Brief Answer: Scalp folliculitis Detailed Answer: Hello, Welcome to healthcare magic. From your history and description, it seems to me that you may be having chronic scalp folliculitis. It is a bacterial infection of the hair follicle and can become chronic in areas like the scalp and legs. It could also be associated with scalp itching and dandruff. Itching can lead to spreading of the lesions as the infection spreads by scratching. I suggest you the following- 1. You need to take a course of antibiotic Doxycycline 100 mg once a day after breakfast for 6 weeks. This will control the active infection and reduce the frequency and number of sores. 2. You could also apply an antibiotic cream containing 2% Mupirocin ( eg- T.Bact cream) twice a day on the sores. Once the course of oral antibiotic is over, you can use this on and off as and when the sores appear. ( which will become less frequent after the oral antibiotic course) 3. Use a shampoo containing 2% Ketoconazole ( eg- Scalpe) on alternate days. Keep the lather on for 3-5 minutes and then wash it off. This will tackle the dandruff problem. 4. Take B- complex capsules (eg- Becosules-Z) once a day after food for 2 months. 5. Take vitamin C tablets ( eg - Tab. Limcee 500 mg) once a day for 2 months). B- complex and vitamin C will boost your immunity. 6. Your hair fall could be related to dandruff and folliculitis. It could also be hereditary hair fall. If you could upload a clinical picture, I will be able to assess better. ( you have the option of uploading a photograph). You could benefit from taking iral supplements containing Biotin, methionine and cysteine ( eg- Tab. Follihair) once a day after food for 2 months. This problem is chronic and you may notice ovcassional sores popping up. Use the cream as soon as you feel a sore coming up so that it does not spread or become bigger. Hope this helps you. If you any any more queries, I will be glad to assist. Regards, Dr. Johny Chacko

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