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What causes bumpy and dry scalp? - Online Doctor Chats

Date : 06-Apr-2014
User rating for this question
Very Good Posted in: Skin Hair and Nails
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2545 Questions
User:Hello,

I have had some serious skin changes recently & have run out of options. I have seen 4-5 dermatologists for this & really could use some other opinions / thoughts & direction.

About 2 years ago (age 27) i noticed that i started to get several new moles on my body. The moles were forming all over my body (arms, legs, bottom, face, head, etc). I have a darker (olive skin) complexion so this was quite alarming. I decided to have my skin checked & a dermatologist thought they all looked normal, but biopsied one on my face (it was a little darker black in complexion). Turns out that mole came back positive for a basal cell (at age 28). I had the MOHS surgery done which removed the cancer. Since that treatment in early 2013, i have developed over 200 new moles. The moles range in size & shape, but are mostly not surface moles (they can be seen but not felt). I've also noticed significant changes to my skin (texture, look, feel). I've been extremely careful in avoiding the sun & applying zinc oxide suncreen (spf 50) when briefly walking in the sun for minutes at a time (I have been EXTREMELY diligent in avoiding the sun for the most part). The troubling thing is that every time i'm in the sun (even when i'm protected by sunscreen) i notice new sun spots or moles on my face (they range from pin size to half a pinky nail). It's like overnight, I have become completely reactive to the suns rays. Not only am i developing new moles & sun spots, but also red cherry hemangioma's (over 20 of them this year alone - very small pin sized ones). I have also developed several skin cysts (cysts that are underneath the skin). Some of the cysts have shrunk over time, while others still remain. My skin also appears to have aged quite significantly in the past year (skin pores on my face are showing large openings & I am noticing deep wrinkles everywhere as well as
User:fine lines throughout my face).Lastly, my scalp has become very bumpy & dry.

To give you some background on me, i am the middle child of 3 brothers. We all played sports growing up, but didn't have a ton of sun exposure. Neither of my brothers are having problems like this with moles or any other skin conditions & there is no history of skin cancer in my family (no basal cell, no melanoma). My mother and father are both near 60 years old & dont have nearly as many moles or skin problems as i am having.

The last part of this is really troubling to me...My wife whom is of black skin complexion is also now experiencing some of the same symptoms. She only had 4-5 moles on her body up until the last year. She now has upwards of 40 on her face alone & several more on her body. They range in color from dark to light, just like mine do. Her skin also appears to be changing and aging fast (she is only 28!) even though she takes great care of her skin (sunscreen, natural lotions etc.). She also has red cherry hemangioma's (4-5) that have formed over the past year.

This is causing a great deal of stress in my life. I'm hoping you can provide some clarity for me or point me in the right direction of another type of doctor i should see or if anyone has reported anything similar to this. I'm wondering if maybe i picked up some sort of disease or virus or something because this clearly appears to be contagious (passed from me to my wife).

