HomeAnswersDermatologyseborrheic dermatitisIs my scalp dry and scaly due to scalp psoriasis?

I am suffering from dry and scaly scalp. Is that scalp psoriasis?

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

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Published At November 16, 2016
Reviewed AtJuly 5, 2023

Patient's Query

Hello doctor,

I am suffering from dry, scaly patches on the scalp for the last six to eight months. Since childhood, I have severe dandruff, mild itching and hair fall. I consulted two doctors. First one said that it may by scalp psoriasis and the other told that it looks like some fungal infection. I am using Salisia KT shampoo. I do not have scales on any other parts of my body. I am worried by thinking it may be scalp psoriasis. I can easily remove the scales present on the hairline. Please suggest. Thank you in advance

Hello,

Welcome to icliniq.com.

Yes, the symptoms can be of both seborrheic dermatitis and scalp psoriasis. To differentiate, please answer the following.

  1. Do have a family history of psoriasis?
  2. Is there a history of exacerbation in winter or itching over the face and back?
  3. Please follow up with the photos as it will help me to arrive a final diagnosis.

Patient's Query

Thank you doctor,

None of the members in my family have psoriasis. I have a lot of anxiety. I used to get tense for even a small thing. It will start to itch when I think of it. Also, at least once in a month, I will have a throat infection. I do not itch on my back or face. It is very rare. In fact, it all started when I start to work. I changed my work location and so, I will be in AC all time. I also do not find any red patches under the scale.

Hi,

Welcome back to icliniq.com.

Thank you for the prompt and complete reply.

Now, I can confidently say that you do not have psoriasis. It is just seborrheic dermatitis or severe dandruff in a common language. I suggest you Keraglo-AD shampoo (Ketoconazole anti-dandruff) on every alternate day. Keep the shampoo for five minutes and then wash it off. This will reduce your itching and dandruff. Also, avoid oiling your hair.

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

Dr. Shalini Patodiya
Dr. Shalini Patodiya

Dermatology

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