I have itchy small violet areas on my scalp. Please help me.

Hello,

Welcome to icliniq.com.

As per the history you provided and the images you sent (attachment removed to protect the patient's identity), it is not dandruff but Tinea capitis. Tinea capitis is a form of fungal infection that affects the scalp leading to itchiness and patches. It grows in size and sometimes resembles dandruff when the patches are small in size. It can spread from one person to another. Therefore make sure your belongings are not shared with others and vice versa. Make sure anyone at home who has a similar issue gets treated as well. It is curable with the right treatment, and therefore you do not have to worry. I prescribe Capsule Itraconazole 200 mg once daily after food for two weeks, Ketoconazole + Zinc pyrithione shampoo to be used on the hair once in two days for atleast a month. Apply, lather, and keep for 10 minutes before washing it off, Ketoconazole 2% cream to be applied on the affected area twice a day. Take Tablet Cetirizine 10 mg one tablet a day one hour before going to bed at night (do not drive or go out after taking the tablet). Kindly follow the above advice and follow up with me for evaluation and further treatment.