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Suffering from flaky and itchy scalp. Started developing eczema on hand and leg. Permanent solution?

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Practicing since : 2005
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My daughter has been suffering from a flaky and itchy scalp from almost an year, we apply HH Sone cream and it gets normal by a week and again after couple on months it re appears..Its becoming a frequent problem, adding to it she is developing eczema on her hands and legs,for which we are applying TACROZ, im looking at a permanent soultion to this, request advice and care..
She also has a problem of putting her thumb in the mouth..
Posted Sun, 12 May 2013 in Skin Hair and Nails
Answered by Dr. Sudarshan 13 hours later
Thanks for writing in.
The itchy flaky scalp in 3 year old can be seborrheic dermatitis or scalp psoriasis.
Both conditions need to be differentiated for effective treatment.
Seborrheic dermatitis has yellow greasy scales which are adherent to scalp or they can be powdery white small like dandruff.It usually extends to behind the ear neck etc.
Psoriasis has larger flakes with redness of the scalp.
Which of the two types suits in your case?
Treatment differs on the basis of diagnosis.

Eczema over hands and legs can be contact dermatitis or xerotic eczema.
You should apply good quality moisturizer like venusia XXXXXXX twice a day and Apply mild steroid like Fluticasone once at night time.
Once the eczema clears moisturizer application should be continued to prevent relapse.
Also Using a mild soap like Venusia bathing bar would help.

Thumb sucking is a common problem of childhood and needs to be dealt at right time.Rewarding the child for not putting thumb into mouth or punishing when he puts the thumb in mouth helps.Treatment is not always required for thumb sucking.
Padding the thumb with Handkerchief or applying Band Aid strips to thumb may help.Newer medications are available which can be applied like Nail polish over thumb nails.The medication has bitter test and child who once tests it will not put thumb in mouth again.

If you can post photos of the affected skin and scalp it will be of help in giving more specific advise.Upload the images and we can continue the discussion here.
Above answer was peer-reviewed by
Follow-up: Suffering from flaky and itchy scalp. Started developing eczema on hand and leg. Permanent solution? 7 hours later

Thanks for the inputs,wanted to check if the medication im using now is ok, or i need to consult a local doctor with the advices you have given..
Secondly, would you recommend to grow my daughters hair, or maintain short till the issue is treated
Answered by Dr. Sudarshan 12 hours later
You can use the treatment suggested by me or you can continue using tacroz 0.1% cream.YOu need to keep the hair short till the treatment is goin on.Also you can use salisia KT shampoo for her it will help in both conditions.
Hope this helps.
Above answer was peer-reviewed by
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