Any help you can provide would be GREATLY appreciate
Doctor:hello
Doctor:Please give me a moment to read your query
User:thanks
Doctor:all right
Doctor:I have read your query
User:ok
User:what are your thoughts?
Doctor:IT seems like a recurring basal cell carcinoma
Doctor:These recurrent cancers are much harder to cure
Doctor:And they recur with any forms of treatment
User:why does it seem recurrent?
User:i've only had one. And it hasn't re-appeared
User:???
Doctor:There is no specific cause as to why it recurs
User:there hasn't been more than one basal cell
User:its only been one
Doctor:But basal cell carcinoma is known for recurrence even with effective treatment
Doctor:where was that, in which part of your body?
User:did you read my post?
User:this is very frustrating
Doctor:Yes I did
User:i only have had one in my life
User:on my forehead
Doctor:It says you have many moles over 200 of them
User:and it hasnt reoccured
Doctor:About 2 years ago (age 27) i noticed that i started to get several new moles on my body. The moles were forming all over my body (arms, legs, bottom, face, head, etc). I have a darker (olive skin)
User:yes
Doctor:So, it began as several moles - isn't it?
User:i am getting several moles
User:but not several basal cells
User:only one basal cell
User:most are normal moles
Doctor:Since that treatment in early 2013, i have developed over 200 new moles. The moles range in size & shape, but are mostly not surface moles (they can be seen but not felt). - this is your current problem, right?
User:that is part of my problem
Doctor:all right
Doctor:I understand part of your problem now
User:i listed all of my symptoms very particularly in the post
Doctor:all right
Doctor:Now there are several other moles all over, right?
Doctor:Could it be a case of cutaneous neurofibromatosis, have you discussed about this with your dermatologist?
Doctor:Could you upload a few pictures of these moles on this chat page?
User:the doctors ive seen havent mentioned that at all
User:my main question revolves around all the different symptoms
User:both my wife & I are having
User:it seems to be something contagious
Doctor:I am thinking of cutaneous neurofibromatosis as a possibility
User:that is not the problem. i just read about that and that doesnt address most of my symptoms
Doctor:Please ask me your main question again
Doctor:I am sorry
Doctor:Yes, cutaneous neurofibromatosis is not cantagious
User:Hello,I have had some serious skin changes recently & have run out of options. I have seen 4-5 dermatologists for this & really could use some other opinions / thoughts & direction.About 2 years ago (age 27) i noticed that i started to get several new moles on my body. The moles were forming all over my body (arms, legs, bottom, face, head, etc). I have a darker (olive skin) complexion so this was quite alarming. I decided to have my skin checked & a dermatologist thought they all looked normal, but biopsied one on my face (it was a little darker black in complexion). Turns out that mole came back positive for a basal cell (at age 28). I had the MOHS surgery done which removed the cancer. Since that treatment in early 2013, i have developed over 200 new moles. The moles range in size & shape, but are mostly not surface moles (they can be seen but not felt). I've also noticed significant changes to my skin (texture, look, feel). I've been extremely careful in avoiding the sun & applying zinc oxide suncreen (spf 50) when briefly walking in the sun for minutes at a time (I have been EXTREMELY diligent in avoiding the sun for the most part). The troubling thing is that every time i'm in the sun (even when i'm protected by sunscreen) i notice new sun spots or moles on my face (they range from pin size to half a pinky nail). It's like overnight, I have become completely reactive to the suns rays. Not only am i developing new moles & sun spots, but also red cherry hemangioma's (over 20 of them this year alone - very small pin sized ones). I have also developed several skin cysts (cysts that are underneath the skin). Some of the cysts have shrunk over time, while others still remain. My skin also appears to have aged quite significantly in the past year (skin pores on my face are showing large openings & I am noticing deep wrinkles everywhere as well as XXXXXXX james5d: fine lines throughout my face). Lastly, my scalp has become very bumpy & dry.To give you some background on me, i am the middle child of 3 brothers. We all played sports growing up, but didn't have a ton of sun exposure. Neither of my brothers are having problems like this with moles or any other skin conditions & there is no history of skin cancer in my family (no basal cell, no melanoma). My mother and father are both near 60 years old & dont have nearly as many moles or skin problems as i am having.The last part of this is really troubling to me...My wife whom is of black skin complexion is also now experiencing some of the same symptoms. She only had 4-5 moles on her body up until the last year. She now has upwards of 40 on her face alone & several more on her body. They range in color from dark to light, just like mine do. Her skin also appears to be changing and aging fast (she is only 28!) even though she takes great care of her skin (sunscreen, natural lotions etc.). She also has red cherry hemangioma's (4-5) that have formed over the past year.This is causing a great deal of stress in my life. I'm hoping you can provide some clarity for me or point me in the right direction of another type of doctor i should see or if anyone has reported anything similar to this. I'm wondering if maybe i picked up some sort of disease or virus or something because this clearly appears to be contagious (passed from me to my wife). Any help you can provide would be GREATLY appreciate
Doctor:Since it is contagious, and it is now occurring in your wife, it could be viral in origin
Doctor:All right
Doctor:I have re-read your query
Doctor:Yes, it could be a viral infection that you have caught and has now become contagious and spread to your wife
User:ok
User:what type
User:what type would cause these symptoms
Doctor:Something like viral warts
User:they would cause all of these other symptoms?
Doctor:Human papilloma virus (HPV) warts
Doctor:Not all of them are contagious
Doctor:some of them are
User:ive looked that up & the only side effects are the warts themselves
User:according to mayo clinic etc.
Doctor:Warts are the only close proximal differential now
Doctor:A dermatologist can confirm the diagnosis after thorough clinical examination and investigation
Doctor:Please get it evaluated by a skilled dermatologist
User:ive been evaluated by a dermatologist
User:nothing abnormal there
Doctor:Is your concern for your wife or for you now?
Doctor:I assume your wife is not being examined by a Dermatologist
Doctor:Also, your dermatologist has only removed the basal cell carcinoma
User:she has yet to be examined...my concern is for the both of us
User:as symptoms are not stopping
Doctor:Has your dermtatologist ruled out warts or HPV infection in you?
Doctor:IT is definitely contagious, and warts are the skin problems that are usually contagious
Doctor:You need to discuss about this with your dermatologist
Doctor:Both your wife and you are suffering from the same problem
Doctor:And most likely it is spread from you to her
Doctor:So, it is likely to be Warts in this scenario
User:i dotn have wart
User:and warts dont cause moles
User:they also dont cause cysts
User:or many of my other symptoms ive listed
Doctor:Warts cause mole like lesions on the skin
Doctor:Have you confirmed yourself that you do not have warts?
User:yes
User:ive had several checks
Doctor:Was a biopsy of the mole done for HPV DNA testing?
Doctor:Have you got a biopsy of any of the moles recently?
Doctor:Thanks for visiting me here. Bye for now.
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