good dermatologist. I have tried various products, but the hair fall never reduced. It also itches a lot and too much white flakes come out of my hairs. I do not think that it as dandruff, because I have used Selsun shampoo with Fluconazole 400 mg once in a week for three to four months. But, the white flakes are still present in my hair. Also, I have some sticky white color thing in my scalp. I do not know what it is. I have attached the photos. Also, I am shampooing my hair daily. If not, then I will end up with unbearable itching. My maternal grandfather had male pattern baldness. Medicines that I have already taken are Fluconazole 400 mg, Selsun shampoo, Candid lotion, Rootz hair oil and some ayurvedic products. Please suggest some medicines for all my problems.

Please help.

Answer 1

Hi,

Welcome to icliniq.com.

It is sebopsoriasis of the scalp (attachment removed to protect patient identity).

I suggest you use a shampoo containing coal tar and Salicylic acid on alternate days and keep it for 5 to 7 minutes on the hair and then wash. There is no evidence of familial type of hair loss found as far as the picture is concerned and hair loss is due to different cause rather than the prevailing disease. Also, I suggest you try Procapil 3 percent lotion (Finasteride) twice daily.

Hope it helps.

Thank you.

Answer 2

Hi,

Welcome back to icliniq.com.

No, hair fall does not have any relation with that.

Thank you.