HomeAnswersDermatologyseborrheic dermatitisI have a raised red patch on my scalp and the lymph nodes at the back of my head are enlarged despite treatment. Please help.

What causes raised red patch in scalp and enlarged lymph nodes at the back of the head?

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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.

Answered by

Dr. S. Renjana

Medically reviewed by

iCliniq medical review team

Published At August 21, 2023
Reviewed AtAugust 21, 2023

Patient's Query

Hello doctor,

I have a raised red patch on my scalp. At first, the doctor thought it was seborrheic dermatitis and gave me a special shampoo and steroid cream. This seemed to take care of the scabbing but it was still red and raised. Also, the lymph nodes at the back of my head are raised. In the beginning, they were painful. Whereas now they do not hurt but are still raised. The doctor said the dermatitis was probably causing it and that once it settles the lymph nodes will also get back to normal.

Could you suggest some other treatment that I could try to make the red patch fade?

Thank you.

Answered by Dr. S. Renjana

Hello,

Welcome to icliniq.com.

I read your query and understand your concern.

Kindly answer the following questions to help me know your condition better.

  1. How long do you have this raised lesion?

  2. What shampoo and steroid cream did you use? How long did you use them?

  3. Were you having a fever when the lymph nodes were painful?

  4. Is there only one red raised area?

  5. Is the red patch itchy?

  6. Do you have any other skin lesions somewhere else in the body?

  7. Do you have lice?

It could be seborrheic dermatitis but it usually does not occur as a single lesion.

Kindly follow up with the answers.

Thank you.

Patient's Query

Hi doctor,

Thank you for replying.

  1. I noticed the lesion eight weeks back.

  2. Nizoral shampoo and Betacap steroid were both used for a few weeks.

  3. I did not have a fever. The nodes were very tender and sore for a few days. Now they do not hurt at all but are still raised.

  4. The patch is not itchy.

  5. I do get other raised scabby lumps on the nape of my neck along my hairline. They last for a while and then usually go away on their own. I assumed this would be similar.

  6. No lice as far as I know. My 6-year-old has recently had head lice although I did not find any in my hair.

What else do you think it could be? And do you think the raised lymph nodes are related?

Thank you.

Answered by Dr. S. Renjana

Hello,

Welcome back to icliniq.com.

If possible share a photograph of the lesion before any treatment because this is now in the healing stage. The lymph nodes could be related because they were tender when the skin lesion started. It will go away on its own in two or three months. Keep monitoring the lymph nodes. If it does not go away or if you have multiple rubbery lesions, then get a biopsy done to rule out tuberculosis. I suggest you use Clobetasol cream (Clobetasol propionate) twice a day for one week.

Consult with your specialist doctor, talk to them, and then use the medications as per their advice.

Kindly follow up after a week.

Thank you.

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

Dr. S. Renjana
Dr. S. Renjana

Dermatology

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