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

Answered by
Dr. Shalini Patodiya
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Nov 16, 2016

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

Dr. Shalini Patodiya

Cosmetology Dermatology Hair Transplant Surgeon Venereology


Welcome to icliniq.com.

Yes, the symptoms can be of both seborrheic dermatitis and scalp psoriasis.

  • To differentiate, please answer the following. Do have a family history of psoriasis?
  • Is there a history of exacerbation in winter or itching over the face and back?

Please follow up with the photos as it will help me to arrive a final diagnosis.

Revert back with the answers to the above questions to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist

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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.

Dr. Shalini Patodiya

Cosmetology Dermatology Hair Transplant Surgeon Venereology


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 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.

Revert back after 15 days to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist

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